We’ve been working closely with Children’s Wisconsin but have not yet reached an agreement to keep them in our plan’s network. Children’s Wisconsin wants to increase prices for healthcare services by more than 25% over the next three years. In some instances, costs will be much higher.
Children’s Wisconsin has issued a termination to Anthem If we do not agree to their price increase demands and said they will leave Anthem’s networks on December 31, 2026. If they leave, your clients’ employees may pay more for care they receive from Children’s Wisconsin.
We will send a letter to your clients and their employees about what this means and how they can find care if this happens. The information below summarizes those details.
Seeing a doctor or choosing a healthcare facility in the plan’s network keeps costs down
It’s up to the employee to choose which provider to use, but selecting one that’s in their plan will cost less. They can find a doctor or healthcare facility using the Find Care feature on the Sydney® Health app and anthem.com/find-care. They also can call Member Services at the number on their member ID card.
Employees may pay more if they decide to keep receiving care from Children’s Wisconsin
If the employee decides to keep receiving care from Children’s Wisconsin after December 31, 2026, they may pay more or all the costs for the care. Some plans only cover care from providers in the plan’s network, except in emergencies. Employees can check their plan documents to learn more.
There may be exceptions
An employee’s family may be able to keep receiving care from Children’s Wisconsin for a limited time if they are in treatment for a serious and complex condition, in the hospital, scheduled for nonelective surgery, or terminally ill. Their plan documents include more information about Continuity of Care.
What happens next?
We will continue to negotiate with Children’s Wisconsin and keep your clients and their employees updated. Please visit anthem.com/update/childrenswisconsin for the latest information or contact your Anthem representative if you have questions.