See our 2023 additional benefits page for more information.
Out-of-network/non-contracted providers are under no obligation to treat plan members, except in emergency situations. Please call Customer Care at 1-877-232-7566 (TTY: 711), or see your Evidence of Coverage for more information, including the cost-sharing that applies to out-of-network services.
Preavea360 Essential and Prevea360 Harmony:
The One Pass™ program includes:
Generic: 5% or $4.15
Brand: 5% or $10.35
Prevea360 Harmony (HMO-POS) does not include Part D Prescription Drug coverage. This is an excellent choice if you already have prescription drug coverage through Wisconsin’s Senior Care Prescription Drug Assistance Program, TRICARE for Life, the VA or an employer plan. You can not have a Medicare Part D Prescription Drug plan if you enroll in the Harmony plan.