It's Your Choice 2016
State of Wisconsin
Group Health Insurance Program
(State Employees, Retirees, Continuants and Graduate Assistants)
IYC Medicare PlusAdministered by WPS Health Insurance
What’s New for 2016
Visit the Health Center at wpsic.com/healthcenter, a continually updated online resource designed to help you make good health decisions, whether you’re looking for advice on treating a chronic condition or for tips on leading a healthy lifestyle.
IYC Medicare Plus will pay your Medicare Part A and B deductibles and coinsurance. This group plan is superior to individual Medicare supplements as it provides protections from fees that exceed usual, customary and reasonable amounts if members use a provider who is not affiliated with Medicare. It also offers coverage during foreign travel. Note, however, in cases where Medicare excludes coverage for a service, this plan will also deny coverage.
The IYC Medicare Plus plan is designed to supplement, not duplicate, the benefits available under Medicare for State of Wisconsin Group Health Insurance Program annuitants.
See the Comparison of Benefits section, under the Benefits tab at the top of this page, for benefit differences. View the Health Care Benefit Plan booklet at etf.wi.gov/publications/et4113.pdf.
None. This plan provides you with freedom of choice among hospitals and physicians in Wisconsin, nationwide and for travel abroad.
Referrals, Prior Authorizations, Out-of-Network Care
Referrals and prior authorizations are not necessary under this plan as benefits only supplement approved Medicare benefits.
Mental, Behavioral Health and Substance Abuse
Medically necessary services are available when performed by licensed mental health professionals practicing within the scope of their license. Inpatient services will be limited to 120 days.
This page was last modified on: 9/23/2015 5:02:41 PM