prevea360.com/newmember For more informations visit:
First Impressions Matter
We understand that switching your insurance and providers can be overwhelming. We make it easy to connect with the resources you need, for a seamless transition from start to finish. Here’s what you can expect when you join Prevea360 Health Plan.
Onboarding Process Here’s what you can expect as you join Prevea360 Health Plan:
Learn about your benefits
Complete and submit your enrollment application
We mail your new Member ID cards
We mail your Member Guide
Your Plan is activated
Ambassador Program Think of our Ambassador Program as your personal concierge to help you find a Prevea Physician or Specialist. This program is designed to help you transition to Prevea360 Health Plan as easily as possible. • Green Bay – Call 920-272-1113 or email GB.Ambassador@prevea.com • Sheboygan – Call 920-892-8590 or email Sheb.Ambassador@prevea.com • Eau Claire – Call 715-717-4340 / 715-717-5035 or email EC.Ambassador@prevea.com
New Member Guide We mail you a New Member Guide at enrollment, which introduces you to your new plan and health partner, Prevea360 Health Plan. Your guide will: • Provide details like where to find important member documents • Explain where to go for primary, urgent and emergency care • Define common insurance terms and more
Health Insurance Documents 101:
The following three documents are important as a member. They include:
1. Your Member Certificate This is detailed information explaining how your plan works and what medical benefits you have. You’ll find information like patient rights, benefit limitations and exclusions, cost-sharing requirements and prior authorization requirements.
2. Summary of Benefits and Coverage (SBC) An SBC is a snapshot of Prevea360 Health Plan’s costs, benefits, covered health care services, and other features. It also explains our unique features like cost-sharing rules and includes significant limits and exceptions to coverage in easy-to- understand terms.
3. Summary of Employer-Specific Coverage This summary is specific to your company’s coverage information, and it is included with this packet. You can also ask your plan administrator or benefits specialist for your specific benefits and coverage information.
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