{"data":{"id":"us-wi/wis.-stat.-609.05","jurisdiction":"us-wi","citation":"Wis. Stat. § 609.05","heading":"Primary provider and referrals.","body":"(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.\n(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.\n(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.","path":["Chs. 600-655, Insurance","Chapter 609 Defined Network Plans"],"source_url":"https://docs.legis.wisconsin.gov/document/statutes/609.05","current_through":"2023-24 Wisconsin Statutes updated through 2025 Wis. Act 247 (published 9-4-26)","vintage":"","retrieved_at":"2026-09-05T12:01:29Z","sha256":"f54dad6a1e6e5eeb27136c0622fbe0cb350c238813569a8f48adf1b1eb346875","source_id":"us-wi","stale":false,"prev":"us-wi/wis.-stat.-609.03","next":"us-wi/wis.-stat.-609.10"},"notice":"GroundRules: Original legal text. Not legal advice."}