Description

Our Member Services team is here to help you understand your plan and answer your questions. And you have access to 24/7 support from nurses who can give no-cost advice, recommend at-home treatments, and help you figure out the best place to get care. 

The HealthPartners mobile app lets you take your plan on the go. So whether you’re at home or at the clinic, your personalized plan information is right at your fingertips. From your smartphone you can:

  • Always have your member ID card in your pocket
  • See alerts and recommendations based on your health
  • Check your benefits, balances and claims anytime
  • Find in-network doctors and clinics nearby

What's New for 2026

In the coming months, you’ll start to see our updated name, HealthPartners Health Plan Northeast, and logo as we bring our services under one brand. While our look and logo are changing, our commitment to you remain the same. Our network of local providers, member support, and resources to help you make the most of your benefits and coverage remain unchanged. Thank you for your continued partnership.

Provider Directory

Go to HealthPartners' State of WI page and click on the “Find covered care” link to see in-network providers near you. You can save and print your search results or call 855-542-6922 to request a copy.

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 855-542-6922 prior to the appointment or visit HealthPartners' State of WI page for a complete list.

You’ll get the most value with in-network care. Your doctor’s office may not be able to confirm your specific coverage, so it’s best to check your plan first. Create or sign in to your account on the HealthPartners State of WI website, or call the number on your ID card.

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 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 Health, 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 888-638-8787.

24-Hour Nurseline

CareLineSM

For questions about whether or where you should see a doctor, home remedies, or a medicine you're taking, call our CareLine at 800-551-0859.

Get help from a nurse whenever you need it - even at 3 a.m. And best of all, there’s no cost to you.

BabyLine

Get help from a nurse whenever you need it - even at 3 a.m. For questions about your pregnancy, contractions you are having, or your new baby call our BabyLine at 800-845-9297.

Virtual Visits

Skip a trip to the clinic. Save time and money by getting treated right from your smartphone, tablet or computer. Your plan includes these online care options: 

Virtuwell®

Nurse practitioners treat more than 60 common conditions including bladder infections, pink eye, seasonal allergies and more. Answer a few questions and get a customized treatment plan. It's convenient and affordable, care anywhere. You’re only charged if Virtuwell can treat you, plus follow-up calls about your treatment are free.  

Doctor On Demand

Video chat that you can get started when and where it works for you.*

  • See a doctor in minutes. 

Schedule a virtual visit with a board-certified physician through Doctor on Demand. These live video visits include assessment, diagnosis and prescriptions for everyday, mental health and urgent care.
 

Major Health Systems

  • Emplify Health by Bellin
  • ThedaCare
  • Aurora Health Care
  • BayCare Clinic
  • Froedert & the Medical College of Wisconsin

Full Service Areas

Brown County, Calumet County, Fond Du Lac County, Green Lake County, Kewaunee County, Manitowoc County, Marinette County, Menominee County, Oconto County, Outagamie County, Shawano County, Waupaca County, Waushara County, Winnebago County

Limited Service Areas

Florence County, Marquette County, Menominee County