Our affiliation with local provider networks is the first of many good reasons to choose Health Tradition.
Members select a local In-Network Primary Care Provider (PCP), using a proven model for optimizing outcomes through continuity of care. PCPs are connected to an extraordinary network of specialists through medically indicated referrals throughout Wisconsin, some parts of Minnesota and Iowa.
Access to excellent care and cost effectiveness are both at the top of the list for most employers. We use these approaches to deliver on them.
Our ongoing effort to bend the cost curve also includes:
Our preventive care mission is to improve the wellbeing of members by streamlining access to and adopting the latest diagnostic advances. This also creates cost savings.
Our team of specialists assures quality care and cost management through prior authorization, referral management, care management, concurrent review and discharge planning.
A voluntary program that helps members better manage their conditions. The program includes assistance in evaluation, consultation and education.
Prescription drugs covered by your health plan are listed in the Health Tradition Formulary. These are drugs selected for their proven effectiveness, safety and reasonable cost. The formulary is actively managed by Health Tradition and MedImpact, and is updated throughout the year to incorporate the latest research, respond to price changes and shortages faster and add newer, more effective drugs sooner. Health Tradition reserves the right to change the formulary at any time.
All standards are developed to meet or exceed National Committee for Quality Assurance (NCQA) and URAC guidelines to communicate and maintain our high standards of care.
for more information.
Look through our collection of Health Tradition member forms and plan documents. Understand your Summary of Benefits and Coverage (SBC) and access forms for member enrollment changes.
Understand the process of paying your premiums and invoice scheduling.
Health Tradition offers members an extensive network of local providers to select as a primary care provider (PCP).