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UW Health SMPH
American Family Children's Hospital

A Message for Physicians Plus Members

For Physicians Plus Insurance Corporation (PPIC) members, care provided by some UW Health physicians and access to local UW Health facilities often requires prior authorization by PPIC. These UW Health facilities requiring prior authorization include: UW Hospital and Clinics, American Family Children’s Hospital, and UW Carbone Cancer Center and 12 additional locations (see below).


For questions about your individual PPIC coverage, please contact PPIC directly.


For questions about UW Health services and locations, see the lists below, and call UW Health patient relations at (608) 821-4819 or (800) 552-4255 for additional information.


The lists below apply to coverage of UW Health services for PPIC members in 2014.


Specialties at UW Hospital and Clinics locations that do NOT require prior authorization:

  • Obstetrics (including midwives)
  • Genetics (genetics testing requires separate authorization)
  • Gynecology
  • Gynecologic Oncology
  • Infectious Disease
  • Medical Oncology (includes chemotherapy and lab)
  • Nephrology
  • Neuropsychology (including testing)
  • Pediatric Arthritis and Rheumatology
  • Pediatric Cardiology
  • Pediatric Cardiothoracic Surgery
  • Developmental Pediatrics
  • Pediatric Diabetes and Endocrinology
  • Pediatric Genetics and Metabolism (genetic testing requires separate prior authorization)
  • Pediatric Gastroenterology
  • Pediatric Hematology and Oncology
  • Pediatric Infectious Disease
  • Pediatric Nephrology
  • Pediatric Neurology
  • Pediatric Neuropsychology  (including testing)
  • Pediatric Neurosurgery
  • Pediatric Ophthalmology (except routine eye)
  • Pediatric Orthopedics
  • Pediatric Plastic Surgery
  • Pediatric Pulmonology and Cystic Fibrosis
  • Pediatric Spine Surgery
  • Pediatric Urology
  • Pediatric physicians at Pediatric After-hours Care
  • Travel Medicine

UW Health primary care locations that ARE covered by PPIC:

  • 20 S. Park
  • 1102 S. Park (Arboretum)
  • Augusta Family Medicine
  • Beaver Dam
  • Belleville Family Medicine
  • Columbus
  • Cottage Grove
  • Cross Plains
  • DeForest-Windsor
  • East Towne (East Towne Blvd.)
  • Eau Claire Family Medicine
  • Fitchburg
  • Fort Atkinson
  • Fox Valley Family Medicine
  • Horicon
  • Mt. Horeb
  • Northeast Family Medicine
  • Odana Atrium
  • Oregon
  • Portage
  • Stoughton
  • Sun Prairie
  • Verona Family Medicine
  • West Towne (Mineral Point Rd.)Wisconsin Sleep (Joint Venture)
  • Yahara (except PT/OT) 

PPIC will NOT cover primary care at the following locations. All specialty services and high-end radiology at these locations will require prior approval unless noted as an exception above.

  • UW Hospital and Clinics, 600 Highland Ave. (77 clinics and approximately 800 physicians including Carbone Cancer, Orthopedics, Urology, Transplant and all Medical/ Surgical Specialties)
  • American Family Children's Hospital, 1675 Highland Ave. (46 clinics and approximately 90 physicians in all pediatric specialties)
  • East (E. Terrace Dr.)
  • Home Health Services
  • Middleton Rehabilitation
  • Oakwood
  • Orthotics
  • Princeton Club East
  • Princeton Club  West
  • Research Park
  • Smoking Cessation and Prevention
  • University Station
  • Waisman Center
  • West (Junction Rd.) (except Vascular Surgery)