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Wisconsin Department of Employee Trust Funds header image It's Your Choice 2018 Local Deductible Health Plan Insurance Program
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2018 It's Your Choice - Local Deductible Health Plan Insurance for Employees and Retirees
Wisconsin Department Of Employee Trust Funds It's Your Choice 2018


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


HealthPartners Health Plan

1-855-542-6922
healthpartners.com/stateofwis

What’s New for 2018

HealthPartners is dedicated to supporting our members. We have been around for over 60 years and are expanding to serve you better. We have been here and will continue to support Wisconsin! The HealthPartners mobile app, MyHP, continues to be updated to make our members lives easier. It includes claim detail, easy touch screen log on and you can save your provider information for easy access. Whether you’re at home or on the go, your myHealthPartners plan information is right at your fingertips. From your smartphone, you can:

  • Check your plan balances
  • Search for doctors near your location
  • Review claims detail
  • Refill prescriptions at our owned clinics
  • View test results from our owned clinics
  • Make appointments at our owned clinics
  • Check cost estimates for visits, procedures and tests
  • View your HealthPartners Member ID card and fax it to your doctor's office

Provider Directory

Go to healthpartners.com/stateofwis and click on the “Find a doctor or specialist” link. Click on the PDF listing or search our online directory for providers. There are listings with National Provider Numbers(NPI) to help with picking a primary physician. To request a printed directory be mailed to you, call 1-855-542-6922.

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 1-855-542-6922 prior to the appointment or visit healthpartners.com/stateofwis for a complete list.

Service Area

Ashland, Barron, Bayfield, Buffalo, Burnett, Chippewa, Clark, Crawford, Douglas, Dunn, Eau Claire, Grant, Jackson, Juneau, La Crosse, Langlade, Lincoln, Marathon, Monroe, Oneida, Pepin, Pierce, Polk, Portage, Richland, Sawyer, St. Croix, Taylor, Trempealeau, Vernon and Washburn counties.
Limited provider availability in: Door, Florence, Forest, Iron, Price, Rusk, Vilas, 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. If you are admitted to the hospital, you can contact HealthPartners at 1-800-316-9807 for help with coordinating your care and claim submission. Follow-up care must be received from an in-network provider unless otherwise approved by HealthPartners.

Mental, Behavioral Health and Substance Abuse Services

No referrals are necessary to see in-network behavioral health providers.

24-Hour Nurseline

Careline: 1-800-551-0859

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: 9/14/2017 8:08:02 AM