Health care support Prevea Care After Hours ** is available 24/7/365 whenever you have a health question. If you’re not sure you need to see a doctor — or you’re wondering if you have a problem —connect with an experienced registered nurse at 1 (888) 277-3832 (TTY: 711 ) or 1 (920) 496-4700 . Learn more at Prevea360.com/CareAfterHours . Undergoing treatment? Our Care Managers can answer questions about health care services and provide the support you need if you’re currently undergoing treatment — whether it’s complex care, chronic conditions, mental health or pregnancy — as you transition care to Prevea360 Health Plan. Assistance is also available to move prescription medications from your previous health plan to your Prevea360 Health Plan. Learn more at Prevea360.com/CareManagement .
Out-of-area dependents ‡ Your kids may be out of sight, but they are never out of mind. Prevea360 has coverage for your dependents (until they turn age 26) who are living in another community, away at college, out on a backpacking adventure, or giving adulting a try out of state. Need coverage for your kids? Learn more and complete the form at Prevea360.com/OutOfArea . Prior authorization There are certain medical services or provider visits that must be authorized by Prevea360 Health Plan before we can provide a claims payment. A good rule to remember is that any time you seek services with an out-of-network provider, you will need to get prior authorization.† We require these authorizations so our Medical Affairs team can make sure you are getting the appropriate care. Visit Prevea360.com/PriorAuthorization to learn more.
** Prevea Care After Hours is only available to residents of Wisconsin due to licensing regulations.
† HMO members will need to get prior authorization any time they seek services with an out-of-network provider. PPO and POS members only: If prior authorization or pre-certification is not obtained when required, a penalty may be applied if your service is determined medically necessary. If your service is determined to have been not medically necessary, your claim may be denied. ‡ Out-of-area dependent coverage for non-urgent and non-emergency care applies to large group employer (51+ employees) plans only; please check with your employer’s benefits administrator if you have questions.
Visit Prevea360.com or call 1 (877) 230-7555 (TTY: 711 ) | 5
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