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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


Local Deductible Plan
Insurance for Employees
and Retirees
(PO4)


Unity Health Insurance – Community

1-800-362-3310
ChooseUnityHealth.com

What’s New for 2016

Unity Health Insurance – Community network is excited to announce that we are expanding our service area to Waukesha County in 2016.

We continue to offer guaranteed access to the providers at UW Hospital and Clinics and American Family Children’s Hospital. With MyChart, you have access to your health information, wellness tools and insurance details all in one place. Unity also offers the Fitness First & More program, which rewards you for participating in wellness activities (this is in addition to your Well Wisconsin incentive!). Visit ChooseUnityHealth.com to learn more about Unity.

Provider Directory

Go to ChooseUnityHealth.com to access a provider directory and select “Find a Doctor.” Then select “State/Local Community” as your network. To request a printed directory be mailed to you, call 1-800-362-3310.

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 unitymychart.com. If you are unsure if a service, test or procedure requires prior authorization or a referral, contact 1-800-362-3310 prior to the appointment or visit unityhealth.com/priorauth.

Service Area

Qualified: Adams, Columbia, Dodge, Fond du Lac, Grant, Green, Iowa, Jefferson, Juneau, Richland, Rock, Sauk, Vernon, Walworth and Waukesha counties.
Non-qualified: Crawford, Lafayette, Marquette and Wood counties as well as providers located in Cambridge and Mazomanie.

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 Unity Customer Service at 1-800-362-3310 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 approved by Unity.

Mental, Behavioral Health and Substance Abuse

For assistance in accessing mental, behavioral health or substance abuse services, call UW Health - Behavioral Health Care Management at 1-800-683-2300.

24-Hour Nurseline

Not available.

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 5:02:40 PM