UnitedHealthcare and UW Health have recently joined forces in a multi-year agreement that offers in-network access for its Wisconsin plans, giving individuals and employers insured by UnitedHealthcare access to UW Health.
The Access HDHP comes equipped with an HSA that enables you to save pre-tax dollars to help cover out-of-pocket expenses. Learn more.
UnitedHealthcare
UW Health can help make planning for life’s milestones easy, from pregnancy and retirement planning, to business creation and expansion. Through the State Group Health (SGH) program, the University of Wisconsin System offers group health insurance policies as well as dental, vision and life insurance for employees and their family members as well as providing access to mental health services, dental and vision care, financial counseling and employee assistance programs for employees.
The SGH program includes an expansive network of physicians, hospitals and clinics across Wisconsin – you have your pick of over 142 hospitals and over 1,500 physician practices! UW Health also entered managed care contracts with 150 different companies to bring high-quality healthcare at an affordable price – the SGH program is managed by their Managed Care Contracting Department.
UW Health and UnitedHealthcare have an excellent working relationship, enabling UW Health facilities, physicians, and providers to provide in-network access for most SGH members who possess either individual or employer sponsored UnitedHealthcare health plans. Through this partnership, employees and their family members may access UW Health facilities, physicians and providers without incurring out-of-network copays or deductibles; benefits are also extended for telehealth visits or non-office visit medical services at various SGH network locations.
UW Health also partners with United Way of Dane County to assist low-income patients who are having difficulty paying their health insurance premiums, and with other community organizations to offer low-cost health coverage through State Group Health program.
All SGH plans provide comprehensive medical, hospital, pharmaceutical, and behavioral health coverage at no additional cost. Uniform dental benefits may also be added at an additional cost and preventive dental coverage can be added online in MyUW portal.
Staying on top of your claims and expenses can help ensure you’re making the most of your coverage, so keep tabs on claims and expenses with a free mobile app such as UnitedHealthcare app+. With it you can see exactly what your plan covers as well as any payments due. It makes saving favorite doctors easy while monitoring deductible and out-of-pocket costs as well as tracking new claims from start to finish. It even assists in keeping tabs on flexible spending accounts (FSA), Optum Bank HSAs (HSAS), and other financial accounts!
Quartz
Quartz Health Care Solutions of Wisconsin provides local plans through a reliable network of providers, serving a wide range of Wisconsinites. Their commitment is further strengthened by their efforts in spreading knowledge on healthy living – with innovative programs helping members meet their health goals while supporting mental, physical, and emotional well-being.
All Quartz plans include essential health benefits to help ensure you live a long, fulfilling life, including emergency services, hospitalizations, maternity care, lab services and prescription drugs; preventive visits, immunizations and mental health services as well as preventive visits from your primary care provider; however some plans require referrals before seeing specialists and may impose deductible or co-pay costs for certain services.
Quartz offers an assortment of Affordable Care Act (ACA)-compliant individual and group health plans, Medicare Advantage plans and Medigap options that meet individual, family and small business needs. Members have access to digital tools that make managing health and wellbeing simple.
Quartz One offers access to an expansive network of healthcare providers in Milwaukee and throughout Wisconsin, Illinois, Iowa and Minnesota – giving you more choice and convenience in finding your doctor or medical provider. In addition, many Quartz plans provide free telehealth virtual visits for primary care, urgent care and behavioral health – check your coverage by reviewing the Summary of Benefits and Coverage document found within your online account.
As soon as you visit one of Quartz’s participating providers, your health plan will provide an Explanation of Benefits (EOB). The EOB contains details regarding your services received and what has been paid on your behalf by insurance. Using this information to budget your expenses and stay within your health care costs’ parameters; additionally it helps track out-of-pocket spending.
Quartz offers a team of health plan experts to assist with making the most of your benefits. They can provide price estimates based on average charges in your region for similar procedures or treatments, helping you compare pricing and determine whether a doctor or provider should offer any discounts.
Blue Cross Blue Shield of Wisconsin
Blue Cross and Blue Shield of Wisconsin provides comprehensive benefits, such as prescription, dental, vision coverage, as well as wellness programs to promote better living. Their services are delivered through their network of healthcare providers such as hospitals, clinics and physicians – you can use their online tool to locate one near your location.
Blue Cross Blue Shield of Wisconsin provides health insurance coverage for dependents of employees at Wisconsin universities who are covered under either State Group Health (SGH) or Wisconsin Retirement System (WRS), as well as their spouse. You can enroll eligible dependents into one of four plans at a monthly premium cost. These programs allow employees to enroll eligible dependents into any one of four plans available to them for coverage – the State Group Health (SGH) insurance plan is the main coverage. You may enroll your spouse as well.
Anthem Blue Cross and Blue Shield of Wisconsin health insurance company is an independent licensee of the Blue Cross and Blue Shield Association, and offers a comprehensive selection of Medicare Advantage plans as well as prescription drug plans. You can visit their website or reach out to member services to find out more; also you can check with the benefits department to see if your particular health plan is in network with UW Medicine.
Price estimates can also help you budget your health care costs more effectively; these estimates are usually based on average charges for similar procedures and should only be used as an estimate; actual costs may differ significantly from estimates.
Blue Cross and Blue Shield of Wisconsin offers more than just medical and dental coverage; we also offer health savings accounts that help you save money on out-of-pocket health, dental, and vision costs. Contributions can be made pre-tax from your paycheck directly into an HSA; changes can be made at any time!
The University of Wisconsin Health System is an integrated health care network composed of six hospitals, two clinics and a physician group practice located throughout Wisconsin. Affiliated with the UW School of Medicine and Public Health as well as local, regional and national organizations, UW Health offers managed care contracts with insurers, employers and health care organizations that give access to facilities and services throughout its region including Alliance Premier Ruby Network in Madison.
UHR
UW Health System (UW Health) is an integrated healthcare system in Wisconsin with six hospitals including University Hospital and American Family Children’s Hospital as well as numerous clinics across the state. Over 1,100 physicians belong to their physician group practice; services and coverage provided include preventive, acute and specialty care with medical, pharmacy and behavioral health coverage provided through its comprehensive benefits package – while Coordination of Benefits Program assists patients on limited incomes pay their healthcare costs.
Your medical and dental coverage depends on which plan you select, so there could be various network options for UW Medicine available to you. You can easily check if UW Medicine is part of it by reviewing your benefits information; bring your insurance ID card for all appointments (telehealth visits, office visits and emergency room). Using MyChart, UW Health MyChart provides price estimations so you know approximately how much a procedure or service will cost before scheduling it based on previous charges as well as coverage options available through insurance.
As a WRS or WRTS-covered employee, you have a selection of four health insurance plans from which to select, in addition to Uniform Dental as an add-on preventive dental plan at an additional cost. Your eligibility will depend on your date of hire or employment status and employer; during an open enrollment period you can change or select your plan – even during special eligibility periods or qualifying life events!
BadgerCare Plus provides low-income health coverage to adults and children without other forms of coverage, or who are underinsured. Visit their website for more information about coverage available through this program.