An HMO gives you access to doctors and hospitals within its network. A primary care practitioner (PCP) can help coordinate your
overall medical care. No matter which HMO plan you choose you will receive:
100% coverage for preventive services completed by an in-network provider
$0 copay on preventive drugs that target common medical conditions
24/7/365 video visits for general medical, dermatology and behavioral health through MDLive
Access to our RN Comprehensive Care Coordination team
FREE Nurseline 24/7/365
Access to Hear in America
Tobacco Cessation coverage
Is my doctor in the network?
Aspirus offers 13 regional hospitals in Wisconsin and 4 more in the Upper Peninsula of Michigan, over 75 clinics and more than 400
With an HMO plan, there is no referral necessary to see an in-network specialist, but some services will require review and prior
authorization. If you receive care from an out-of-network provider, the HMO will not pay for that care unless the condition was
deemed an emergency or approved prior authorization is received from Aspirus Health Plan.