Illinois/Outside of Wisconsin Medical – Health Choices
Effective January 1, 2021:
Live360 will be the HSHS Healthy Plan provider network and Health Choices will be the new medical claims administrator for colleagues who reside outside of Wisconsin.
You have two medical options through the HSHS Healthy Plan - Health Choices:
- Basic Option
- High Option
- Waive Coverage
Coverage Options
When you enroll in medical (including prescription drug coverage),you can choose from these coverage levels:
- Colleague only
- Colleague + Spouse/LDA
- Colleague + Child(ren)
- Colleague + Spouse and Child(ren)
Find a Provider
To locate network providers, follow these steps:
1. Go to
www.live360healthplan.com
2. Determine your network service area. Your network is determined by your home ZIP code.
3. Based on your network service area, select Find a Live360 provider or First Health provider.
After you determine your Network Service Area, you can then find a doctor, specialist, hospital, or other providers that are covered by your HSHS Healthy Plan. Use the convenient Find a Provider tools below. You may need to enter your group number which is printed on the front of your ID card, or find it on the HSHS benefits website. The search results only show providers who are covered by your plan.
Inside the Service Area Outside the Service Area
Find a Provider Find a Provider
Live 360 Health Plan Live 360 Health Plan
Find a Provider
First Health Network
Online Member Portal – My eLink
My eLink is a convenient, secure web portal offering online access to your personal health plan information 24/7. Register and create a personal login to:
- Check on claims
- View and print EOB (Explanation of Benefits)
- Submit questions about your coverage or plan benefits
- Print and request I.D. cards
- Find a provider
- Review your coverage and benefits
- View referrals and authorizations
- Download forms
Prior Authorization
Prior Authorization is required for certain services. Live360 Network Providers will obtain prior authorization for you. First Health Network Providers may require you or your dependent to obtain the required prior authorization. Call Live360 Health Plan at 833-728-0538 to obtain prior authorization or discuss any prior authorization questions. Click below to view the Prior Authorization List.
Prior Authorization List
Excluded Providers
Click here to see the list of excluded providers and facilities.
Your Coverage when traveling out of the area:
You don’t need a referral or prior authorization for emergency services — no matter where you travel. The Healthy Plan covers emergency services outside the network, subject to plan copays, co-insurance and deductibles. If you need emergency care outside the service area, and are unable to get to a plan provider, go to the nearest urgent care or emergency center. It is important to notify Health Choices as soon as possible by calling 833-278-0538. If you require urgent care when you are traveling outside the Live360 service area, you can use a provider in the First Health network. To find a First Health urgent care provider, click on the First Health Network button above.
All follow-up care should be done by a plan provider. If you are out of the area and unable to see a plan provider, call Health Choices at 833-278-0538 for a referral.
Out-of-area Dependents
HSHS is committed to helping your dependents get the health care coverage they need when they need it. Students who attend college outside of the area and children living in communities outside the Live360 service area are common examples of out-of-area dependents. Designated out-of-area dependents have additional providers available to them in the First Health Network.
To receive this benefit, you or your out-of-area dependent must complete and submit the Care Package Form below in Additional Resources before receiving any services.
Resources to Help You Choose
- Flexplan Decision Guide - Review the Medical Plan Option Comparison Chart to help you determine which option is best for you.
- Health Choices to view your medical claim history, find a doctor, and use a variety of tools.
Additional Resources
2021 Find a Provider Flyer
Live360 Online Member Tools
Transition of Care Form
Care Package Form - for out-of-state dependent