It's Your Choice 2016
Network Health Northeast1-800-826-0940
What’s New for 2016
Froedtert Hospital, Medical College of Wisconsin, Children’s Hospital of Wisconsin and Children’s Hospital Fox Valley are available for specialty care. University Healthcare, Inc., Hospital and Physician Clinics (UW Health) will no longer be participating in our provider network effective January 1, 2016.
Network Health offers a nurse line 24 hours a day, seven days a week, for those need-it-right-now situations. It’s a great resource for:
Go to networkhealth.com to access a provider directory. Click “Find a Doctor,” choose “State of Wisconsin Northeast” as your plan, enter your location and search for a provider. Or, click on Printable Directory on the right. To request a printed directory be mailed to you, call 1-800-826-0940.
Referrals, Prior Authorizations, Out-of-Network Care
Referrals are not needed when receiving care from in-network providers. Prior authorization (or prior approval) 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, call 1-800-826-0940 prior to the appointment.
Qualified: Brown, Calumet, Dodge, Door, Fond du Lac, Green Lake, Manitowoc, 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 Network Health at 1-800-826-0940 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 Network Health.
Mental, Behavioral Health and Substance Abuse
Prior authorization (or prior approval) is required for autism treatment and any inpatient service for mental health, behavioral health or substance abuse services. Contact 1-800-555-3616 for assistance. After hours, please call your provider.
Network Health's Nurse Line: 1-888-879-8960
This page was last modified on: 9/23/2015 4:02:41 PM