2023 Prevea360 Health Plan Group Plan Book_SGP

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 888-277-3832 or 920-496-4700 . Learn more at prevea360.com/careafterhours

Out-of-Area Dependants ‡ 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.

Currently 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, 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 Prevea360 Health Plan. Learn more at prevea360.com/caremanagement

** 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. Plan providers request prior authorization for POS and PPO members.

‡ 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 877-230-7555 |

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