Consumer's Guide to Managed Care Health Plans in Wisconsin

​​​​​​​​​Last Updated: July 27, 2021

Health insurance is an important part of taking care of your health and safeguarding yourself against costly expenses. A managed care health plan is a type of health insurance that is involved in the choice of medical care providers and the choice of medical treatments.

  • Health Maintenance Organizations (HMO) An HMO is a health insurance plan providing comprehensive medical care when services are provided by a plan provider.

  • Limited Service Health Organizations (LSHO) An LSHO is the same as an HMO except it provides a limited range of health care services. For example, a dental LSHO provides only specific dental services.

  • Preferred Provider Plans (PPP) A PPP pays a specific level of benefits if certain providers are used and a lesser amount if non-PPP providers are utilized. 
This guide ​explains the different managed care health plans in​ Wisconsin, how t​hey differ, ​​what benefits are covered, frequently asked questions, and the process to follow if you have a grie​vance. ​

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File a Complaint
If you have a specific complaint​ about your insurance, refer it first to the insurance company or agent involved. If you do not receive satisfactory answers, contact the Office of the Commissioner of Insu​rance (OCI).