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Wisconsin Department of Employee Trust Funds header image It's Your Choice 2016 State of Wisconsin Group Health Insurance Program
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Wisconsin Department Of Employee Trust Funds

It's Your Choice 2016


State of Wisconsin
Group Health Insurance Program
(State Employees, Retirees, Continuants and Graduate Assistants)

Health Plan 2016 Total Premium Rates without Dental

Form Number: et-2107prta

State of Wisconsin Employees, UW Graduate Assistants

  Non-Medicare Rates Medicare Rates
  IYC Health Plan HDHP1 Grad Assistants IYC Health Plan Medicare1
Health Plan Name Single Family Single Family Single Family Medicare Single Medicare 12 Medicare 23
Anthem Blue Preferred Northeast 744.50 1,852.60 641.20 1,594.10 477.40 1,184.60 520.10 1,258.70 1,034.30
Anthem Blue Preferred Southeast 767.40 1,909.80 660.90 1,643.40 490.30 1,216.80 531.80 1,293.30 1,057.70
Arise Health Plan 746.90 1,858.60 643.20 1,599.10 516.30 1,281.80 521.50 1,262.50 1,037.10
Arise Health Plan - Aspirus Arise 728.50 1,812.60 627.40 1,559.60 502.50 1,247.30 512.30 1,234.90 1,018.70
Dean Health Insurance 603.10 1,499.10 519.60 1,290.10 384.30 951.80 423.40 1,020.60 840.90
Dean Health Insurance-Prevea360 659.50 1,640.10 568.10 1,411.40 446.10 1,106.30 471.40 1,125.00 936.90
GHC of Eau Claire 779.70 1,940.60 671.40 1,669.60 540.80 1,343.10 493.40 1,267.20 980.90
GHC of South Central Wisconsin 614.20 1,526.80 529.10 1,313.90 416.70 1,032.80 455.20 1,063.50 904.50
Gundersen Health Plan 772.30 1,922.10 665.10 1,653.90 521.30 1,294.30 420.90 1,187.30 835.90
Health Tradition Health Plan 749.40 1,864.80 645.40 1,604.60 478.10 1,186.30 409.80 1,153.30 813.70
HealthPartners Health Plan 691.70 1,720.60 595.80 1,480.60 474.90 1,178.30 493.90 1,179.70 981.90
Humana-Eastern 780.70 1,943.10 672.30 1,671.90 495.20 1,229.10 395.60 1,170.40 785.30
Humana-Western 835.60 2,080.30 719.50 1,789.90 553.90 1,375.80 395.60 1,225.30 785.30
IYC Access Health Plan 1,305.20 3,257.70 1,100.50 2,745.90 982.60 2,450.80 NA4 1,710.60 NA4
IYC Medicare Plus4 NA4 NA4 NA1 NA1 NA4 NA4 400.40 NA4 795.80
Medical Associates Health Plans 661.50 1,645.10 569.80 1,415.60 416.90 1,033.30 378.90 1,034.50 751.90
MercyCare Health Plans 614.40 1,527.30 529.30 1,314.40 367.30 909.30 408.10 1,016.60 810.30
Network Health - Northeast 749.10 1,864.10 645.10 1,603.90 517.90 1,285.80 462.10 1,205.30 918.30
Network Health - Southeast 785.30 1,954.60 676.30 1,681.90 545.10 1,353.80 435.30 1,214.70 864.70
Physicians Plus 653.30 1,624.60 562.70 1,397.90 433.10 1,073.80 462.20 1,109.60 918.50
Security Health Plan 809.50 2,015.10 697.10 1,733.90 563.20 1,399.10 552.80 1,356.40 1,099.70
State Maintenance Plan (SMP) 807.80 2,014.20 682.00 1,699.70 610.60 1,521.20 NA4 1,208.60 NA4
UnitedHealthcare of Wisconsin 757.90 1,886.10 652.70 1,622.90 518.20 1,286.60 527.00 1,279.00 1,048.10
Unity Health Insurance-Community 742.60 1,847.80 639.50 1,589.90 513.10 1,273.80 488.20 1,224.90 970.50
Unity Health Insurance-UW Health 655.10 1,629.10 564.30 1,401.90 447.40 1,109.60 448.80 1,098.00 891.70
WEA Trust-East 757.40 1,884.80 652.30 1,621.90 460.30 1,141.80 430.90 1,182.40 855.90
WEA Trust-Northwest Chippewa Valley 796.60 1,982.80 686.00 1,706.10 485.80 1,205.60 444.60 1,235.30 883.30
WEA Trust-Northwest Mayo Clinic Hlth. Sys. 796.60 1,982.80 686.00 1,706.10 485.80 1,205.60 444.60 1,235.30 883.30
WEA Trust-South Central 576.30 1,432.10 496.50 1,232.40 342.60 847.60 367.50 937.90 729.10

1Medicare rates do not apply to the HDHP.
2Medicare 1 = Family coverage with at least one insured family member enrolled in Medicare Parts A, B and D.
3Medicare 2 = Family coverage with all insured family members enrolled in Medicare Parts A, B and D.
4Members with IYC Access Health Plan or SMP coverage who become enrolled in Medicare Parts A and B will automatically be moved to the IYC Medicare Plus plan. All other non-Medicare family members will remain covered under the IYC Access Health Plan or SMP.

Disclaimer:
Every effort has been made to ensure that this information is accurate, but may be subject to change. Please note revision dates located at the bottom of each page. In the event of conflicting information, federal law, state statute, state health contracts and/or policies and provisions established by the State of Wisconsin Group Insurance Board shall be followed.

This page was last modified on: 10/13/2015 1:44:34 PM