Read your Certificate of Insurance and Member Guide. Make sure you understand them, especially the information on benefits, coverage, and limits. Reference our glossary of terms if words are unfamiliar. If you have questions, please contact Member Services. Always carry your Member ID card.
By learning more about your health history, habits and risks you take a vital step toward living a healthy life. View valuable health information resources in the WPS Health Center.
When you have questions about your health, ask your physician for advice and insist on clear answers. View a list of specific questions to ask your doctor. Don't have a regular doctor? Use the WPS Find a Doctor tool to locate a doctor in your network.
Unless it is a medical emergency, you need to contact WPS at 800-333-5003 to obtain advance approval (pre-certification) if you need to go to the hospital. Otherwise, the cost of your hospital care may not be covered.
|Medical Service||When to Call WPS|
|Scheduled in-patient hospital stay — not including OB or in-patient hospital stays for mental health/chemical dependency treatments unless required under your plan. However, if not required, we strongly recommend getting pre-certification for mental health/chemical dependency treatment. Read more...||At least 3 business days in advance|
|Emergency in-patient hospitalization — not including in-patient hospital stays for mental health/chemical dependency treatments under your plan.||Within 2 business days after admission|
|Out-patient surgery or services (only if required by your plan)||At least 3 business days in advance|