WPS Health Insurance

Eligibility and Benefit Questions

How do I access my online Member Guide?

At this time, only Subscribers can access their online Member Guide. After you log in to the Member portal, navigate to Documents > Search your Documents. Select the Document Type of Member Guide/Benefit Booklet from the drop-down listing and change the From date to a date before your effective date and click Search.

Where is my effective date listed?

We display the most current eligibility data on file. Just log in to your member account, select Benefit & Claim Information, and then select the Plan Benefits link. The policy effective date is located under the Benefits section of the page.

Why can't I see my eligibility in my online account?

It could be that you have a future effective date. You will need to enter that date (or a later date) when using your online account tools.

Why does my drug benefit display as N/A?

The drug benefit will display as Not Applicable (N/A) because it is covered under your medical benefit.

What should I do if my benefit information is not correct?

Please contact our Member Services line to resolve your questions on benefit information. Toll-free: 800-223-6048. Monday-Friday, 7:30 a.m.-5 p.m. (CT).