Serving patients across all of Wisconsin
Welcome to the Modivcare Member web site for Wisconsin. Currently this site hosts information and forms to better assist you with your transportation needs.
The forms on this site are stored in PDF Format. Your computer must have Adobe Acrobat Reader installed for you to be able to read and print the forms. If you do not have a copy of Adobe Acrobat, you can download it for free at www.get.adobe.com/reader/.
Allwell from MHS Health Wisconsin:
Humana National Medicare (MCR):
UnitedHealthcare Medicare National:
UnitedHealthcare Group Retiree
HCSC Group Retiree
Group Retiree National Line Reservation/Ride Assist
Humana Group Retiree
Forms
Please click on the title that corresponds to the document you would like to view.