You don’t plan on getting injured while on a trip, but because vacations sometimes turn into unexpected adventures, Network Health has you covered when you’re away from home.
In Case of Emergency
If you have a medical emergency when you’re out of the service area, call 911 or get to the nearest emergency room. You have health care benefits for emergency situations such as heart attacks, excessive bleeding, head traumas, broken bones or seizures.
When out of the network area, you’re covered for an emergency hospitalization until you can be moved to a participating Network Health facility, as long as you let us know about your emergency within 48 hours of entering the hospital. Just be sure to show your Network Health ID card when being seen for care.
If you cannot travel safely to get care from your primary doctor, you’re covered for urgent care situations like a minor injury, stitches, possible strep throat or an ear infection.
If you are outside of Network Health’s service area and you need to see a doctor, but it isn’t an emergency, you can still visit a hospital or an urgent care clinic. However, if the doctor or facility is not in our network, you’ll need to notify us within 48 hours of receiving care. To do so, simply contact our customer service department at 800-826-0940 or 920-720-1300 to request an authorization. Our call center is open from 8 a.m. to 5 p.m. Monday, Wednesday, Thursday and Friday, and from 8 a.m. to 4 p.m. on Tuesday.
Your primary doctor, or other in-network providers, must be seen for your follow-up care. If this is not possible, and you visit a doctor or hospital not in our network, you’ll need to call us for approval within 48 hours of treatment.
Payment of Care
Some out-of-area medical facilities (not in Network Health’s service area) may require you to pay for your care when it is provided. To get reimbursed, send itemized bills and proof of payment within 90 days of receiving care. Send this information to
Network Health, Attn: Claims
1570 Midway Pl.,
Menasha, WI 54952.