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    Archived pages: 68 . Archive date: 2013-12.

  • Title: HIRSP and HIRSP Federal Plans | HIRSP
    Descriptive info: .. Home.. About HIRSP.. Plans.. Members.. Providers.. Agents.. Health Care Reform Information.. Log in to your account.. to view your.. Member Guide.. EOBs.. Member Profile.. Apply Now.. AARP Town Hall Teleconference.. Share Your Experience.. Tell us about your experience shopping for a new health plan at.. hirspsurvey.. com.. The information you share is confidential, and will only be used to help improve HIRSP's healthcare reform outreach to members.. Share Information.. The mission of the HIRSP Authority is to provide access to high quality, affordable healthcare for all eligible Wisconsin residents.. If you have a medical condition that s preventing you from getting health insurance or have lost your employer-sponsored coverage, you may still qualify for great benefits through HIRSP, the Health Insurance Risk Sharing Plan.. HIRSP is a Wisconsin non-profit that s been helping people get health insurance for over 30 years.. If you re eligible, you can choose from multiple health plans and select your own  ...   Alternative Enrollment Guide.. View our.. if you re experiencing issues with the Health Insurance Marketplace.. Click here to receive updates.. on healthcare reform and its impact on HIRSP and the HIRSP Federal Plan.. Important Notice about the HIRSP Sunset.. On November 14th, both President Obama and Wisconsin Governor Scott Walker announced proposed changes to healthcare policy.. President Obama s announcement has NO IMPACT on HIRSP and its members; however, Governor Walker s announcement may.. The Governor is proposing legislation that would allow HIRSP to extend coverage to the majority of its members for an additional 90 days, until.. March 31, 2014.. This measure must still pass a special session of the legislature.. The extension is intended to give extra time to members who are having difficulty securing new coverage in the online Marketplace.. HIRSP has prepared an important FAQ about the Governor s proposal.. to read it.. |.. Contact Us.. Feedback.. Site Map.. Privacy Notice.. 2013 HIRSP Authority..

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  • Title: About HIRSP
    Descriptive info: HIRSP Authority.. Organizational Structure.. HIRSP Consumer Advisory Council.. Reports.. Enrollment Reports.. Financial Reports.. Annual Report.. News and Events.. HIRSP News.. Board Meetings.. Let us hear from you!.. Give us your Feedback.. How to Apply.. The Health Insurance Risk-Sharing Plan (HIRSP) was created in 1979 for Wisconsin residents.. HIRSP offers health insurance to Wisconsin residents who either are unable to find adequate health insurance coverage in the private market due to their medical conditions or who have lost their employer-sponsored group health insurance.. We want to connect with you!.. Follow us for health tips, health care reform updates, and the latest HIRSP news.. And let us know what you d like to see from us by commenting on  ...   and care management principles and evidence based treatment guidelines in our plan design for the benefit of our members.. Ensure that all Wisconsin residents eligible for HIRSP have timely access to accurate application information.. Treat members with respect and provide excellent customer service to all HIRSP stakeholders.. Provide an active voice in health care reform discussions and initiatives that could impact the Authority and/or its members.. National Association of State Comprehensive Health Plans (NASCHIP).. Learn about educational opportunities and information for state high risk health insurance pools that have been, or are yet to be, established by state governments to serve the medically uninsurable population.. Visit the website for the.. National Association of State Comprehensive Health Insurance Plans..

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  • Title: HIRSP and HIRSP Federal Plans | HIRSP
    Descriptive info: Apply Online!.. HIRSP Plans.. Eligibility Requirements.. Rates.. Low Income Subsidy.. Outline of Coverage.. Covered Services.. Preventive-Services.. Noncovered Services.. Policy.. Provider Network.. BadgerCare Plus HIRSP.. Frequently Asked Questions.. What to Submit with Your Application.. HIRSP Federal Plans.. Covered Services.. Federal Provider Network.. HIRSP Medicare Supplement Plans.. MedSup Requirements.. HIRSP MedSup Plans.. MedSup Rates.. MedSup Outline of Coverage.. MedSup Policy.. MedSup Provider Network.. Important Notice.. re: HIRSP Federal Applications.. Effective March 2, 2013, the HIRSP Federal Plan can no longer accept new applications due to Federal budget constraints.. Any new HIRSP Federal Plan applications MUST be received by midnight on March 1, 2013 to be considered for coverage.. This enrollment freeze DOES NOT impact the HIRSP state plans.. The HIRSP state plans will continue to enroll new members.. Existing HIRSP and HIRSP Federal Plan members are not affected by this change and their coverage continues to be in effect.. Please contact us at  ...   If you are hosting any events, or producing any materials that might help HIRSP members better understand their options and ultimately enroll in a new plan, HIRSP would like to help promote your efforts.. to fill out the form, and we'll include your event on this page, and in Facebook mentions and weekly healthcare reform emails.. HIRSP offers 2 plan options.. The.. HIRSP Plan.. is for an individual who has recently been insured.. HIRSP Medicare Supplement Plan.. is for individuals who are on Medicare because of a disability or for current HIRSP members who turn 65 while enrolled in HIRSP.. BadgerCare Plus HIRSP: How do they work together?.. If you are no longer covered under a BadgerCare Plus program, you may still be eligible for HIRSP.. Learn more.. HIRSP Plans.. Eligibility due to loss of coverage or uninsurablity.. Subsidy for household incomes of less than $34,000.. Learn more about these HIRSP plans..

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  • Title: HIRSP Members | HIRSP
    Descriptive info: Online Account.. Register.. Login.. Resources.. Appeals and Grievance Info.. News and Updates.. Health Center.. Pharmacy Information.. Medications Requiring Prior Authorization.. Hospital Quality.. Wellness.. Medical Policies.. Flu Shots.. Care Management.. About Care Management.. Help with Diabetes.. StayWell.. Help with Medications.. Tria Health.. Help with Multiple Medical Conditions.. ICM 2.. 0.. When to Call for Inpatient Hospital Precertification.. Catastrophic or Complex Healthcare Situation.. Disease Management.. Forms and Documents.. Prior-Authorization Forms.. Privacy Practices and Forms.. Coverage and Enrollment.. Welcome Members.. Announcing Tria Health.. HIRSP is excited to introduce.. , a.. no cost.. program to help HIRSP members manage their prescription and over-the-counter medictions.. Tria Health is designed to help you manage your medications by giving you confidential access to speak one-on-one with a Tria Health clinical pharmacist.. The Tria Health pharmacist will work with you and your primary care providers to ensure you are experiencing the best results from your medications.. Find out more about the.. Tria Health program.. Tell us what you think!.. We're interested  ...   Wisconsin residents with information related to health and health care coverage.. The blog allows readers to comment and interact with WPS contributors to share experiences and ask questions.. At least twice a week, articles will be posted to help readers:.. Gain a better understanding of health insurance topics and terminology.. Get healthy and stay healthy with wellness tips, information and self-help tools.. Join the conversation and find answers to their own pressing questions.. Click here to view.. blog.. Newsletter.. News from the HIRSP Authority: Fall 2013.. News from the HIRSP Authority: Summer 2013.. Plan Information.. Select the links below to view detailed plan information including rates and options.. HIRSP Medicare Supplement.. Formulary and Pharmacy Information.. For formulary and pharmacy benefit information please visit the HIRSP Pharmacy Benefit Administrator's site:.. MedTrak Pharmacy Services.. Additional Notifications.. BadgerCare Plus Core Plan - Quick Reference.. BadgerCare Plus Core Plan National Drug Code (NDC) List.. HIRSP Medicare Supplement Termination Notice.. Letter regarding HIRSP and BadgerCare Plus Core Plan..

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  • Title: HIRSP Providers | HIRSP
    Descriptive info: Resources.. iExchange.. • Check Eligibility.. • Register.. Certification Information.. Covered and Noncovered Services.. Specialty Medications Requiring Prior Authorization.. Documents and Forms.. Electronic Interchange Format (EDI).. Welcome Providers.. This area of the HIRSP website is designed to assist providers with general information regarding HIRSP.. If you are a member looking for a provider, please visit our.. provider and network page.. NEW! Check Eligibility and Submit Prior Approvals Online for Faster Service!.. iEXCHANGE is a program offered by WPS Health Insurance that allows your clinical staff to submit prior approval requests for inpatient and outpatient services electronically.. Some of the benefits of iEXCHANGE include:.. Direct electronic submission.. Immediate feedback from WPS.. Assignment of a Case ID number.. Monitoring the status of the request (i.. e.. Auto-approval; Pended for review).. Communication with WPS staff through iEXCHANGE.. Alerts when the case has been updated.. Ability to "cut-and-paste" medical records to iEXCHANGE.. Printable requests/approvals for the provider.. View the  ...   for payment to be made within 30 days.. If there is no response, the next available HIRSP payment made to the provider will be offset.. This includes both paper check and electronic payments.. The PRA Provider Remittance Advice or ERN - Electronic Remittance Notice will contain information related to the customer for which the offset is being taken.. HIRSP.. Federal.. Provider Rates.. (The following page is located at the Forward Health Portal website.. ).. Visit Fee Schedules at Forward Health.. HIRSP Provider Rates.. (Note: you will need to use a program that will read Microsoft Excel documents to view these documents).. 2013 HIRSP Provider Rates (14 MB).. 2012 HIRSP Provider Rates (18 MB).. 2011 HIRSP Provider Rates (16 MB).. 2010 HIRSP Provider Rates (13 MB).. 2009 HIRSP Provider Rates (12 MB).. 2008 HIRSP Provider Rates (13 MB).. MedTrak Pharmacy Services.. For formulary and pharmacy benefit information please visit the HIRSP Pharmacy Benefit Administrator's site:..

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  • Title: HIRSP Agents | HIRSP
    Descriptive info: HIRSP Certified Agents.. About Effective Dates.. Receive Email Notifications.. Welcome Agents.. About Privacy Forms.. For agents to inquire on or track the status of an application, the applicant must first complete this authorization form:.. HIPAA Authorization Form.. Application and privacy authorization forms should be submitted to:.. P.. O.. Box 8961.. Madison, WI 53708-8961..

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  • Title: Register for AARP Town Hall Teleconference
    Descriptive info: Register for AARP Town Hall Teleconference.. On.. Tuesday, December 10th at 6:30pm.. , AARP will be hosting a live teleconference exclusively for HIRSP members.. We'd like to invite you to attend.. You'll learn the latest updates on Governor Walker's 90-day HIRSP extension proposal, information about Medicare, and more.. To attend please fill out the  ...   must provide a phone number where you can be reached during the event.. A few minutes before the teleconference starts, you will receive a recorded phone call at the number you've listed inviting you to join the conference.. Registration Information.. First Name*.. Last Name*.. HIRSP Member ID*.. E-mail Address*.. City of Residence*.. Phone Number*.. -..

    Original link path: /agent/aarp_teleconference_signup.shtml
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  • Title: Healthcare Reform Notifications
    Descriptive info: Healthcare Reform Notifications.. Enter your information below to receive news updates via email regarding Healthcare Reform.. Healthcare Reform Notification Information.. Email Address*.. Please select which one best describes you*.. Member.. Agent.. Other.. We value your privacy.. Information collected is confidential and used strictly for communication purposes regarding your request.. Please view our..

    Original link path: /about/hcr-email-signup.php
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  • Title: Board of Directors | HIRSP
    Descriptive info: The HIRSP Authority Board of Directors and its staff are responsible for approving the program budget and administrative contracts, overseeing performance standards for the plan administrator, collecting assessments from insurers, and other duties as outlined by state law.. The members are nominated by the governor, and with the advice and consent of the senate appointed for three year terms.. The Commissioner of Insurance, or designee, also sits on the board as a non-voting member.. HIRSP Authority Staff.. Amie Goldman.. ,.. CEO.. Jackie Ferris.. Executive Assistant.. Josh Weisbrod,.. Director of Operations.. Mary Endres,.. Director of Finance and Compliance.. HIRSP Board of Directors.. Each HIRSP board member also serves on multiple HIRSP.. committees..  ...   Insurer Representative - Children's Community Health Plan.. Michele Bauer.. Wisconsin Medical Society Representative - Group Health Cooperative Eau Claire.. John Russell.. Health Care Provider - Columbus Community Hospital.. Ellen Henningsen.. Consumer Advocate - Disability Rights Wisconsin.. Wendy Arnone.. Insurer Representative - United Healthcare.. Joe Kachelski.. Wisconsin Hospital Association Representative - Wisconsin State Health Information Network (WISHIN).. J.. P.. Wieske.. Office of the Commissioner of Insurance.. Steven Youso.. Insurer Representative - Security Health Plan.. Christianna Hanson.. Small Business Representative - Hanson Benefits, Inc.. Tom Wagner.. Member Representative.. Annette Stebbins.. Linda Hoff.. Insurer Representative - Physicians Plus Insurance Corporation - Meriter Health Services.. Cathy Winters.. Pharmacy Society of Wisconsin Representative - Young's Hometown Pharmacy..

    Original link path: /about/board.shtml
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  • Title: About HIRSP
    Descriptive info: The HIRSP Consumer Advisory Council consists of HIRSP members and other individuals familiar with the plan.. You do not have to be a HIRSP member to participate on the Council.. The Council serves to highlight the needs of HIRSP members and consider proposed HIRSP plan changes.. The Council works closely with the HIRSP Consumer Committee to address member concerns.. The Council charge is listed below.. The Consumer Advisory Council is interested in your feedback.. If you would like to share a comment or concern with the Consumer Advisory Council, please.. send us a message.. HIRSP Consumer Advisory Council Charge.. Provide input, or participate in gathering information, from the consumer perspective on current HIRSP operations that affect members; for example HIRSP benefits, claims payment and grievance processes.. Review materials and methods of  ...   If you are interested in participating in the HIRSP Consumer Advisory Council, please complete the application below.. Meetings will be held in Madison, WI quarterly and reimbursement for necessary meals and travel will be provided.. There may also be regional meetings with HIRSP members throughout the state.. Council members will serve one year terms.. Your application will be reviewed by the HIRSP Consumer Committee.. If an opening becomes available that fits your background, you will be contacted by HIRSP Authority staff.. Please fax your completed application to (608) 441-5776, or mail to:.. 1 E.. Main St.. , Suite 305.. Madison, WI 53703.. Thank you for your interest in participating on the HIRSP Consumer Advisory Council.. Application (PDF or Word format).. HIRSP Consumer Advisory Council application.. HIRSP Consumer Advisory Council application (Word)..

    Original link path: /about/consumers.shtml
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  • Title: Contact HIRSP
    Descriptive info: Customer Service.. 1751 W.. Broadway.. Phone:.. (800) 828-4777.. Phone:.. (608) 221-4551.. Fax.. : (608) 226-8770.. email:.. HIRSPweb@wpsic.. Hours of Operation.. Mon-Thurs: 7:00 a.. m.. - 5:00 p.. CT.. Fri: 8:00 a.. - 4:30 p.. CT.. Holiday Hours:.. View Holiday Hours of operation.. Si inglés no es su idioma primario y usted querría hablar con el servicio de atención al cliente de HIRSP, sigue por favor estos cuatro pasos fáciles:.. Llama 1.. 800.. 828.. 4777.. Prensa 0 (cero).. Prensa 0 (cero) otra vez.. Entra su número de 9 cifras de miembro de HIRSP o pide a un representante de servicio al cliente.. Cuando el representante está en la línea, pide a un intérprete.. El representante le conectará con una línea del idioma para ayudarle con su llamada.. Yog hais tias Lus Asnkiv tsis yog koj thawj hom lus thiab koj xav nrog ib tug neeg hauv HIRSP Chaw Muab Kev Pab Neeg tham, thov ua raws li plaub nqe yooj yim no:.. Hu rau 1.. 4777.. Nias lus xoom "0".. Nias lub xoom "0" dua.. Ntaus koj 9 tug zauv cim ua tswv cuab hauv HIRSP los yog tos ib tug neeg teb xov tooj los teb koj.. Thaum tus neeg teb xov tooj teb  ...   in finding HIRSP Federal Plan members who are willing to share their stories with the media as part of the HIRSP Federal Plan outreach campaign.. please email the HIRSP Authority.. Customer Service-Pharmacy.. HIRSP Dedicated Pharmacy Unit.. 1-800-757-5576.. customerservice@medtrakservices.. Monday through Friday.. - 9:00 p.. Saturday 9:00 a.. - 6:00 p.. MedTrak Services.. 7101 College Blvd.. , Ste 1000.. Overland Park, Kansas 66210.. Medtrak Pharmacy Services.. Care Management and Prior Approval.. Inpatient hospital admission pre-certification, prior approval, individual case management, and disease management:.. HIRSP Care Management.. Attention: Care Management.. Box 8961.. Madison, WI 53708-8961.. (866) 841-6572.. Fax:.. (608) 226-4777.. Hours of Operation:.. Mon-Fri: 7:30 a.. Drug Prior Authorizations.. 1-800-757-5576.. Monday through Friday 8:00 a.. Phone.. : (888) 527-0590.. : (608) 243-6136.. m.. Submit premium payments to:.. Health Insurance Risk-Sharing Plan.. Box 3056.. Milwaukee, WI 53201-3056.. Secure Messaging.. HIRSP offers a secure way for you to post personal questions (including health-related questions) online.. This secure messaging is available through your Administrative Service Provider (WPS Health Insurance), and is just one of the many account tools available to you as a member.. Health Care Providers.. Medical Claims Submission.. Submit HIRSP claims electronically through.. Electronic Data Interchange (EDI).. (800) 782-2680.. (608) 223-3824.. Submit HIRSP Paper Claims to:.. HIRSP..

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    Archived pages: 68