Description

What’s New for 2019

Medical Associates Health Plans (MAHP) is committed to helping its members save on their healthcare costs. My e-Link, a personal member portal, is a free resource available to help you actively manage your claims and benefit information and keep track of your healthcare costs. With My e-Link, you can stay connected with MAHP from any computer or mobile phone with resources available at your fingertips 24/7.

MAHP health coaches work in collaboration with your physician to provide guidance and community resources for members with lifestyle issues such as obesity and smoking cessation. 

Provider Directory

Go to mahealthcare.com/insurance-services to access a provider directory. From the Insurance drop down menu, click "State of WI Group Health Insurance Program" and then click on “Provider Directory”. If you are not currently a MAHP member, simply type “wisesample” to view. To request a printed directory be mailed to you, call 1-866-421-3992.

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 prior to receiving care. When a referral or prior authorization is requested, you will receive a written notification of the approval or denial. If you are unsure if a service, test or procedure requires prior authorization or a referral out of the network, contact 1-866-421-3992 prior to your appointment and/or service.

MAHP recognizes UW Health | University of Wisconsin Hospital and Clinics (UWHC) as a preferred referral center when care cannot be provided by an in-network provider. Prior authorization would be required for any services provided by UWHC.

Emergency and Urgent Care

If you require emergency or urgent care when outside of the network, seek care at the nearest medical facility. Contact Member Services at 1-866-421-3992 or your primary care physician if assistance is needed to determine the appropriate level of care. Follow-up care must be received from an in-network provider unless otherwise approved by MAHP.

Mental, Behavioral Health and Substance Abuse

No prior authorization or referral is required for outpatient services from a MAHP in-network provider. Prior authorization may be required for inpatient services and transitional care. For additional details and services, contact 1-866-421-3992

24-Hour Nurseline

24 Hour HELP Nurse: 1-800-821-1365

Major Health Systems

  • Medical Associates Clinic
  • Mercy Medical Center - Dubuque
  • Crossing Rivers Health
  • Grant Regional Health Center
  • Southwest Health Center

Full Service Areas

Crawford County, Grant County, Iowa County, Lafayette County

Limited Service Areas

Iowa, Illinois
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