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Wisconsin Department of Employee Trust Funds header image It's Your Choice 2019 Local Health Plan Insurance Program
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2019 It's Your Choice - Local Health Plan Insurance for Employees and Retirees
Wisconsin Department Of Employee Trust Funds It's Your Choice 2019


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


WEA Trust West – Mayo Clinic Health System

1-866-485-0630
weatruststatehealthplan.com

What’s New for 2019

WEA Trust will be offering two pilot programs to improve care for our members. The first program—aimed at one of life’s most common ailments—offers a new way to manage low back pain. The WEA Trust Low Back Pain Program, powered by Kiio™, is a scientifically-backed, individualized program. This free program, which uses a mobile app on your smartphone or tablet, takes you through exercise routines created by experts in spine physical therapy for your specific type of low back pain.  The exercise programs use clinically proven methods to improve low back pain and keep you on the go.

Also, WEA Trust members with diabetes will have access to our Livongo for Diabetes™ program. This cutting-edge program includes a smart touchscreen glucose meter, instant transmission of your data and support from Certified Diabetes Educators when you need it. It combines technology and trained staff to help you better manage your disease.

We will continue to offer our popular face-to-face telehealth service, available anytime, anywhere in the United States—great for traveling or for kids away at college. With our service, you can speak live to a doctor, great for minor conditions such as flu, insect bites or allergies—and you can even get a medication prescribed and sent to your pharmacy. Our telehealth service also includes behavioral health specialists for therapy services from the convenience of your home, on your schedule.

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

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

Barron, Chippewa, Crawford, Dunn, Eau Claire, Jackson, La Crosse, Monroe, Trempealeau and Vernon counties.
Limited provider availability in: Buffalo, Pepin, and Pierce 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 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: 9/7/2018 8:56:30 AM