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Wisconsin Department of Employee Trust Funds header image It's Your Choice 2017 State of Wisconsin Group Health Insurance Program
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2017 It's Your Choice - State of Wisconsin Group Health Insurance for Employees and Retirees

Wisconsin Department Of Employee Trust FundsIt's Your Choice 2017


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

Health Plan 2017 Total Premium Rates with Dental

Form Number: et-2107prtad

State of Wisconsin Employees, UW Graduate Assistants

  Non-Medicare Rates
  IYC Health Plan HDHP1 Grad Assistants
Health Plan Name Individual Family Individual Family Individual Family
Anthem Blue Preferred Northeast 793.86 1,960.48 688.84 1,697.88 527.36 1,294.18
Arise Health Plan 809.46 1,999.48 702.34 1,731.68 576.66 1,417.48
Dean Health Insurance 653.76 1,610.18 568.44 1,396.88 435.26 1,063.98
Dean Health Insurance-Prevea360 713.96 1,760.68 620.14 1,526.18 500.26 1,226.48
GHC of Eau Claire 786.56 1,942.18 682.64 1,682.38 559.46 1,374.48
GHC of South Central Wisconsin 657.06 1,618.48 571.24 1,403.88 462.36 1,131.68
Gundersen Health Plan 819.56 2,024.68 710.94 1,753.18 518.16 1,271.18
Health Tradition Health Plan 811.66 2,004.98 704.24 1,736.38 543.26 1,333.98
HealthPartners Health Plan 736.96 1,818.18 639.94 1,575.68 522.36 1,281.68
Humana-Eastern 822.36 2,031.68 713.44 1,759.38 521.86 1,280.48
Humana-Western 879.76 2,175.18 762.74 1,882.68 562.76 1,382.68
IYC Access Health Plan and IYC Medicare Plus4 1,400.42 3,494.94 1,185.52 2,957.68 1067.38 2,661.88
Medical Associates Health Plans 721.16 1,778.68 626.34 1,541.68 473.76 1,160.18
MercyCare Health Plans 652.26 1,606.48 567.14 1,393.68 409.46 999.48
Network Health - Northeast 782.86 1,932.98 679.44 1,674.38 556.76 1,367.68
Network Health - Southeast 773.56 1,909.68 671.44 1,654.38 549.76 1,350.18
Physicians Plus 692.66 1,707.48 601.84 1,480.38 471.96 1,155.68
Security Health Plan - Central 867.46 2,144.48 752.14 1,856.18 620.16 1,526.18
Security Health Plan - Valley 841.56 2,079.68 729.94 1,800.68 600.76 1,477.68
State Maintenance Plan (SMP) 868.56 2,165.18 738.06 1,838.98 663.98 1,653.74
UnitedHealthcare of Wisconsin 789.26 1,948.98 684.94 1,688.18 555.26 1,363.98
Unity Health Insurance-Community 765.16 1,888.68 664.24 1,636.38 543.46 1,334.48
Unity Health Insurance-UW Health 679.56 1,674.68 590.54 1,452.18 479.26 1,173.98
WEA Trust-East 823.26 2,033.98 714.14 1,761.18 520.56 1,277.18
WEA Trust-Northwest Chippewa Valley 864.46 2,136.98 749.64 1,849.88 547.36 1,344.18
WEA Trust-Northwest Mayo Clinic Hlth. Sys. 864.46 2,136.98 749.64 1,849.88 547.36 1,344.18

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: 11/1/2016 1:08:27 PM