Wisconsin § 609.05 Primary provider and referrals.

Wisconsin Statutes

§ 609.05 — Primary provider and referrals.

Wisconsin § 609.05

Ch. 609Defined network plans

This text of Wisconsin § 609.05 (Primary provider and referrals.) is published on Counsel Stack Legal Research, covering Wisconsin primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook

Wis. Stat. § 609.05 (2026).

Text

609.05 609.05(1) (1) Except as provided in subs.

(2)and (3) , a limited service health organization, preferred provider plan, or defined network plan shall permit its enrollees to choose freely among participating providers. 609.05(2) (2) Subject to s. 609.22 (4) and (4m) , a limited service health organization, preferred provider plan, or defined network plan may require an enrollee to designate a primary provider and to obtain health care services from the primary provider when reasonably possible. 609.05(3) (3) Except as provided in ss. 609.22 (4m) , 609.65 , and 609.655 , a limited service health organization, preferred provider plan, or defined network plan may require an enrollee to obtain a referral from the primary provider designated under sub.

(2)to another participating provid

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609.05
609.05(1) (1) Except as provided in subs. (2) and (3) , a limited service health organization, preferred provider plan, or defined network plan shall permit its enrollees to choose freely among participating providers.
609.05(2) (2) Subject to s. 609.22 (4) and (4m) , a limited service health organization, preferred provider plan, or defined network plan may require an enrollee to designate a primary provider and to obtain health care services from the primary provider when reasonably possible.
609.05(3) (3) Except as provided in ss. 609.22 (4m) , 609.65 , and 609.655 , a limited service health organization, preferred provider plan, or defined network plan may require an enrollee to obtain a referral from the primary provider designated under sub. (2) to another participating provider prior to obtaining health care services from that participating provider.