Resources
Find participating providers for medical, dental, vision and prescriptions.
Frequently Asked Questions
Eligible health benefit plan enrollees may appeal claims that have been denied in whole or in part, or authorizations that have been disapproved.
Appeal Process:
Please note that the following language applies to most WGAT health benefit plans, however, the language of your health benefit plan is controlling and applicable in the event of a conflict between your health benefit plan and these instructions.
Eligible health benefit plan enrollees may appeal claims that have been denied in whole or in part, or authorizations that have been disapproved. Appeals must be in writing and sent to Western Growers Assurance Trust (“WGAT”) at the following address:
WGAT Claims
P.O. Box 2220
Newport Beach, CA 92658-8952
Please complete in the entirety the WGAT Appeal Form. Importantly, in your appeal please provide the reason(s) you disagree with the denial of the claim. Your written appeal must be filed within 180 days from the date the notice of denial was mailed to you as indicated on the postmarked envelope unless your health benefit plan states otherwise. For example, some plans require an appeal to be filed within 60 days from the date the notice of denial was mailed to you as indicated on the postmarked envelope. You may request copies of any documents created by this office regarding your denial and WGAT may make a reasonable charge for the copies.
Claims Payment Questions:
Email: [email protected]
Phone: 800-777-7898
Fax: 949-809-8938
You can reach our Enrollment and Billing departments in several ways:
Email: [email protected]
Phone: (888) 464-8837
Fax: (949) 809-8939
Mail:
Western Growers Assurance Trust
P.O. Box 2130
Newport Beach, CA 92658
It’s easy to search for doctors, labs and other providers who are part of our Cedar network.
Click below to download our step-by-step flyer:
It’s easy to search for doctors, labs and other medical providers who are part of our network.
Click below to download our step-by-step flyer:
*This list does not imply or guarantee eligibility for all plans, but is simply a compiled list of searchable networks associated with WGAT plans. Please reference your WGAT Benefits ID card and plan documents for details.
Ordering a new ID card is easy using our convenient online tool, HealthView.
Login to HEALTHVIEW
- Enter your member ID and suffix
- Enter Password
- Click Login
- Click on Request ID card
- Verify your address is correct
- Select Reason for New Card
- Click Request ID card
You will receive your new ID card via mail within 5 to 10 working days.
To order a temporary ID card:
Login to HEALTHVIEW
- Enter your member ID and suffix
- Enter your Password
- Click Login
- Click on Request ID card
- Click on Generate Temporary ID Card
A temporary ID card will be emailed to you in minutes!
If you are a new or existing Cedar Provider and need to update your information, please click the button below to download the fillable form.
Email the completed form to: [email protected]
When you receive services from a non-participating provider or facility, you may be billed for the difference between the amount the provider charged and the amount your insurance paid. This is called “balance billing.” Federal regulations prohibit balance billing in certain situations. You may not be billed more than the network cost sharing amount for:
- Emergency treatment received in a non-participating emergency room;
- Ancillary services (such as radiology, pathology, anesthesiology) provided in a participating facility by non-participating providers;
- Services performed in a participating facility by non-participating providers when no participating provider is available; or
- Non-emergency services provided by a non-participating provider or facility, unless you have been notified in advance of the provider’s network status and consent in writing to receive services and pay the out-of-network cost share.
If you believe you’ve been wrongly billed, you can contact the Centers for Medicare and Medicaid Services (CMS) Help Desk at (800) 985-3059. You can also visit the CMS website and fill out the No Surprises Consumer Complaint Form here: https://nsa-idr.cms.gov/consumercomplaints/s/?language=en_US
Covid 19 Response
Dear Valued Members,
These are unprecedented times for us all. As we face new and daily challenges brought on by the Coronavirus (COVID-19) pandemic, I wanted to personally reach out and let you know that WGAT is here for you. Our business and services are considered essential, so we will continue to be fully operational and work tirelessly to address any questions or concerns during this time.
Like many businesses, WGAT has transitioned most of its employees to remote work accommodations. The health and safety of our members, employees, and communities are at the forefront of our efforts to ensure a seamless transition while providing exceptional service.
Our members should expect the same level of excellence from WGAT. Our customer service team is on hand and ready to assist you, Monday through Friday, 7 a.m. to 5:30 p.m. P.T. at 800.777.7898. If you are unable to call during business hours, our automated system is available 24 hours a day, seven days a week and offers quick and convenient access to frequently requested information.
In the coming days and weeks, we will continue to actively monitor this pandemic to ensure our team is prepared and ready to support you in any way possible. I’ve never been more proud of the hard work and dedication shown by our team. We at WGAT consider it a privilege to be able to continue our operations, without interruption, through this trying time.
I wanted to thank everyone who has reached out in the spirit of helping others. We will get through this together, and I appreciate the strength of our members, employees and communities more than ever.
Sincerely,
David Zanze,
Executive Vice President, Western Growers Assurance Trust
Customer Service
If you are unable to call during business hours, our automated system is available 24 hours a day, seven days a week and offers convenient access to frequently requested information.