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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 with Dental

Form Number: et-2107prtad

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 770.80 1,918.30 667.50 1,659.80 503.70 1,250.30 546.40 1,311.30 1,100.00
Anthem Blue Preferred Southeast 793.70 1,975.50 687.20 1,709.10 516.60 1,282.50 558.10 1,345.90 1,123.40
Arise Health Plan 773.20 1,924.30 669.50 1,664.80 542.60 1,347.50 547.80 1,315.10 1,102.80
Arise Health Plan - Aspirus Arise 754.80 1,878.30 653.70 1,625.30 528.80 1,313.00 538.60 1,287.50 1,084.40
Dean Health Insurance 629.40 1,564.80 545.90 1,355.80 410.60 1,017.50 449.70 1,073.20 906.60
Dean Health Insurance-Prevea360 685.80 1,705.80 594.40 1,477.10 472.40 1,172.00 497.70 1,177.60 1,002.60
GHC of Eau Claire 806.00 2,006.30 697.70 1,735.30 567.10 1,408.80 519.70 1,319.80 1,046.60
GHC of South Central Wisconsin 640.50 1,592.50 555.40 1,379.60 443.00 1,098.50 481.50 1,116.10 970.20
Gundersen Health Plan 798.60 1,987.80 691.40 1,719.60 547.60 1,360.00 447.20 1,239.90 901.60
Health Tradition Health Plan 775.70 1,930.50 671.70 1,670.30 504.40 1,252.00 436.10 1,205.90 879.40
HealthPartners Health Plan 718.00 1,786.30 622.10 1,546.30 501.20 1,244.00 520.20 1,232.30 1,047.60
Humana-Eastern 807.00 2,008.80 698.60 1,737.60 521.50 1,294.80 421.90 1,223.00 851.00
Humana-Western 861.90 2,146.00 745.80 1,855.60 580.20 1,441.50 421.90 1,277.90 851.00
IYC Access Health Plan 1,331.50 3,323.40 1,126.80 2,811.60 1,008.90 2,516.50 NA4 1,763.20 NA4
IYC Medicare Plus4 NA4 NA4 NA1 NA1 NA4 NA4 426.70 NA4 861.50
Medical Associates Health Plans 687.80 1,710.80 596.10 1,481.30 443.20 1,099.00 405.20 1,087.10 817.60
MercyCare Health Plans 640.70 1,593.00 555.60 1,380.10 393.60 975.00 434.40 1,069.20 876.00
Network Health - Northeast 775.40 1,929.80 671.40 1,669.60 544.20 1,351.50 488.40 1,257.90 984.00
Network Health - Southeast 811.60 2,020.30 702.60 1,747.60 571.40 1,419.50 461.60 1,267.30 930.40
Physicians Plus 679.60 1,690.30 589.00 1,463.60 459.40 1,139.50 488.50 1,162.20 984.20
Security Health Plan 835.80 2,080.80 723.40 1,799.60 589.50 1,464.80 579.10 1,409.00 1,165.40
State Maintenance Plan (SMP) 834.10 2,079.90 708.30 1,765.40 636.90 1,586.90 NA4 1,261.20 NA4
UnitedHealthcare of Wisconsin 784.20 1,951.80 679.00 1,688.60 544.50 1,352.30 553.30 1,331.60 1,113.80
Unity Health Insurance-Community 768.90 1,913.50 665.80 1,655.60 539.40 1,339.50 514.50 1,277.50 1,036.20
Unity Health Insurance-UW Health 681.40 1,694.80 590.60 1,467.60 473.70 1,175.30 475.10 1,150.60 957.40
WEA Trust-East 783.70 1,950.50 678.60 1,687.60 486.60 1,207.50 457.20 1,235.00 921.60
WEA Trust-Northwest Chippewa Valley 822.90 2,048.50 712.30 1,771.80 512.10 1,271.30 470.90 1,287.90 949.00
WEA Trust-Northwest Mayo Clinic Hlth. Sys. 822.90 2,048.50 712.30 1,771.80 512.10 1,271.30 470.90 1,287.90 949.00
WEA Trust-South Central 602.60 1,497.80 522.80 1,298.10 368.90 913.30 393.80 990.50 794.80

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 2:44:34 PM