HMO Advocates
If your customers on Medicaid (MA) run into service difficulties at the various HMOs in Dane County, this table lists the contact people.
| HMO Name |
Medicaid Advocate
Phone, Fax and Customer Service |
Mental Health & AODA Contact Numbers |
| Dean Health Plan |
- Babette Casey
- 827-4221
- (f) 836-9620
- Customer Service
- 828-1301
- 1-800-279-1301
|
- Mental Health
- Tom Crabb 252-8226
- AODA – Gateway Recovery
- 278-8200
|
| GHC of South Central Wisconsin |
- Jodi Joyce
- 661-7200 ext. 7523
- Customer Service
- 251-3356
|
- Mental Health Intake
- 257-9700
- Richard Adelman/Jim Vandenbrandt
- AODA – Gateway Recovery
- 278-8200
|
| Physicians Plus |
- Rebecca Wuetrich
- 417-4612
- Customer Service
- 282-8900
|
- JMHC Intake
- 280-2700
- Contact Lynn Brady or Sue Moran if problems
|
| Unity Health Plans |
- Carola Peterson-Gaines
- 821-4214
- (f) 821-4207
- Daphne Daniels
- 821-4212
- Customer Service
- 1-800-362-3310
|
- MH/AODA – Intake Services through UW Health
- 282-8960
- 1-800-683-2300
- MH services at JMHC
- 280-2700
- Lynn Brady/Sue Moran
|
| HP/EDS State Health Care – Ombudsman |
800-760-0001 or 221-4746 hit 0 “ask”
- Nirobe Adams:
- HMO
- 204-6516
- Katie Ploeser:
- FFS Ombud
- ext. 203-0175
- Natalie Stone:
- Dental
- ext. 203-0105
|
Call for complaints, grievances and advocacy.
Call Lucy Miller 224-6525 for assistance with exemption requests.
|
For local enrollment issues call Automated Health Systems 1-800-291-2002 press option 1 (twice). Wes Skaggs is a supervisor at extension 3122. The non-collect number is 414-221-9300. Also the HP/EDS HMO Ombuds can help with exemptions and have been more effective.
For medically related transportation, all transportation is done by MTM. People need to call 1-866-907-1493. If folks have transportation problems, please encourage them to file a complaint.
The Center for Patient Partnerships (CPP) also provides advocacy in some commercial insurance and SSI cases, typically with cancer diagnosis. They are at 265-6267. ABC for Health is an excellent advocacy resource for children with special health care needs. They can be reached at 261-6939. The Medicare D Hotline for prescription drug questions or problems with Medicare Drug Plans 1-800-926-4862. For uninsured with prescription drug needs, try www.needymeds.com; it is effective in many cases.
Health Insurance Marketplace Shoppers