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Request a Hard Copy of Provider Directory

If you need help finding a network provider, you can use the tool above. If you would like assistance or want a provider directory mailed to you, call us at 800-378-5234. We are available Monday through Friday 8 a.m. to 8 p.m.

The Right to Choose Your Doctor

With a PPO plan, you have the right to choose in-network or out-of-network doctors. This means you can select any doctor who accepts Medicare beneficiaries. Plus, unlike HMO plans, Network Health does not require a referral from your primary care doctor to see specialists.

Provider-Owned to Provide Outstanding Care

Co-owned by Froedtert Health and Ministry Health Care, a part of Ascension, we understand the importance of quality health care, and we believe it should be convenient. With roots in northeast Wisconsin and new partnerships in southeast Wisconsin, we’re able to offer access to a large network of high-quality providers.

Large, Strong Doctor and Hospital Networks

With a PPO plan, you have the freedom to choose any doctor who accepts Medicare beneficiaries. Network Health contracts with in-network doctors, hospitals and facilities.

How We Validate Information

We obtain a practitioner's name, gender and office location on the credentialing application and validate it every three years as part of the re-credentialing process.

Board certifications, specialty, hospital affiliations, medical group affiliations and languages spoken are verified by the credentialing department through an every three year process. Practitioner name, office location, acceptance of new patients and specialty are verified quarterly by the provider informatics department by contacting the provider offices for updates. Updates to the provider directory are completed within 30 calendar days of receiving new information from the provider.

These results are updated on a daily basis.

If you are aware of any provider data discrepancies, please contact managed care contracting at NHPManagedCareContracting@networkhealth.com.

Network Health adjusts our provider network based on the members needs as determined by CMS.