www.dhfs.state.wi.us/hirsp/index.htm

Wisconsin HIRSP - Type of Insurance

HIRSP was created in 1979 for Wisconsin residents. The plan makes health insurance available to people who either are unable to find adequate health insurance coverage in the private market due to their medical conditions or who have lost their employer-sponsored group health insurance. Two plans are available to eligible persons under the HIRSP major medical policy. Refer to the HIRSP Outline of Coverage - PDF (306 KB) for more information about HIRSP, including eligibility, covered services, and policy options.

Wisconsin HIRSP - Organizational Structure

The Wisconsin Department of Health and Family Services (DHFS) is the state agency designated to administer HIRSP. The DHFS contracts with a plan administrator to make eligibility determinations, issue premium notices, process HIRSP claims, and to answer policy/billing questions about HIRSP.

Wisconsin HIRSP - Board of Governors

The Board of Governors advises the DHFS on overall plan administration.

Wisconsin HIRSP - Additional Information

For inquiries regarding HIRSP eligibility, benefits, claims or to mail completed claims, contact or submit mail to:
HIRSP Customer Service 6406 Bridge Road, Suite 18
Madison, WI 53784-0018
(800) 828-4777 or
(608) 221-4551
(608) 226-8770 fax

Providers who have questions about certification or changes in status should contact:
Provider Maintenance Unit
6406 Bridge Road
Madison, WI 53784-0006
(800) 947-9627 or (608) 221-9883

Providers interested in electronic claim submission, contact:
HIRSP EMC Department
6406 Bridge Road, Suite 18
Madison, WI 53784-0018
(608) 221-4746

Contact the Iowa County Social Services for more information and to enroll 935-9311