Prevea360 is a health insurance company exclusive to the Green Bay and Northeastern Wisconsin area, offering integrated care to optimize your coverage. Connected to providers and hospitals in one organization, Prevea360 aligns their network with your coverage to deliver the most comprehensive health plans. Prevea360 also covers emergency and urgent care outside of the service area with all of their plans, to make sure members are covered while traveling. The regional company has received an Excellent accreditation from the NCQA for their Network plans, which are available to employees, individuals, and families throughout the area. Underwritten by Dean Health Plan, Prevea360 brings the quality of Dean to northern Wisconsin.
Individuals and families can obtain coverage through two different network options, including HMO and Point of Service. Choose between coverage with a primary care provider to manage your health care and cost savings by staying in the network, or the freedom to choose an out-of-network provider while accessing many HMO benefits. Prevea360 plans offer individuals an affordable source of coverage and high quality care, which is monitored by the Healthcare Effectiveness and Data Information Set (HEDIS).
Plans are currently available to residents of the following counties in Wisconsin: Brown, Door, Kewaunee, Manitowoc, Marinette, Menominee, Oconto, Outgamie, Shawano, and Sheboygan.
Prevea360 Network Plans
Prevea360 Network plans connect members to an HMO, in which you will choose a primary care doctor to coordinate your care, and use only network providers. Your PCP will be your main contact for health care services, providing referrals to specialists if needed. Prescriptions can be covered when using an optional rider.
Copay Plus Plan
Enjoy the advantage of being able to pay for your medical services with a fixed price, such as office visits for a $30 copay. Select a deductible and choose your coverage options, including higher benefit maximums and coinsurance. Plans cover either 80 percent or 70 percent after deductible for hospital and emergency services, though urgent care is also included for a $30 copay.
These plans cover 100 percent of physician and hospital services after deductible, with options ranging from $1000 to $5000 for individuals. Receive preventive exams and immunizations for no additional cost at any time during your plan year, and make out-of-pocket contributions on doctor’s office visits and other types of care.
Prevea360 POS Plans
Choice POS Plan
Providing the cost savings of using a PCP and the Prevea360 network while giving members access to non-network care, Choice POS plans give members great benefits and flexibility. Four deductible options each provide 80/20 coverage on all services, and no upfront benefits are included with the exception of preventive care.
Prevea360 HSA Plans
A high deductible HMO with the ability to open a health savings account, HSA plans leave the policyholder responsible for cost sharing until the deductible is reached. After deductible, all covered services are free of charge, including physician care, urgent care, surgery, and hospitalization. Preventive care is available as soon as your plan begins for free.
To compare rates for Prevea360 plans in your area, get a health insurance quote online, or contact our agency at 888 803 5917 and receive a personal consultation.