Description

What’s New for 2019

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
  • 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. To request a printed directory be mailed to you, call 1-855-542-6922.

Referrals, Authorizations, Out-of-Network

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/stateofwisfor a complete list.

Emergency and Urgent Care

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

No referrals are necessary to see in-network behavioral health providers. If you need help finding a Behavioral Health provider, call our Behavioral Health Navigators at 1-888-638-8787.

24-Hour Nurseline

Careline: 1-800-551-0859

Major Health Systems

  • Marshfield Clinics
  • Vibrant Health
  • Essentia Health Clinic
  • HealthPartners/Westfield/Stillwater Medical Group
  • Hudson Physicians

Full Service Areas

Ashland County, Barron County, Bayfield County, Buffalo County, Burnett County, Chippewa County, Clark County, Crawford County, Douglas County, Dunn County, Eau Claire County, Grant County, Jackson County, Juneau County, La Crosse County, Langlade County, Lincoln County, Marathon County, Monroe County, Oneida County, Pepin County, Pierce County, Polk County, Portage County, Sawyer County, St. Croix County, Taylor County, Trempealeau County, Vernon County, Vilas County, Washburn County, Wood County

Limited Service Areas

Iowa, Minnesota, Forest County, Iron County, Price County, Richland County, Rusk County
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