Customer Information

FCP Crandon Government Employees

The list of services below will need to be pre-certified in advance of having the service performed.

  • In-patient hospital medical/surgical
  • Out-patient surgical procedures
  • Durable Medical Equipment (DME) over $500.00
  • Rehabilitation services (Physical/ Occupational / Speech)
  • Chemotherapy / Radiation Therapy
  • Home Health Care
  • Hospice
  • Skilled Nursing Facility
  • Magnetic Resonance Imaging (MRI)
  • CAT Scans
  • Sleep Studies
  • Bone Density Studies
  • Muscle Conduction Studies
  • Outpatient Psychiatric/Substance Abuse Treatment
  • Inpatient Psychiatric/Substance Abuse Treatment
  • Transplants
  • All Services or procedures over $1000.00

Failure to pre-certify the services listed above will result in a reduction in benefits for services which are determined to be medically necessary.  There will be no benefit for services determined not to be medically necessary.

To pre-certify, call 866-729-0127.

~ or ~

Submit an online precertification request to Hines & Associates.

Generic Incentive
Substitution of a brand-name product for another brand-name or a generic equivalent, when available.

Mandatory Generic
When available, only generic medication will be covered in this program.

Over the Counter (OTC)
OTC non-sedating antihistamines and proton pump inhibitor.

Tablet Splitting
Save money on prescriptions by cutting a higher strength tablet in half.

Step Therapy
Using medications that are considered first line before receiving a second step medication.

Potawatomi Hotel & Casino Employees

Contact 800-647-2667 for services listed below

  • Inpatient and Outpatient Hospital Medical/Surgical
  • Physical/Occupational Rehabilitation Services
  • Chemotherapy/Radiation Therapy
  • Home Health Care
  • Durable Medical Equipment (DME) Over $500
  • Hospice
  • Skilled Nursing Facility
  • Sleep Studies
  • Muscle Conduction Studies
  • Transplants
  • All Services Over $1000.00.

 

Contact 866-729-0127 for services listed below

  • Magnetic Resonance Imaging (MRI)
  • CAT or CT Scans
  • PET Scan
  • Outpatient Psychiatric/Substance Abuse Treatment
  • Inpatient Psychiatric/Substance Abuse Treatment

To find a provider, visit UnitedHealthcare Choice Plus and click on the “Find a doctor” link.

Generic Incentive
Substitution of a brand-name product for another brand-name or a generic equivalent, when available.

Mandatory Generic
When available, only generic medication will be covered in this program.

Over the Counter (OTC)
OTC non-sedating antihistamines and proton pump inhibitor.

Tablet Splitting
Save money on prescriptions by cutting a higher strength tablet in half.

Step Therapy
Using medications that are considered first line before receiving a second step medication.

Please contact the Forest County Potawatomi Insurance Department for questions you may have at 715-478-7448.