North Central Wisconsin Provider Networks
The network that you as an employee of a member company of NEHA are enrolled in is noted on your membership ID card. A directory of providers for your enrolled NEHA network can be accessed here (Enter username and password provided by your employer).
If you are enrolled in a network other than a NEHA network, provider directories are maintained by your Third Party Administrator noted on your membership ID card. To access the provider directory of UMR, click here. To access the provider directory of Auxiant, click here.
NEHA partners with the primary hospitals and physician groups in north central Wisconsin: The Aspirus Network or your employer may offer a PPO Broad Network. NEHA also partners with tertiary providers, should care outside of north central Wisconsin be needed, including UW Health in Madison; Children’s Hospital of Wisconsin, Froedtert Hospital and The Medical College of Wisconsin in Milwaukee; Mayo Clinic in Rochester, MN; and Fairview Hospitals in Minneapolis, MN. In addition, NEHA networks include many regional ancillary providers such as behavioral health, podiatry, chiropractic, and optometry. Your employer and Third Party Administrator (TPA) will also implement wrap/travel networks for providers outside of the NEHA network area.
Prescription Pharmacy Program
Our pharmacy benefit managers, Serve You and OptumRx, maintain a robust participating pharmacy network. Participating national chains include Walgreens, CVS, Wal-Mart, and Target. Participating local pharmacies can be found on the websites of the TPAs or Pharmacy Benefit Managers.
Provider directories are maintained by your pharmacy benefit manager noted on your membership ID card. To access the provider directory of OptumRx, click here. To access the provider directory of Serve You, click here.
Links to Other Resources
Your employer may have chosen to utilize other optional services arranged by NEHA. For information about Delta Dental or On-site/Nearsite Clinics, contact Coalition Services.