Anthem Blue Preferred - Northeast Network

1-800-843-6447
anthem.com

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.

• Membership ID card (view, email or fax an electronic version)
• Health Record
• Estimate Cost
• View Claims

Download the free Anthem app, just search for Anthem Blue Cross and Blue Shield at the app store on your mobile device.

Provider Directory

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.

Service Area

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.

24-Hour Nurseline

1-866-647-6120