Medica Q&A

Effective Jan. 1, 2023, Prevea360 Health Plan launched a new State of Wisconsin Employee Trust Fund (ETF) product for State of Wisconsin employees and their families. The State of WI ETF – Prevea360 West and Mayo Clinic Health System provider network serves this member population.

Mayo Clinic Health System locations in this network are accessible through the Health Plan’s partnership with Medica. (Non-ETF enrollees assigned to the Prevea360 West provider network do not have access to Mayo Clinic Health System facilities and providers.)

Prevea360 Health Plan’s policies, prior authorization requirements, and claim submission processes apply for the State of Wisconsin ETF patient population. See our provider manual for more information on this product.
 

We will communicate Information about changes related to our partnership with Medica through monthly policy notices, quarterly newsletters and other communications when needed. You'll find all of these on our provider communications page. 

Be sure you have “opted-in” through your portal account to receive emails. And visit our web pages regularly to view these communications.

Providers with questions may contact their Provider Network Consultant. To find your assigned Provider Network Consultant, go to prevea360.com/Providers and scroll to the bottom of the web page.

Keep in mind that information will be communicated throughout the year, so details regarding your specific inquiry may not yet be available.