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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 without Dental

Form Number: et-2107prtr

Retired State of Wisconsin Employees & Continuants

These premium amounts may be withdrawn from your accumulated sick leave conversion credits or WRS annuity payment, or you may be directly billed by your health plan.
You and your dependents who are eligible for Medicare must be enrolled in Parts A and B upon retirement or when initially eligible. When you and/or your dependents are eligible, your group health insurance coverage will be coordinated with Medicare and your monthly premium will be reduced.

  Non-Medicare Rates Medicare Rates
  IYC Health Plan HDHP1 IYC Health Plan Medicare1
Health Plan Name Individual Family Individual Family HDHP Family w/ Medicare Dependent1 Medicare Individual Medicare 12 Medicare 23
Anthem Blue Preferred Northeast 766.02 1,890.86 661.00 1,628.26 1,190.94 546.10 1,295.96 1,076.04
Arise Health Plan 781.62 1,929.86 674.50 1,662.06 1,212.44 554.10 1,319.56 1,092.04
Dean Health Insurance 625.92 1,540.56 540.60 1,327.26 973.94 449.50 1,059.26 882.84
Dean Health Insurance-Prevea360 686.12 1,691.06 592.30 1,456.56 1,075.94 499.80 1,169.76 983.44
GHC of Eau Claire 758.72 1,872.56 654.80 1,612.76 1,139.04 500.40 1,242.96 984.64
GHC of South Central Wisconsin 629.22 1,548.86 543.40 1,334.26 1,005.14 477.90 1,090.96 939.64
Gundersen Health Plan 791.72 1,955.06 683.10 1,683.56 1,135.14 468.20 1,243.76 920.24
Health Tradition Health Plan 783.82 1,935.36 676.40 1,666.76 1,101.44 441.20 1,208.86 866.24
HealthPartners Health Plan 709.12 1,748.56 612.10 1,506.06 1,113.84 517.90 1,210.86 1,019.64
Humana-Eastern 794.52 1,962.06 685.60 1,689.76 1,081.44 412.00 1,190.36 807.84
Humana-Western 851.92 2,105.56 734.90 1,813.06 1,130.74 412.00 1,247.76 807.84
IYC Access Health Plan and IYC Medicare Plus4 1,372.58 3,425.32 1,157.68 2,888.06 1,533.50 369.18 1,748.40 732.72
Medical Associates Health Plans 693.32 1,709.06 598.50 1,472.06 988.74 406.40 1,083.56 796.64
MercyCare Health Plans 624.42 1,536.86 539.30 1,324.06 951.64 428.50 1,036.76 840.84
Network Health - Northeast 755.02 1,863.36 651.60 1,604.76 1,111.24 475.80 1,214.66 935.44
Network Health - Southeast 745.72 1,840.06 643.60 1,584.76 1,077.24 449.80 1,179.36 883.44
Physicians Plus 664.82 1,637.86 574.00 1,410.76 995.14 437.30 1,085.96 858.44
Security Health Plan - Central 839.62 2,074.86 724.30 1,786.56 1,291.24 583.10 1,406.56 1,150.04
Security Health Plan - Valley 813.72 2,010.06 702.10 1,731.06 1,256.14 570.20 1,367.76 1,124.24
State Maintenance Plan (SMP) 840.72 2,095.56 710.22 1,769.36 1,079.96 369.18 1,210.46 732.72
UnitedHealthcare of Wisconsin 761.42 1,879.36 657.10 1,618.56 1,184.94 544.00 1,289.26 1,071.84
Unity Health Insurance-Community 737.32 1,819.06 636.40 1,566.76 1,097.54 477.30 1,198.46 938.44
Unity Health Insurance-UW Health 651.72 1,605.06 562.70 1,382.56 988.74 442.20 1,077.76 868.24
WEA Trust-East 795.42 1,964.36 686.30 1,691.56 1,131.44 461.30 1,240.56 906.44
WEA Trust-Northwest Chippewa Valley 836.62 2,067.36 721.80 1,780.26 1,181.34 475.70 1,296.16 935.24
WEA Trust-Northwest Mayo Clinic Hlth. Sys. 836.62 2,067.36 721.80 1,780.26 1,181.34 475.70 1,296.16 935.24

1Subscribers enrolled in Medicare Parts A, B and D are not eligible for the HDHP. However, a Medicare rate applies when their insured family member is enrolled in Medicare Parts A, B and D.
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 Standard Plan or SMP coverage who become enrolled in Medicare Parts A and B will automatically be moved to the Medicare Plus plan. All other non-Medicare family members will remain covered under the Standard 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: 1/9/2017 2:09:07 PM