Do I need permission from the health plan to receive the medical services I need?

Preauthorization is not required for routine office visits with a contracted provider. However, preauthorization is required for all inpatient hospital stays and various other services. A list of these services can be found here: Services Requiring Prior Authorization. You can save your healthcare dollars by contacting us before you see a specialist, especially out-of-area. If care is not available within the WINhealth network of providers, we will assist you in finding the care you need at an in-network benefit to you.

Will I be covered when I'm out of town?

Urgent medical conditions are covered when you are temporarily out of your local service area when they are preauthorized by WINhealth. Please call prior to seeking urgent, non-emergent, care so that we can assist you in finding a provider and assure you receive your maximum benefit. In addition, the Nurse Line is available to you 24/7 for advice.

What do I do in an emergency?

If you have a life or limb-threatening emergency, you should call 911 or go to the nearest emergency room. If you are unsure whether your condition is a true emergency, you may call the Nurse Line or your physician for advice and referral. We ask that you call us within 48 hours of visiting an emergency room so we can assist with any needed follow up care and assure you receive your maximum benefit.

What if my family status changes?

Notify your employer of any changes. Your employer will send us the changes in writing so that your record is accurate. We will then send you updated ID cards.

I can't remember my WINConnect Username or Password. Help!

Contact the WINConnect Help Desk toll free at (877) 814-9909.