Coverage for out-of-area dependents
What you need to know
Do you have dependents who live outside of the Prevea360 Health Plan service area? If your dependents (up to age 26) are college students or children living in communities outside our service area, Prevea360 Health Plan is committed to helping them get the health care and coverage they need when they need it.
This coverage is available under large employer group plans. To find out if you have this coverage, see your member certificate or check with our Customer Care Center at 877-230-7555.
Notify us
Be sure to notify us of your out-of-area dependent by completing and submitting an out-of-area dependent form.
If your dependent needs services
If your dependent is out of the service area – inside or outside of Wisconsin – you can use the First Health network to find a provider.
Before seeking medical care with First Health providers, we suggest confirming your provider's First Health network participation status at firsthealth.com. Find out how to search for a First Health provider.
If you have questions, contact our Customer Care Center at 877-230-7555.
In case of emergency
If your dependent needs urgent or emergency care outside the service area and is unable to get to a plan provider, he or she should go to the nearest urgent care or emergency center for treatment.
It is important to notify Prevea360 Health Plan as soon as possible by calling the Customer Care Center at 877-230-7555.
All follow-up care should be done by a plan provider. If your dependent is out of the area and unable to see a plan provider, call your primary care practitioner for a referral to an out-of-area provider. These services require approval by Prevea360 Health Plan.