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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)


WEA Trust – Northwest Chippewa Valley

1-866-485-0630
weatruststatehealthplan.com

What’s New for 2018

Our popular Amwell telehealth service is expanding with the addition of online therapy services. Since 2015, thousands of WEA Trust members have used Amwell for on-demand video doctor visits. Now you can also use Amwell to schedule an appointment with a highly trained therapist or psychologist.  And instead of waiting weeks or months to see someone, Amwell therapists are available within a week, and sometimes even the same day. Scheduled therapy visits on Amwell are:

  • 45-minute, video-based appointments on your smartphone, tablet, or computer
  • With licensed and specially-trained therapists or psychologists
  • Available seven days a week, from 7 a.m. to 11 p.m.
  • An alternative to in-person behavioral health visits

Also for 2018, Sawyer and Washburn counties will be part of the WEA Trust Northwest-Chippewa service area, which will expand to coverage in 18 counties.

Provider Directory

Go to weatruststatehealthplan.com/providers to search for providers or to access a directory. To request a printed directory be mailed to you, call 1-866-485-0630.

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 www.weatrust.com/preauthorization. You will receive notification of the approval or denial for the prior authorization.

Out-of-Network Care

For out-of-network care, the WEA Trust will reimburse for covered services at 50% of our maximum allowable fee, subject to a $5,000 individual, $10,000 family deductible.

Service Area

Ashland, Barron, Bayfield, Burnett, Chippewa, Clark, Douglas, Dunn, Eau Claire, Jackson, Pepin, Pierce, Polk, Rusk, Sawyer, St. Croix and Washburn counties.
Limited provider availability in: Iron County.

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 1-866-485-0630 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 Services

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 1-866-485-0630.

24-Hour Nurseline

WEA Trust contracts with a variety of health care provider systems that offer their own nurselines. A list of those nurselines can be found at weatruststatehealthplan.com/nurseline.

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: 9/18/2017 5:39:00 PM