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Wisconsin Department of Employee Trust Funds header image It's Your Choice 2016 State of Wisconsin Group Health Insurance Program
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Wisconsin Department Of Employee Trust Funds

It's Your Choice 2016


State of Wisconsin
Group Health Insurance Program
(State Employees, Retirees, Continuants and Graduate Assistants)

Dean Health Insurance- Prevea360 Health Plan

1-877-230-7555
prevea360.com/wi-employees

What’s New for 2016

Prevea360 Health Plan is underwritten by Dean Health Insurance, so you know it’s a plan Wisconsinites have come to know and trust. What makes Prevea360 so special is its proprietary network of hospitals, physicians and ancillary providers that is based on Prevea Health’s multi-specialty physician group and HSHS partner hospitals, including St. Mary’s and St. Vincent’s Hospitals in Green Bay and St. Nicholas Hospital in Sheboygan, as well as other in-network hospitals in Oconto, Manitowoc and Door counties. This collaboration between health care experts, hospital partners, and insurance provider as an integrated health system leads to a better, more affordable experience for our members and patients—one that is centered around you.

Our goal as a health care system is to keep our members happy and healthy. Preventive care and wellness are integral parts of our care philosophy. Prevea360—a better kind of health care.

The Living Healthy program returns via WebMd, providing valuable health information, tools for managing your health, and support when you have questions. You can trust that our content is timely and credible.  Watch for more details, coming soon.

Provider Directory

Go to prevea360.com/wi-employees to access a provider directory. Select “Online Provider Directory” or “Printable Provider Directory.” To request a printed directory be mailed to you, call 1-877-230-7555.

Referrals, Prior Authorizations, Out-of-Network Care

Referrals are not needed when receiving care from in-network providers. Prior authorization is required for certain services, procedures and for out-of-network providers before you receive care. You will receive written notification of the approval or denial for the prior authorization. You may check the status of your request at MyPrevea.com. If you are unsure if a service, test or procedure requires prior authorization or a referral, contact 1-800-279-1301 prior to the appointment.   

Service Area

Qualified: Brown, Manitowoc, Oconto and Sheboygan counties.
Non-qualified: Door, Kewaunee, Marinette and Outagamie 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 Prevea360 at 1-877-230-7555, if possible, when you receive emergency care. If assistance is needed to determine the appropriate level of care outside of normal working hours, contact Prevea Care After Hours at 1-888-277-3832. Follow-up care must be received by an in-network provider unless otherwise approved by Prevea360.

Mental, Behavioral Health and Substance Abuse

Prior authorization and/or referrals are not required for Outpatient Mental Health Services when seeking services from an in-network provider. Inpatient Mental Health must be prior authorized.

24-Hour Nurse Line

Prevea Care After Hours: 1-888-277-3832

Disclaimer:
Every effort has been made to ensure that this information is accurate, but may be subject to change. Please note revision dates located at the bottom of each page. In the event of conflicting information, federal law, state statute, state health contracts and/or policies and provisions established by the State of Wisconsin Group Insurance Board shall be followed.

This page was last modified on: 9/23/2015 5:02:42 PM