It's Your Choice 2016
Dean Health Insurance- Prevea360 Health Plan1-877-230-7555
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.
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.
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.
Qualified: Brown, Manitowoc, Oconto and Sheboygan 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
This page was last modified on: 9/23/2015 5:02:42 PM