Plan Participation

We currently have participation agreements with the following insurance carriers:

  • The Alliance
  • Anthem Blue Cross Blue Shield (Elevance Health)
    • Commercial HMO/POS/PPO
    • Commercial Indemnity/Traditional/Standard
    • Medicare Advantage HMO/PPO
  • Aspirus Health Plan
    • Commercial PPO
    • Medicare Advantage
  • Choice Care
    • Commercial PPO/POS/EPO
  • CIGNA PPO/Open Access Plus
  • First Health Network
  • Group Health Cooperative of Eau Claire Commercial HMO
  • Health Partners Commercial PPO
  • Humana
    • Commercial HMO/PPO/POS/EPO
    • Medicare Advantage HMO/PPO/POS
    • Traditional Plans (Indemnity)
  • HealthSmart Network (Formerly known as Interplan Health Group)
  • Multiplan National PPO Network
    • Aetna Commercial PPO and Medicare Advantage HMO
    • Beech Street Commercial PPO Network
    • HealthEOS Commercial PPO Network
    • PHCS Commercial PPO Network
  • Security Health Plan
    • Commercial HMO
    • Medicare Advantage HMO
    • Medicaid – BadgerCare Plus
  • United Healthcare (Bind, Surest) **
    • Commercial HMO/PPO/POS/EPO
    • Medicare Advantage HMO/PPO
    • Nexus ACO (some plans require a referral)
    • UMR
  • VA Community Care Program (OptumServe)
  • Wisconsin Physician’s Service (WPS)
    • Traditional (Indemnity)
    • PPO/POS/EPO
    • Focus
  • Direct Employers Contracts
    • Bone & Joint Clinic
    • Forest County Potawatomi
    • Medical College of Wisconsin – Employer Welfare Benefit Plan

** A referral authorization from your PCP is required by your insurance:

  • United Healthcare Compass Plan
  • United Healthcare Navigate Plan

Community Care Program

Orthopaedic Associates of Wausau (OAW) is an independent private practice. While many of our patients utilize Aspirus Wausau Hospital and can take advantage of their Community Care Program, this program does not extend to independent clinics.