Description

WEA Trust - East is one of three separate service areas offered by WEA Trust. The East service area covers 35 counties and offers numerous high-quality provider systems. Each service area operates independently with its own provider network, and all come with WEA Trust’s well-known service and care.

What’s New for 2022

Our improved online provider search tool makes it easy to find doctors by network, location, provider name, specialty and more. Now it’s easier and faster than ever to find the right care and the right doctor. Visit www.weatrust.com/findadoc to start searching.

For 2022, five northern counties will no longer be part of the East Service Area - Door, Forest, Langlade, Price and Taylor counties. The service area will still span 35 counties featuring thousands of providers and hospital systems.

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, Authorizations, Out-of-Network

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

Out-of-Network Care

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

Emergency and Urgent Care

If you require emergency or urgent care when outside of the network, seek care at the nearest medical facility. Contact 1-866-485-063 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

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. A list of services requiring preauthorization can be found at weatrust.com/members/preauthorization-information. 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.

Virtual Visits

With WEA Trust’s Maddy Virtual Care service, health care is delivered to you, on your terms, in the safety and comfort of your home.

Use Maddy Virtual Care to have a video visit with a doctor, therapist, or psychiatrist on your smartphone, tablet or computer. Maddy Virtual Care providers can treat, diagnose, and even prescribe—helping you feel better faster. You can even get return-to-work notes if necessary. You’ll get quality care from your own home, for a more affordable price than in-person visits.

Visit weatrust.com/virtualvisits or call 1-800-SEE-DOCS for more information or to get started.

Care Outside the Service Area

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

Major Health Systems

  • Aurora Health Care
  • Ascension Wisconsin (Columbia St. Mary's, Ministry, Wheaton Franciscan)
  • Marshfield Clinic
  • Prevea Health
  • ThedaCare Health System

Full Service Areas

Adams County, Brown County, Columbia County, Dodge County, Fond Du Lac County, Green Lake County, Jefferson County, Juneau County, Kenosha County, Kewaunee County, Lincoln County, Manitowoc County, Marathon County, Marinette County, Menominee County, Milwaukee County, Oconto County, Oneida County, Outagamie County, Ozaukee County, Portage County, Racine County, Rock County, Shawano County, Sheboygan County, Walworth County, Washington County, Waukesha County, Waupaca County, Waushara County, Winnebago County, Wood County

Limited Service Areas

Calumet County, Marquette County, Vilas County