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Find "In-Network" Providers
Unless you have a medical emergency, you (and any covered spouse or partner) must use UHS for all available primary, urgent and preventive care during business hours. This requirement does not apply to covered dependent children, since UHS does not provide pediatric care. Other exceptions are listed in the “Waiver of Primary Care Provider Requirements” section in the online Plan Document.
Covered visits to “In-Network” providers are subject to applicable deductible, coinsurance, or copayment responsibilities as detailed in the online Plan Document. Please remember that benefits are payable in accordance with the Plan Document. For specific plan benefits questions, call the SHIP Claims Administrator, Consolidated Health Plans at 1-877-657-5031.
How to find an “In-Network” provider for services not available at UHS
SHIP has contracts with two provider networks for “In-Network” coverage – The Alliance and First Health.
The Alliance network service area includes most of Wisconsin (including Madison) and extends into Northern Illinois, Eastern Iowa, Eastern Minnesota, and the Upper Peninsula of Michigan.
If you are trying to find a provider within this service area, click here.
For example, to search for a list of Pediatric Providers:
- Click “Select a plan” and then click “The Alliance Network for UW Student Health Insurance Plan (SHIP)”
- For a provider outside of Madison, enter the location where you want care next to “Your Location”
- Type “Pediatrics” in the search box
Also look for these Symbols and Adjust the Filters
Facility Fee Applies
- Some locations charge a separate Facility Fee.
- Although, SHIP does pay for Facility Fees, your final member cost may be higher if you choose one of those locations (since any cost-sharing would also apply to the Facility Fee).
Leapfrog Hospital Safety Grad (Available August 2018)
- Based on hospital’s patient safety record
- Grade of: A, B, C, D or F
- Adjust the filters of your search, such as:
- Accepting New Patients
The Alliance Customer Service
If you are having difficulty using the Online Provider Directory, a customer service representative from The Alliance can help you. For assistance, call 800-223-4139. After the Spanish prompt, press 3, then 2, then 2, then 1, and then 1.
Check the Cost Before Making an Appointment
You can also call The Alliance customer service at 800-223-4139 for a procedure cost estimate. Choose one in-network provider or choose more to compare cost estimates.
As a part of The Alliance cooperative, SHIP added an in-network benefit called “QualityPath”. Under “QualityPath” certain procedures, including MRIs, will be fully covered at participating providers. Those providers are required to meet or exceed quality standards that are based on national measures and recommended practices for care. Members that utilize “Quality Path” also receive a warranty.
To learn more about utilizing the QualityPath program for Tests (MRI and CTs), click here. Details on QualityPath are also in the SHIP Plan Document.
First Health provides “In-Network” coverage when you are unable to find a provider in The Alliance network. First Health is a national network, with providers throughout the United States, including Wisconsin. To locate a provider in the First Health network, click here.
If you are having difficulty using the Online Provider Directory, a customer service representative from First Health can help you. For assistance, call 800-226-5116. After the initial message press 2, then 1, and then 1.
If you have any questions or need further assistance identifying an “In-Network” provider for either The Alliance or First Health, you can also contact our office. The SHIP office is open from 9am-5pm, Monday through Friday.
Just present your SHIP card to receive these discounts