It's Your Choice 2017
WEA Trust – East1-800-279-4000 or 608-276-4000
What’s New for 2017
The East service area out-of-network benefit is changing in 2017 to match our Northwest service areas. Urgent and emergency care will continue to be covered as in-Network (details below), while other covered out-of-network services will be reimbursed at 50% of our maximum allowable fee, subject to a deductible of $5,000 single and $10,000 family.
Amwell telehealth visits will be free (members on the High Deductible Health Plan will pay $39 per Amwell visit until the deductible is met) in 2017–anytime, anywhere you have access to your computer or mobile device. So if it’s 10 p.m. on a Sunday and your child has an earache, or you’re on vacation and want to get a bug bite looked at, or you just don’t have time to drive to your doctor’s office, a board-certified Amwell doctor is available for you, typically in less than 10 minutes. Amwell doctors can even write you a prescription.
myTrust portal: We’ve partnered with a cutting-edge partner to bring you myTrust, anytime online access to your benefit information. myTrust supplements our highly regarded customer service staff. Whether it’s 9 p.m. or 3 a.m., you can access important information such as checking your claim status, finding a network doctor, or sending a secure message to our staff. And our new portal allows us to better communicate important health information to our members.
Go to weatruststatehealthplan.com/providers to search for providers or to access a directory. To request a printed directory be mailed to you, call 1-800-279-4000.
Referrals, Prior Authorizations, Out-of-Network Care
Referrals are not required for this plan. Prior authorization is required for certain services and procedures before you receive care. A list of services requiring preauthorization can be found at weatrust.com/preauthorization. You will receive notification of the approval or denial for the prior authorization.
WEA Trust will reimburse for covered services at 50% of our maximum allowable fee, subject to a $5,000 individual, $10,000 family deductible.
Adams, Brown, Columbia, Dodge, Door, Fond du Lac, Green Lake, Jefferson, Juneau, Kewaunee, Manitowoc, Marathon, Milwaukee, Oconto, Outagamie, Ozaukee, Portage, Rock, Shawano, Sheboygan, Walworth, Washington, Waukesha, Waupaca, Waushara, Winnebago 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 1-800-279-4000 or your primary care physician if assistance is needed to determine the appropriate level of care. Follow-up care must be performed by a network provider to receive network benefits.
Mental, Behavioral Health and Substance Abuse
No prior authorization is required for outpatient services from a network provider, except for psychiatric and neuro-psychiatric testing. Prior authorization is required for in-patient and transitional care. For other services, contact 1-800-279-4000.
This page was last modified on: 10/3/2016 2:40:57 PM