Documents & Forms
General Information
- View documents on the Wisconsin Department of Employee Trust Funds (ETF) website
- It's Your Choice Insurance Publications
- HealthSense Rewards™ Member Discount Program
- WPS Referral Authorization Request
- Independent Review Process
Preauthorization Forms
- Inpatient Pre-Certification Guidelines
- Outpatient Preauthorization Guidelines
- Medical Preauthorization Request Form
Network Materials
Plan Year 2013
Network Tip Sheets
- SMP Network Tip Sheet (2013)
- SMP Network Tip Sheet Wisconsin Public Employers(WPE) (2013)
- Metro Choice Northwest Tip Sheet (2013)
- Metro Choice Southeast Tip Sheet (2013)
- Statewide/National Network Tip Sheet (2013)
Dental
WPS Provider Directories
- State Maintenance Plan (SMP) Directory (2013)
- State Maintenance Plan (SMP) Minnesota Directory Featuring SelectCare Providers (2013)
- State PPO Directory Statewide Directory Eastern (2013)
- State PPO Directory Statewide Directory Western (2013)
- Metro Choice Provider Directory Northwest (2013)
- Metro Choice Provider Directory Southeast (2013)
Plan Year 2012
Network Tip Sheets: Plan Year 2012
- SMP Network Tip Sheet - Plan Year 2012
- SMP Network Tip Sheet Wisconsin Public Employers(WPE) - Plan Year 2012
- Metro Choice Tip Sheet - Plan Year 2012
- Statewide/National Network Tip Sheet - 2012
Dental
WPS Provider Directories: Plan Year 2012
Copyright © 2013 Wisconsin Physicians Service Insurance Corporation. All rights reserved. Wisconsin Physicians Service®.
This is an advertisement for insurance. Neither WPS nor its agents are connected with the federal Medicare program. 25590-021-1205
Wisconsin Physicians Service (WPS Health Insurance) is a Medicare-approved Part D sponsor. S5753_25342_021_1112 CMS approved: 01/03/2012
