We contract with a variety of insurance carriers; including but not limited to:
- Anthem BCBS
- Champ VA
- Common Ground
- Medicaid (BCBS Medicaid, Molina Medicaid, Security Medicaid, Trilogy Medicaid, UHC Medicaid)
- Network Health
- Network – Prestige NE
We always encourage patients to contact their insurance carrier directly to verify if services will be covered at our office. In addition, we will work with you to help you understand your coverage and benefits, as well as arrange convenient payment plans for any out-of-pocket expenses. We have a full time billing staff on site, including a financial counselor. If you have questions and concerns about your bill, we can help you to know what to ask your insurance carrier in order to get your bills processed.
We work with some third party administrators and self-funded plans. We are in-network providers for Health EOS and Health EOS/Multiplan. If your insurance carrier uses their services to process your claims and you have questions, please contact our business office.
If you do not have medical coverage or have no maternity benefits through your health care plan, call our financial counselor at (920) 749-4000.
If you are a human resources manager and have questions on benefits and services, please call us at (920) 749-4000.
Network Health*Women’s Health Specialists is a participating provider of Network Health. We are the only privately owned OB/GYN specialist who can accept Network Health in Appleton and Neenah, and at any Women’s Health Specialists service site in the greater Fox Cities. Network Health members are encouraged to call our financial counselor at (920) 749-4000 to determine in-plan provider coverage.
Serving patients at ThedaCare Regional Medical Center - Appleton, ThedaCare Regional Medical Center - Neenah, Encircle Health – Appleton, and at Ascension - St. Elizabeth Hospital.
Wisconsin Medicaid / BadgerCare Plus
If you have Wisconsin Medicaid / BadgerCare Plus , please note Women’s Health Specialists is ONLY a provider for certain Medicaid HMO products. These include:
- BCBS Medicaid
- Molina Medicaid
- Security Medicaid
- Trilogy Medicaid
- UHC Medicaid
If you have an HMO that we are not in-network with, you can choose another HMO in order to be covered at Women’s Health Specialists. To change your HMO, you can call the Medicaid HMO enrollment specialist at (800) 291-2002. In order to be seen, your Medicaid coverage must be verified as active prior to all appointments.