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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


Local High Deductible Health Plan
Insurance for Employees
and Retirees
(PO7)


Health Plan Features

Individual Health Plan Features

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.

Click on a Health Plan Name below to see that plan's description page. For more information on the details on the Health Plan Features see the descriptions below.

Health Plan Name Overall Performance Rating Health Plan Services Wellness and Health Management Programs
Member Web Portal 24-hour Nurseline Expanded Wellness Managing Back Pain Weight
Management

Anthem Blue Preferred Northeast

3 stars

 

 

Anthem Blue Preferred Southeast

3 stars

 

 

Arise Health Plan

2 stars

 

 

 

Arise Health Plan - Aspirus Arise

2 stars

 

 

 

Dean Health Insurance

4 stars

 

Dean Health Insurance-Prevea360

4 stars

 

Group Health Cooperative of Eau Claire

4 stars

Group Health Cooperative of South Central Wisconsin

3 stars

Gundersen Health Plan

5 stars

 

 

Health Tradition Health Plan

3 stars

HealthPartners Health Plan

4 stars

Humana-Eastern

2 stars

 

 

 

Humana-Western

2 stars

 

 

 

IYC Access Health Plan

Not available

 

 

 

 

 

IYC Medicare Plus

Not available

 

 

 

 

 

Medical Associates Health Plans

2 stars

 

 

MercyCare Health Plans

1 stars

 

Network Health Northeast

3 stars

 

 

 

Network Health Southeast

3 stars

 

 

 

Physicians Plus

3 stars

 

Security Health Plan

3 stars

State Maintenance Plan (SMP)

Not available

         

UnitedHealthcare of Wisconsin

1 stars

 

Unity Health Insurance-Community

3 stars

 

Unity Health Insurance-UW Health

3 stars

 

WEA Trust-East

2 stars

 

WEA Trust-Northwest Chippewa Valley

2 stars

 


WEA Trust-Northwest Mayo Clinic Health System

2 stars

 

WEA Trust-South Central

2 stars

 

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.

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: 12/29/2015 9:50:42 AM