Defense Health Agency

Health Insurance Coverage in Wisconsin

Health Plan Overview

Insurance Company	Defense Health Agency
State	Wisconsin
Website	tricare.mil
Number of Hospitals in Network	48
Number of Plans Offered	10

Network Hospital Locations

Hospitals in Network (48)

Ascension NE Wisconsin - St. Elizabeth HospitalFroedtert SouthAurora Medical Center – Manitowoc CountyAurora Sheboygan Memorial Medical CenterAurora Medical Center - Washington CountyAscension Columbia St. Mary's Hospital - Milwaukee CampusAurora Medical Center – BurlingtonFroedtert West Bend HospitalAscension St. Francis HospitalSt Agnes Hospital Hospice HopeAscension All Saints HospitalBeloit Health SystemAurora Lakeland Medical CenterFroedtert Menomonee Falls HospitalFroedtert Holy Family Memorial HospitalAurora Medical Center Bay AreaAscension SE Wisconsin Hospital - St. Joseph CampusAurora St. Luke's Medical CenterAurora West Allis Medical CenterFroedtert HospitalAurora Medical Center KenoshaAurora BayCare Medical CenterOrthopaedic Hospital of WisconsinAurora Medical Center OshkoshMidwest Orthopedic Specialty HospitalAurora Medical Center - SummitAurora Medical Center - GraftonFroedtert Community Hospital - New BerlinAscension Wisconsin Hospital - Menomonee FallsGundersen St. Joseph's Hospital and ClinicsAdventHealth DurandGundersen Tri-County Hospital & ClinicsAscension Calumet HospitalEdgerton Hospital and Health ServicesBurnett Medical CenterBlack River HealthSaint Croix Regional Medical CenterGundersen Boscobel Area Hospital and ClinicsVernon Memorial HealthcareRiver Falls Area HospitalUpland Hills HealthAurora Psychiatric HospitalRogers Memorial HospitalNorwood Health CenterFond du Lac County Acute Psychiatric UnitWillow Creek Behavioral HealthMiramont Behavioral HealthMental Health Emergency Center

Available Plans

OTHER

10 plans

Plan Details

Plan Name	Plan Type
Champus/Tricare	OTHER
CHAMPUS/TRICARE EAST	OTHER
CHAMPUS/TRICARE WEST	OTHER
Military insurance (e.g., TRICARE)	OTHER
Tri-Care Champus	OTHER
Tricare	OTHER
TriCare	OTHER
TRICARE	OTHER
Tricare East	OTHER
Tricare/TriWest	OTHER

Recent News

2025-05-06

Starting January 1, 2025, TRICARE implemented new regional contracts in the U.S. affecting beneficiaries in Wisconsin. Wisconsin is one of six states that transitioned from the East Region to the West Region, with TriWest Healthcare Alliance taking over as the regional contractor from Humana Military for most of the state. Certain ZIP codes within Wisconsin are designated as 'carve-outs' and will remain in the East Region due to their proximity to military hospitals or clinics in bordering states, keeping Humana Military as their contractor. TRICARE beneficiaries in affected areas were encouraged to verify their region and contractor, and for those moving to the West Region, to create an account with TriWest and provide payment information if they don't use military pay allotment.

2024-12-26

Significant changes to TRICARE in 2025 include new regional contracts in the U.S., impacting states like Wisconsin. As of January 1, 2025, Wisconsin moved from the East Region to the West Region, with TriWest Healthcare Alliance becoming the new regional contractor. Exceptions apply to some ZIP codes in Wisconsin which will remain in the East Region. Beneficiaries in the transitioning areas were reminded to update their payment information with TriWest by the January 1 deadline if they use methods other than military pay allotment.

2024-12-19

A reminder was issued regarding the new TRICARE regional contracts in the U.S. effective in 2025, which include changes for Wisconsin. Beginning January 1, 2025, Wisconsin transitioned from the East Region to the West Region, and TriWest Healthcare Alliance replaced Health Net Federal Services, LLC as the regional contractor. There are specific ZIP codes in Wisconsin that are exceptions to this change and will remain in the East Region. Beneficiaries were urged to check their region and take necessary actions before January 1, such as updating payment information with TriWest.

2024-12-19

With the implementation of new TRICARE regional contracts in the U.S. in 2025, Wisconsin moved from the East Region to the West Region. TriWest Healthcare Alliance is now the regional contractor for the West Region, impacting most TRICARE beneficiaries in Wisconsin. However, some ZIP codes in Wisconsin are designated carve-outs and will remain in the East Region under Humana Military. This change became effective January 1, 2025.

2024-12-03

Effective January 1, 2025, Wisconsin is one of six states moving from the TRICARE East Region to the TRICARE West Region under new regional contracts. TriWest Healthcare Alliance will become the regional contractor for the West Region, replacing Health Net Federal Services, LLC. Beneficiaries in Wisconsin, except for those in specific carve-out ZIP codes in certain counties bordering other states with military hospitals or clinics, will have TriWest as their contractor. Those in carve-out areas will remain in the East Region with Humana Military as their contractor. Beneficiaries in the transitioning areas were advised to take actions like updating payment information with TriWest by January 1, 2025, and checking the TriWest provider directory. Active referrals were to be accepted by TriWest until their expiration or June 30, 2025, whichever came first.

State Leadership

TRICARE

Executive

NA