You may think there is little difference among the available health plan options, as all health plans provide the medical coverage detailed in Uniform Benefits. However, additional services, requirements and programs can vary from plan to plan. In addition to the health plan description pages, the Health Plan Features will assist you in comparing the health plans.
Overall Performance Rating
Each year ETF evaluates participating health plans on care delivery in areas such as wellness, prevention, disease management, efficient use of resources and what surveyed members have said about the quality of their plan. The measures selected for health plan evaluation represent the conditions and diseases of our members, such as hypertension and diabetes and compliment the care initiatives we have with our health plans, like care coordination. For more detail on the individual measures used to determine the Overall Performance Rating go to the Health Plan Report Card.
Health Plan Services
This indicates whether the health plan offers:
Member web portal - Provided for secure communication with the health plan and for accessing account information via the Internet.
24-Hour Nurseline - For convenient access to medical advice or determining if you should seek medical treatment.
Disease Management and Wellness Programs
Most health plans offer educational and treatment programs to assist members with improving and managing their health, such as smoking cessation support and care management for asthma, diabetes and other chronic health conditions. There are also programs that support members through pregnancy, childbirth and caring for young children. Many health plans offer extensive health resources on their website.
The Well Wisconsin $150 incentive is available to active employees, their spouse/domestic partner and most retirees enrolled in group health insurance program. It is issued after completion of a biometric screening and the health plan provided health risk assessment. For more information on Well Wisconsin, visit wellwisconsin.wi.gov.
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: 12/29/2015 9:50:42 AM