It's Your Choice 2016
State of Wisconsin
Group Health Insurance Program
(State Employees, Retirees, Continuants and Graduate Assistants)
Overall Performance Rating
Anthem Blue Preferred - Northeast Network1-800-843-6447
What’s New for 2016
We’re Here for You. Using new technology can make it easier and more convenient to manage your health and health care needs. We’ve developed consumer friendly tools connecting you and your family to the information you need to make smarter health care decisions and achieve better health.
Anthem’s mobile app can help you manage your health care right from your smartphone.
Download the free Anthem app, just search for Anthem Blue Cross and Blue Shield at the app store on your mobile device.
Go to anthem.com/stateofwisconsin to access a provider directory. To request a printed directory be mailed to you, call 1-800-843-6447.
Referrals, Prior Authorizations, Out-of-Network Care
Referrals are not needed when receiving care from in-network providers except for non-emergency hospital stays. Prior authorization is required for some medical procedures and for out-of-network providers before you receive care. If you are unsure if a service, test or procedure requires prior authorization or a referral, contact 1-800-843-6447 prior to the appointment.
Brown, Calumet, Door, Fond du Lac, Green Lake, Kewaunee, Manitowoc, Marinette, Oconto, Outagamie, Shawano, Sheboygan, Waupaca, Waushara and Winnebago counties.
Emergency and Urgent Care Outside Service Area
If you require emergency or urgent care when outside of the network, seek care at the nearest medical facility. Contact the 24/7 Nurseline at 1-866-647-6120 if assistance is needed to determine the appropriate level of care. Follow-up care must be received by an in-network provider unless otherwise approved by Anthem.
Mental, Behavioral Health and Substance Abuse
No referral is required for outpatient services from an in-network mental health provider. Prior authorization is required for inpatient services. For other services, contact 1-800-843-6447.
This page was last modified on: 9/23/2015 5:02:43 PM