Description
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 offers programs for all of your healthcare needs. The Care Coordination Department at MAHP is supported by licensed nurses, trained to provide the following programs: Health Coaching, Disease Management, Case Management, and Complex Case Management. These programs are free of charge and available to you as a member of our health plan.
Members eligible for any of the above listed programs will have two-way interaction with the specific program nurse, during which participants will receive self-management support, health education, or care coordination through one of the following methods:
- Telephone
- In-person contact
- Secure email
If you feel that you would benefit from any of these programs, please contact Health Care Services at 563-584-4885 or 1-866-421-3992.
Provider Directory
Go to Medical Associates State of WI Group Health Insurance Program page and select the “State of Wisconsin Provider Directory.” 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 and 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 an 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: 1-800-325-7442
Virtual Visits
MAHP offers members who utilize Medical Associates Clinic providers a patient portal, Patient Station. Patients can view medical records including visit summaries, vital signs, medications, allergies, immunizations, and lab and radiology results. They can also send secure messages to their providers, view and request appointments, and request prescription refills.
MAHP also offers the option of telehealth visits. Visit our Telehealth (Virtual) Visits for Members page for more information.
Major Health Systems
- Medical Associates Clinic
- Mercy Medical Center - Dubuque
- Crossing Rivers Health
- Grant Regional Health Center
- Southwest Health Center