Prevea360 Health Plan is brought to you by Wisconsin-based Dean Health Plan by Medica. While the way many insurance companies and physicians measure success has led to a healthcare system that focuses more on illness than wellness, we want to transform healthcare to shift the focus from illness to wellness. We aim to ensure convenient and accessible care options that cater to your specific needs. We’re a health plan that’s a part of your community and strives to meet you where you are. Our integrated approach focuses on the doctor-patient relationship. That means health providers, a pharmacy benefits manager, and a health plan all collaborating on a single plan revolving around your health and wellness.
Advance care planning is the process of thinking about, communicating, and documenting your future health care wishes in case of illness, accident, or sudden medical event.
We want to ensure that your health care wishes are known and respected. Social workers are available to help any member over age 18 begin or continue the process of advance care planning. Find out more on our Care Management webpage.
Find providers on the Providers and Information section of our State of Wisconsin Group Health Insurance Program webpage and select “Online Provider Search” or “State of WI – Prevea360 East” (PDF). To request a printed directory by mail, call 1-877-230-7555.
Prior authorizations are required for certain services, procedures, and for out-of-network providers before you receive care. A prior authorization is a written request that is completed by a network Primary Care Provider and/or network specialist provider. It requests authorization of a specific service(s) or procedure to be performed by an in-network provider or, in some cases, an out-of-network provider.
Prior authorization is required for care from any out-of-network providers unless it is an emergency or urgent care.
You may check the status of your request at MyPrevea. If you’re unsure if a service, test, or procedure requires prior authorization or a referral, call 1-877-230-7555 prior to the appointment.
Hey there! Have you ever found yourself staring at a Prevea360 medical bill wondering how to pay it without the hassle? I’ve been there too! Managing healthcare payments can be confusing but I’m here to help make it simple for you. In this guide, I’ll walk you through everything you need to know about Prevea360 bill pay options, from online payments to payment plans that won’t break the bank.
Whether you’re a long-time Prevea360 member or just received your first bill this comprehensive guide will help you navigate the billing system with confidence. Let’s dive right in!
What is Prevea360?
Before we jump into the bill pay details, let’s quickly understand what Prevea360 is Prevea360 is a healthcare provider that offers comprehensive medical services throughout Wisconsin They partner with insurance companies to provide healthcare coverage and services to patients.
Prevea Health, the parent organization, maintains a network of clinics and healthcare facilities, making it a popular choice for many Wisconsin residents. When you receive services from a Prevea provider, you’ll eventually receive a bill for any portion not covered by your insurance.
Online Bill Payment Options
MyPrevea Patient Portal
The easiest and most convenient way to pay your Prevea360 bill is through the MyPrevea patient portal. This online system allows you to manage all aspects of your healthcare, including bill payments.
Here’s how to pay your bill through MyPrevea:
- Visit MyPrevea.com
- Log in to your account (or register if you’re a new user)
- Navigate to the billing section
- Select the bill you want to pay
- Enter your payment information
- Confirm payment
The best part? MyPrevea is available 24/7, so you can pay your bill whenever it’s convenient for you!
If you don’t have a MyPrevea account yet, don’t worry! Registration is simple. Just visit MyPrevea.com and follow the prompts to create your account. You’ll need some basic personal information and your medical record number, which you can find on your billing statement.
Guest Payment Option
Don’t want to create an account? No problem! Prevea Health understands that not everyone wants to register for an online account. That’s why they offer a guest payment option.
To pay as a guest:
- Go to MyPrevea.com
- Look for the “pay as guest” option
- Enter the required information from your bill
- Complete your payment
This option is perfect for one-time payments or if you prefer not to maintain an online account.
Phone Payment Options
Some of us still prefer the good old-fashioned way of talking to a real person. If that’s you, Prevea has got you covered!
You can call Patient Accounts directly at:
- (920) 496-4775 (local)
- (888) 477-3832 (toll-free)
Their business office hours are Monday through Friday, from 8 a.m. to 4:30 p.m. The customer service representatives are super friendly and can help answer any questions about your bill while processing your payment.
Mail Payment Options
If you prefer to mail your payment, you can send a check or money order to:
Prevea Health
P.O. Box 19070
Green Bay, WI 54307
Be sure to include your account number on your check to ensure proper crediting of your payment!
Understanding Your Prevea360 Bill
Medical bills can sometimes look like they’re written in a foreign language! Let me help decode your Prevea360 statement:
Key Components of Your Bill
- Patient Information: Your name, address, and account number
- Service Details: The date, location, and type of service provided
- Charges: The amount billed to your insurance
- Insurance Payments: What your insurance covered
- Patient Responsibility: What you owe after insurance
Understanding these components helps you verify that you’re being billed correctly. If something doesn’t look right, don’t hesitate to contact Patient Accounts for clarification!
Family Billing Policies
Prevea Health has some specific policies regarding family billing that are important to know:
- Billing statements include account information for all family members who have used Prevea services
- Once a patient turns 18, Prevea automatically establishes an account in that person’s name
- For college students, billing statements can be sent to either the parent’s address or the student’s address
- In cases of divorce, the parent with whom minor children live is considered the responsible party and will receive all billing statements
Payment Plans and Financial Assistance
We Care Patient Payment Program
Can’t pay your bill all at once? Don’t stress! Prevea Health partners with Medfinancial to offer extended payment plans through their “We Care Patient Payment Program.”
The awesome benefits include:
- Automatic qualification for all Prevea patients
- No credit checks or credit reporting
- No hidden fees or penalties
- Ability to add new balances with a quick phone call
- Flexible payment options that fit your budget
- Payment plans extending up to three years in some cases
To set up a payment plan, simply call Patient Accounts at (920) 496-4775 or (888) 477-3832. You can also arrange payments through MyPrevea or use the chat feature on the Prevea website.
Self-Pay Options
If you don’t have insurance, Prevea Health requires payment at the time of service:
- For regular office visits: $150 minimum payment required
- For visits involving X-ray services (including mammograms): $225 minimum payment required
- For elective surgeries: 40% of the total cost must be paid before scheduling
- Any prepayment must be received at least 15 days prior to service
If you need immediate surgery but can’t pay upfront, contact Patient Accounts to make special arrangements.
Special Billing Considerations
Co-payments
If your insurance requires co-payments, be prepared to pay when you check in for your appointment. Prevea accepts cash, checks, and credit/debit cards for co-payments.
Pro tip: Call your insurance company beforehand to confirm your co-payment amount so you’re prepared!
Good Faith Estimates
Under federal law, healthcare providers must give patients without insurance (or those not using insurance) an estimate of their expected costs.
You have the right to:
- Receive a written “Good Faith Estimate” at least one business day before your service
- Request an estimate before scheduling a service
- Dispute any bill that exceeds your estimate by $400 or more
To request your estimate, visit MyPrevea.com and click “price estimates.”
Refunds
If you’ve overpaid on your account, Prevea will issue a refund. However, they typically wait until all insurance balances have been processed and paid before issuing refunds. This ensures that all transactions have been properly applied to your account.
Non-Sufficient Funds
Be aware that Prevea charges a fee for any returned checks. Make sure you have sufficient funds in your account before making a payment by check!
Troubleshooting Common Billing Issues
Statement Timing
Prevea Health has a unique policy regarding small balances. They don’t send statements for balances under $10. These smaller balances are suppressed until the total reaches $10 or more.
This means you might:
- Receive a statement long after your last appointment
- Be asked to pay small balances at your next appointment without having received a statement
I recommend checking your insurance’s explanation of benefits (EOB) and paying any small balances promptly to avoid surprise accumulations.
Billing Questions and Disputes
If you have questions about your bill or believe there’s an error, don’t worry! You have several ways to get help:
- Call Patient Accounts: (920) 496-4775 or (888) 477-3832
- Send a message through MyPrevea
- Use the chat feature on the Prevea website
The billing team is there to help resolve any issues and answer your questions about your statement.
Tips for Efficient Bill Management
Here are some of my personal tips for staying on top of your Prevea360 bills:
- Set up autopay through MyPrevea to never miss a payment
- Keep all EOBs from your insurance for reference
- Review bills promptly when they arrive
- Ask questions if something doesn’t make sense
- Budget for medical expenses by setting aside a small amount each month
- Consider a Health Savings Account (HSA) or Flexible Spending Account (FSA) for tax-advantaged medical expense payments
Final Thoughts
Managing your Prevea360 bills doesn’t have to be stressful! With multiple payment options, flexible payment plans, and helpful customer service, Prevea Health tries to make the process as painless as possible.
Remember, if you’re ever confused about a bill or struggling to make payments, reach out to Patient Accounts. They’re there to help you navigate the sometimes complicated world of healthcare billing.
Do you have any other questions about Prevea360 bill pay? Feel free to share your experiences or tips in the comments below. We’re all in this together!
Quick Reference Guide
| Payment Method | Contact/Access Information | Hours/Availability |
|---|---|---|
| Online (MyPrevea) | MyPrevea.com | 24/7 |
| Phone | (920) 496-4775 or (888) 477-3832 | Mon-Fri, 8am-4:30pm |
| Prevea Health, P.O. Box 19070, Green Bay, WI 54307 | N/A | |
| Payment Plans | Call (920) 496-4775 or (888) 477-3832 | Mon-Fri, 8am-4:30pm |
Stay healthy and financially well!
Emergency and Urgent Care
If you require emergency or urgent care when outside of the network, seek care at the nearest medical facility. Contact Member Services at 1-877-230-7555, if possible, when you receive emergency care. If assistance is needed to determine the appropriate level of care outside of normal working hours, contact Prevea Care After Hours at 1-888-277-3832. Follow-up care must be received by an in-network provider unless otherwise approved by Prevea360.
- On My Way allows you to make a reservation at the Prevea Urgent Care of your choice from the comfort of your home. You choose one of the available times and have the option of receiving a text message reminder.
- Online scheduling makes primary care clinic appointments a snap. Simply visit the Prevea health website. Then click “Schedule Online” and follow the prompts to select a time with your doctor.
Most often primary care providers (PCPs) should be your first choice for care both because they are familiar with your medical history and because a scheduled office visit is the most cost-effective method of care.
When a more immediate need arises, you have other options. We can help you find the right care in the right place at the right cost.
Mental, Behavioral Health and Substance Abuse
More ways to access mental health services
If you or someone you know is struggling, you’re not alone. We offer many supports, services, and treatment options within our network.
For members with mental health and substance use disorders, our behavioral health and substance use case management provides an individualized approach. The goal is to help you manage your health and live your best life. Learn more about our behavioral health services.
Telemedicine continues to grow every day and more specialties are finding ways to provide virtual options for patients. Find an in-network provider to get started.
A prior authorization is required for the following mental health and substance use services:
- Detox
- Inpatient
- Residential
- Partial hospitalization/day treatment
- Intensive outpatient
- In-home therapy
Prevea Care After Hours is a free telephone service for Prevea360 Health Plan members. Its available 24 hours a day, 365 days a year. If youre not sure you need to see a doctor—or wondering if you have a problem—give us a call. Call 1-888-277-3832 or 1-920-496-4700 anytime to speak with a registered nurse.
Experienced registered nurses at Prevea Care After Hours are always available to answer your questions and concerns. When responding to your call, they draw on years of clinical experience in many medical specialties.
Learn more about Prevea Care After Hours.
E-visit – the lowest-cost option
You can get care from the comfort of your own home. In 60 minutes or less during regular business hours, you can reach a trusted provider when you need them most. You’ll get a diagnosis, treatment plan, and any needed prescriptions. Virtual care is available to members through age 75. To ensure members receive the highest quality of care, those age 76 and above should be seen at a clinic or doctors office. Try virtual care for:
- Coronavirus (COVID-19)
- Upper respiratory infections
- Urinary tract infections
- Lice
- Yeast infections
- Pink eye/conjunctivitis
- Acid reflux/GERD
- And more
Find the conditions commonly treated in an e-visit and get help to find the right care anytime online.
- Prevea Health Clinics
- HSHS Health System WI Hospitals and Clinics
- Door County Memorial Hospital & Medical Center
- Holy Family Memorial Hospital and Clinics
How to Pay Bills and Print Checks in Total Office Manager®
FAQ
Is Prevea360 the same as Dean Health Plan?
Prevea360 Health Plan is a true partnership between Prevea Health, HSHS Hospitals and Dean Health Plan, who have provided generations of Wisconsin residents with dedicated care and support.
How do I access my bill pay?
Visit your bank or credit union’s website and find the “Bill Pay” or “Pay Bills” tab. You’ll need to enter your payee’s name, address, and account number, which you can find on your last bill or statement.
Is bill pay legit?
Online bill pay is included with an online bank account, and online bank accounts are generally very safe. Banking sites protect your accounts in a number of ways, including: Multifactor authentication.
How does Doxo bill pay work?
But with doxo’s Private Pay Wallet, users can pay any bill without ever sharing their bank or card information with their billers. A single, secure wallet makes it easy to make payments on any device, using a bank account, credit card, debit card, or Apple Pay.
