There are certain times throughout the year when you may enroll for health , pretax savings and supplemental insurance benefits, or
change your coverage. Learn more about the choices available to you in the How to Enroll section.
New for 2017!
A new vendor, StayWell, will administer the Well Wisconsin Program. The steps to earn the $150 incentive will be the same, but it’ll be easier to earn your incentive and get the support you need to reach your health goals. There will be a new 2017 deadline. Both requirements must be completed by October 20, 2017 to earn the incentive.
The IYC HDHPs will be offered through each of the health plans that are a part of the State of Wisconsin Group Health Insurance Program. Each health plan’s HDHP option will provide a uniform set of benefits.
An HDHP is a health plan that, under federal law, has a minimum annual deductible and a maximum annual out-of-pocket limit.
An HDHP generally begins paying for health care costs once the annual deductible has been met (except for preventive services mandated by federal law). Preventive services mandated by federal law are covered at 100%, regardless of the deductible. The plan is designed to offer a lower monthly premium in exchange for more shared health care costs by the member.
There are two different high deductible health plan (HDHP) options available to you:
IT’S YOUR CHOICE HIGH DEDUCTIBLE HEALTH PLAN
The It’s Your Choice High Deductible Health Plan (IYC HDHP) provides the same uniform benefits package and health plan providers as the It’s Your Choice Health Plan. The difference is that this plan option has a higher deductible and out-of-pocket limits. In exchange for the increased cost sharing, this plan offers a lower monthly premium cost and pairs with a Health Savings Account (HSA).If you decide to enroll in the HDHP, you must open and contribute to the HSA. Many members contribute the money they save on their health insurance premiums to their HSA. If you are eligible, your employer may contribute up to $750 individual/$1,500 family.
IT’S YOUR CHOICE ACCESS HIGH DEDUCTIBLE HEALTH PLAN
It’s Your Choice Access High Deductible (IYC HDHP) provides freedom of choice for doctors and hospitals across the country, along with a higher deductible and out-of-pocket limits. In exchange for the increased cost sharing, this plan offers a lower monthly premium cost and pairs with a Health Savings Account (HSA). If you decide to enroll in the HDHP, you must open and contribute to the HSA. Many members contribute the money they save on their health insurance premiums to their HSA. If you are eligible, your employer may contribute up to $750 individual/$1,500 family.
When the deductible is met, office visit copayments or coinsurance apply. The deductible does apply to pharmacy benefits. After the deductible is met, pharmacy copayments and coinsurance apply up to the out-of-pocket limit. If you are enrolled in a family plan, the entire family deductible must be met before coverage begins.
You Must Open and Contribute to the HSA
A Health Savings Account (HSA) is an individually-owned savings account that you must enroll in if you are enrolled in one of the High Deductible Health Plans. This benefit is established exclusively for the purpose of paying qualified medical expenses. For more information, see Health Savings Accounts Program.
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: 11/1/2016 2:08:28 PM