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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 High Deductible Health Plan
Insurance for Employees
and Retirees
(PO7)


Physicians Plus

608-282-8900 or 1-800-545-5015
pplusic.com

What’s New for 2016

Physicians Plus now offers the convenience of printing your ID card directly from MyChart. Simply log into Physicians Plus MyChart at pplusic.com, and follow easy instructions to print your ID card replacement in no time. All UW Health providers and facilities are part of the Physicians Plus provider network, including UW Hospital & Clinics and American Family Children’s Hospital.

Provider Directory

Go to directory.pplusic.com to access the online provider directory. To search for a provider, select ““HMO & POS” under the network drop-down menu. To print the provider listing, visit pplusic.com/members/member-materials/state and select the “Provider Directory” link. To request a printed directory to be mailed to you, call 608-282-8900.

Referrals, Prior Authorizations, Out-of-Network Care

Prior authorization is not required for most covered services delivered by Physicians Plus network providers. Prior authorization is required for out-of-network specialty services. Members must have their provider submit a prior authorization request to Physicians Plus before receiving care from out-of-network providers. Written decisions will be provided to members and providers. Visit pplusic.com for a summary of prior authorization requirements.

Service Area

Qualified: Adams, Columbia, Dane, Dodge, Grant, Iowa, Jefferson, Juneau, Lafayette, Richland, Sauk and Waushara counties.
Non-qualified: Green Lake, Marquette, Rock, Vernon, Walworth, Waukesha and Wood 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 your primary care physician or NursePlus at 1-866-775-8776 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 Physicians Plus.

Mental, Behavioral Health and Substance Abuse

Contact UW Behavioral Health at 608-417-4709 for prior authorization or provider information, Monday through Friday, 8 a.m. to 5 p.m. A mental health professional will assess your situation and refer you to the appropriate provider. For emergencies, please contact your therapist directly or call 911.

24-Hour Nurseline

NursePlus: 1-866-775-8776

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 6:53:07 PM