It's Your Choice 2019
Medicare AdvantageAdministered by UnitedHealthcare
1-844-876-6175, TTY 711
What’s New for 2019
As a State of Wisconsin Group Health Insurance Program participant, you may be eligible to enroll in the It’s Your Choice (IYC) Medicare Advantage plan provided by UnitedHealthcare®. The IYC Medicare Advantage plan is a UnitedHealthcare® Group Medicare Advantage (PPO) plan, which means you have lots of flexibility in choosing a provider. You can see any provider outside of the network, as long as they accept Medicare and are willing to bill UnitedHealthcare. If you need specialty care, no referral is required.
The IYC Medicare Advantage plan offers comprehensive coverage for hospital and medical services (Uniform Benefits), pharmacy benefits (by Navitus Health Solutions), as well as additional programs and services. Examples are:
Go to UHCRetiree.com/ETF to access a Provider Directory. This directory is updated regularly to provide you with the current listing of network providers. If you would like help finding a network doctor or to request a written copy of the Provider Directory, call 1-844-876-6175, TTY 711, 7 a.m. – 6 p.m. CT, Monday – Friday.
Referrals, Prior Authorizations, Out-of-Network Care
Members have access to our national network of providers and the flexibility to see any provider (in or out-of-network) at the same cost share, as long as they accept the plan and have not opted out of Medicare. If you need specialty care, no referral is required.
The service area includes the 50 United States and the District of Columbia, Puerto Rico, the United States Virgin Islands, Guam, American Samoa, and the Northern Mariana Islands.
Emergency and Urgent Care Outside Service Area
If you require emergency or urgent care, seek care at the nearest medical facility.
You can also receive emergency or urgently needed services from a provider outside the United States. If you receive emergency or urgently-needed services outside of the United States, the provider may require that you pay for the cost of the services in full. Ask for a written, detailed bill or receipt showing the specific services provided to you. Send a copy of the itemized bill or an itemized receipt to us to pay you back. You should be prepared to assist us in obtaining all of the information necessary to properly process your request for reimbursement, including medical records.
Mental, Behavioral Health and Substance Abuse
Behavioral Health: 1-800-453-8440 TTY 711
NurseLine: 1-877-365-7949, TTY 711
This page was last modified on: 5/23/2018 2:08:19 PM