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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 Health Plan
Insurance for Employees
and Retirees
(PO6)


Medical Associates Health Plans

1-800-747-8900
mahealthcare.com

What’s New for 2016

When you choose Medical Associates Health Plans (MAHP), you are entrusting your health to expert practitioners who are committed to your wellbeing. We are grateful to all our dedicated physicians, providers and staff for delivering services that meet or exceed the nation’s highest standards in health care. There are no significant changes to the MAHP network. Go to the MAHP website at mahealthcare.com to find plan information, health related topics or log into My e-Link for your personalized claims status/review, and explanation of benefits.

Provider Directory

Go to mahealthcare.com/insurance-services to access a provider directory. Click on “Provider Directory” then enter the Employer Group Number found on your medical card. If you are not currently a MAHP member, simply type “wisesample” to view. To request a printed directory be mailed to you, call 1-800-747-8900.

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. If you are unsure if a service, test or procedure requires prior authorization or a referral, contact 1-800-325-7442 prior to the appointment.

Service Area

Qualified: Crawford, Grant and Iowa counties.
Non-qualified: Lafayette County.

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 Health Care Services at 1-800-325-7442 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 MAHP.

Mental, Behavioral Health and Substance Abuse

No prior authorization or referral is required for outpatient services from a MAHP in-network provider. Prior authorization may be required for inpatient services and transitional care. For additional details and services, contact 1-800-325-7442

24-Hour Nurseline

24 Hour HELP Nurse: 563-556-HELP (4357) or 1-800-325-7442

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: 9/11/2015 6:53:06 PM