Your browser does not support JavaScript!
calculators
Member Education
forms and publications
news
about etf
frequently asked questions
contact etf
site map
related links
home
top of page
Wisconsin Department of Employee Trust Funds header image It's Your Choice 2017 State of Wisconsin Group Health Insurance Program
members retirees employers governing boards careers at etf
skip to end of menu
2017 It's Your Choice - State of Wisconsin Group Health Insurance for Employees and Retirees

Wisconsin Department Of Employee Trust FundsIt's Your Choice 2017


State of Wisconsin
Group Health Insurance Program
(State Employees, Retirees, Continuants and Graduate Assistants)

Health Tradition Health Plan

1-877-832-1823 or 1-888-459-3020
healthtradition.com

What’s New for 2017

Health Tradition Health Plan (HTHP)'s service area is expanding to include Pepin County.

HTHP will continue to include the Mayo Clinic Health System locations in Osseo and Mondovi, WI in 2017. Please check the website periodically for information regarding other provider updates. Refer to the online provider directory to make sure your provider/facility is in the 2017 HTHP network for the State of Wisconsin Group Health Insurance plan.

Provider Directory

Go to healthtradition.com to access a provider directory. Click on “Provider Search” towards the top of the screen. To review the directory in a PDF format, go to healthtradition.com, click on “Already have Health Tradition,” click on the blue “State of WI Employees” button and select “State of WI Employees Medical Provider Directory.” To request a printed directory be mailed to you, call 1-888-459-3020.

Referrals, Prior Authorizations, Out-of-Network Care

You must get a referral approved by HTHP before you see providers outside the HTHP network, including Mayo Clinic–Rochester. 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 1-877-832-1823 prior to the appointment.                                                                 

Service Area

Crawford, Grant, Jackson, Juneau, La Crosse, Monroe, Richland, Sauk, Trempealeau and Vernon counties.
Limited provider availability in: Buffalo and Pepin 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 HTHP at 608-781-9692 or 1-888-459-3020 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 HTHP.

Mental, Behavioral Health and Substance Abuse

No prior authorization is required for outpatient services from an in-network mental health/ substance abuse provider. Prior authorization is required for inpatient services, group therapy and psychiatric testing.

24-Hour Nurseline

1-855-392-4050

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: 9/7/2016 10:23:34 AM