It's Your Choice 2017
State of Wisconsin
Group Health Insurance Program
(State Employees, Retirees, Continuants and Graduate Assistants)
Network Health Northeast1-800-826-0940
What’s New for 2017
ThedaCare will no longer be participating in our provider network effective January 1, 2017. For anyone who might need help finding a new in-network provider, our customer service team and Network Health’s Nurse Line are available to help. You can also find more information and answers to common questions at networkhealth.com/ThedaCare-Toolkit.
Network Health will be offering e-visits beginning in 2017. An e-visit provides an alternative to the traditional office visit. A phone or online video visit with a provider will be a convenient option for members seeking care for non-urgent medical issues.
Network Health members will continue to have access to more than 1,745 primary care doctors and 10,255 specialists at more than 40 hospitals in Wisconsin.
Go to networkhealth.com to access a provider directory. Choose "State of Wisconsin NE employees 2017" 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.
Brown, Calumet, Dodge, Door, Fond du Lac, Manitowoc, Oconto, Outagamie, Sheboygan 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: 9/7/2016 11:23:35 AM