It's Your Choice 2016
State of Wisconsin
Group Health Insurance Program
(State Employees, Retirees, Continuants and Graduate Assistants)
Health Tradition Health Plan1-877-832-1823 or 1-888-459-3020
What’s New for 2016
Health Tradition Health Plan (HTHP) will be expanding our provider network to include the Mayo Clinic Health System locations in Osseo and Mondovi, WI. Please check the website periodically for additional details regarding health and wellness initiatives through HTHP. Refer to the online provider directory to make sure your provider/facility is in the 2016 HTHP network for the State of Wisconsin plan.
Go to healthtradition.com to access a provider directory. Click on “Provider Search” towards the top of the screen. To review the directory in a PDF format, go to healthtradition.com, click on “Already have Health Tradition,” click on the blue “State of WI Employees” button and select “State of WI Employees Medical Provider Directory.” To request a printed directory be mailed to you, call 1-888-459-3020.
Referrals, Prior Authorizations, Out-of-Network Care
You must get a referral approved by HTHP before you see providers outside the HTHP network, including Mayo Clinic–Rochester. 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. If you are unsure if a service, test or procedure requires prior authorization or a referral, contact 1-877-832-1823 prior to the appointment.
Qualified: Crawford, Jackson, Juneau, La Crosse, Monroe, Richland, Sauk and Vernon 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 HTHP at 608-781-9692 or 1-888-459-3020 or your primary care physician if assistance is needed to determine the appropriate level of care. Follow-up care must be received from an in-network provider unless otherwise approved by HTHP.
Mental, Behavioral Health and Substance Abuse
No prior authorization is required for outpatient services from an in-network mental health/ substance abuse provider. Prior authorization is required for inpatient services, group therapy and psychiatric testing.
This page was last modified on: 9/23/2015 5:02:42 PM