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


Local High Deductible Health Plan
Insurance for Employees
and Retirees
(PO7, PO17)


Medical Associates Health Plans

1-800-747-8900
mahealthcare.com

What’s New for 2017

Medical Associates Health Plans (MAHP) now offers members who utilize Medical Associates Clinic providers a new and improved patient portal, Patient Station. Patients can now view medical records including visit summaries, vital signs, medications, allergies, immunizations, and lab and radiology results. They can also send secure messages to their providers, view and request appointments, and request prescription refills.

There are no significant changes to the MAHP network for 2017. For additional information on our Health Plan, check out our website at www.mahealthcare.com or contact us directly at 1-886-821-1365. On our website you will find plan information, participating providers, health related topics and My e-Link. My e-Link allows you to access your personalized claims status/review, and explanation of benefits at your fingertips 24/7.

Provider Directory

Go to mahealthcare.com/insurance-services to access a provider directory. Click on “Provider Directory” then enter the Employer Group Number found on your medical card. If you are not currently a MAHP member, simply type “wisesample” to view. To request a printed directory be mailed to you, call 1-800-747-8900.

Referrals, Prior Authorizations, Out-of-Network Care

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 1-800-325-7442 prior to the appointment.

Service Area

Crawford, Grant, Iowa and Lafayette 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 Health Care Services at 1-800-325-7442 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 MAHP.

Mental, Behavioral Health and Substance Abuse

No prior authorization or referral is required for outpatient services from a MAHP in-network provider. Prior authorization may be required for inpatient services and transitional care. For additional details and services, contact 1-800-325-7442

24-Hour Nurseline

24 Hour HELP Nurse: 563-556-HELP (4357) or 1-800-325-7442

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 11:23:34 AM