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PRE-CERTIFICATION
How do I obtain pre-certification?
Will I incur any liability if I fail to obtain
pre-certification when it is required?

A penalty of $500 may apply if you fail to obtain pre-certification.
What about emergency admissions?

In the case of an urgent/emergency admission, you must notify us by the next business day for pre-certification approval.
What should be done in cases of maternity?

We must be notified in advance of your expected date of delivery for pre-certification of your maternity facility admission. When you are admitted we must be notified by the next business day.
 
 
 
DOWNLOADABLE FORMS   Definitions
Benefit Summary for POS Delta Dental Application Form Membership Application
Benefit Summary for $2500 HSA FHCW Dental Acknowledgement Form Employee Census Form
Benefit Summary for $5000 HSA Application for FHCW Employer Application Form
Benefit Summary for Delta Dental Health Questionnaire  

Farmers' Health Cooperative of Wisconsin is a Co-op Care initiative brought to you by Cooperative Network. FHCW health insurance plans will be managed by Agri-Services Agency which offers coverage through Anthem. We are grateful for support from the UW School of Medicine and Public Health’s Partnership Fund for a Healthy Future; AgStar Financial Services; USDA Rural Development; and the Wisconsin Department of Agriculture, Trade and Consumer Protection.

© 2013 Farmers' Health Cooperative of Wisconsin