How to Obtain Care

Step 1: Know Your Health Plan

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.

Step 2: Learn About Your Health History

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.

Step 3: Find a Doctor in Your Network

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.

Step 4: Know When to Call WPS

Unless it is a medical emergency, you need to contact WPS at 1-800-333-5003 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.

• Inpatient Pre-Certification Guidelines
• Outpatient Pre-Authorization Guidelines
• Medical Preauthorization Request Form
• Drug Preauthorization List