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

Local Health Plan
Insurance for Employees
and Retirees
(PO6, PO16)

Dean Health Insurance- Prevea360 Health Plan


What’s New for 2018

Prevea360 Health Plan is brought to you by Dean Health Plan, a member of SSM Health. Prevea360 offers coordinated care via a strong network of providers and innovative hospitals—all working for you. This means we’re all on the same page. And when it comes to your health care, that’s pretty important.

Whatever your health care needs, there’s a provider or service for you. We feature a network of hospitals, including HSHS Hospitals, St. Mary’s and St. Vincent’s Hospitals in Green Bay and St. Nicholas Hospital in Sheboygan, as well as other in-network hospitals in Oconto, Manitowoc and Door counties.

With, it’s easy to find a provider near you. The online provider directory, updated daily, displays the in-network provider or location that is closest to you when you search by ZIP code. [See details below regarding how to search.] A Printable Provider Directory also is available online, as is an interactive map, supported by Google Maps that shows, at a glance, all the types of locations available.

Local care centered around you. Health care coverage we all deserve.

Provider Directory

Go to to access a provider directory. Select “Online Provider Directory” or “Printable Provider Directory.” To request a printed directory be mailed to you, call 1-877-230-7555.

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. You may check the status of your request at If you are unsure if a service, test or procedure requires prior authorization or a referral, contact 877-230-7555 prior to the appointment.   

Service Area

Brown, Door, Kewaunee, Manitowoc, Menominee, Oconto and Sheboygan counties.
Limited providers in: Marinette, Shawano and Outagamie 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 Prevea360 at 1-877-230-7555, if possible, when you receive emergency care. If assistance is needed to determine the appropriate level of care outside of normal working hours, contact Prevea Care After Hours at 1-888-277-3832. Follow-up care must be received by an in-network provider unless otherwise approved by Prevea360.

Mental, Behavioral Health and Substance Abuse Services

Prior authorization and/or referrals are not required for Outpatient Mental Health Services when seeking services from an in-network provider. Inpatient Mental Health must be prior authorized.

24-Hour Nurse Line

Prevea Care After Hours: 1-888-277-3832

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: 9/18/2017 2:26:16 PM