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Wisconsin Department of Employee Trust Funds header image It's Your Choice 2017 Local Deductible Health Plan Insurance Program
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2017 It's Your Choice - Local Deductible Health Plan Insurance for Employees and Retirees
Wisconsin Department Of Employee Trust Funds It's Your Choice 2017


Local Deductible Plan
Insurance for Employees
and Retirees
(PO4, PO14)


Anthem Blue Preferred - Northeast Network

1-800-843-6447
anthem.com

What’s New for 2017

Anthem Blue Preferred - Southeast Network is no longer available. The information below applies to Anthem Blue Preferred - Northeast Network.

Life swirls all around us, faster and more unexpected than ever before. It’s often hard to be prepared for what lies ahead. You have the security of knowing we understand you and your family’s needs because we’ve been doing this for more than 75 years. Life happens and we’re in it together.

We’re committed to simplifying health care so you can focus on your health.

  • Live Health Online
    The doctor will see you now - on your computer, smart phone or tablet

Provider Directory

Go to anthem.com/stateofwisconsin to access a provider directory. To request a printed directory be mailed to you, call 1-800-843-6447.

Referrals, Prior Authorizations, Out-of-Network Care

Referrals are not needed when receiving care from in-network providers except for non-emergency hospital stays. Prior authorization is required for some medical procedures and for out-of-network providers before you receive care. If you are unsure if a service, test or procedure requires prior authorization or a referral, contact 1-800-843-6447 prior to the appointment.

Service Area

Brown, Calumet, Door, Fond du Lac, Green Lake, Kewaunee, Manitowoc, Marinette, Oconto, Outagamie, Shawano, Sheboygan, Waupaca, Waushara 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 the 24/7 Nurseline at 1-866-647-6120 if assistance is needed to determine the appropriate level of care. Follow-up care must be received by an in-network provider unless otherwise approved by Anthem.

Mental, Behavioral Health and Substance Abuse

No referral is required for outpatient services from an in-network mental health provider. Prior authorization is required for inpatient services. For other services, contact 1-800-843-6447.

24-Hour Nurseline

1-866-647-6120

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