Your browser does not support JavaScript!
calculators
Member Education
forms and publications
news
about etf
frequently asked questions
contact etf
site map
related links
home
top of page
Wisconsin Department of Employee Trust Funds header image It's Your Choice 2017 State of Wisconsin Group Health Insurance Program
members retirees employers governing boards careers at etf
skip to end of menu
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-2107prtrd

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These premium amounts may be withdrawn from your accumulated sick leave conversion credits or WRS annuity payment, or you may be directly billed by your health plan.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 793.86 1,960.48 688.84 1,697.88 1,246.62 573.94 1,351.64 1,145.66
Arise Health Plan 809.46 1,999.48 702.34 1,731.68 1,268.12 581.94 1,375.24 1,161.66
Dean Health Insurance 653.76 1,610.18 568.44 1,396.88 1,029.62 477.34 1,114.94 952.46
Dean Health Insurance-Prevea360 713.96 1,760.68 620.14 1,526.18 1,131.62 527.64 1,225.44 1,053.06
GHC of Eau Claire 786.56 1,942.18 682.64 1,682.38 1,194.72 528.24 1,298.64 1,054.26
GHC of South Central Wisconsin 657.06 1,618.48 571.24 1,403.88 1,060.82 505.74 1,146.64 1,009.26
Gundersen Health Plan 819.56 2,024.68 710.94 1,753.18 1,190.82 496.04 1,299.44 989.86
Health Tradition Health Plan 811.66 2,004.98 704.24 1,736.38 1,157.12 469.04 1,264.54 935.86
HealthPartners Health Plan 736.96 1,818.18 639.94 1,575.68 1,169.52 545.74 1,266.54 1,089.26
Humana-Eastern 822.36 2,031.68 713.44 1,759.38 1,137.12 439.84 1,246.04 877.46
Humana-Western 879.76 2,175.18 762.74 1,882.68 1,186.42 439.84 1,303.44 877.46
IYC Access Health Plan and IYC Medicare Plus4 1,400.42 3,494.94 1,185.52 2,957.68 1,589.18 397.02 1,804.08 802.34
Medical Associates Health Plans 721.16 1,778.68 626.34 1,541.68 1,044.42 434.24 1,139.24 866.26
MercyCare Health Plans 652.26 1,606.48 567.14 1,393.68 1,007.32 456.34 1,092.44 910.46
Network Health - Northeast 782.86 1,932.98 679.44 1,674.38 1,166.92 503.64 1,270.34 1,005.06
Network Health - Southeast 773.56 1,909.68 671.44 1,654.38 1,132.92 477.64 1,235.04 953.06
Physicians Plus 692.66 1,707.48 601.84 1,480.38 1,050.82 465.14 1,141.64 928.06
Security Health Plan - Central 867.46 2,144.48 752.14 1,856.18 1,346.92 610.94 1,462.24 1,219.66
Security Health Plan - Valley 841.56 2,079.68 729.94 1,800.68 1,311.82 598.04 1,423.44 1,193.86
State Maintenance Plan (SMP) 868.56 2,165.18 738.06 1,838.98 1,135.64 397.02 1,266.14 802.34
UnitedHealthcare of Wisconsin 789.26 1,948.98 684.94 1,688.18 1,240.62 571.84 1,344.94 1,141.46
Unity Health Insurance-Community 765.16 1,888.68 664.24 1,636.38 1,153.22 505.14 1,254.14 1,008.06
Unity Health Insurance-UW Health 679.56 1,674.68 590.54 1,452.18 1,044.42 470.04 1,133.44 937.86
WEA Trust-East 823.26 2,033.98 714.14 1,761.18 1,187.12 489.14 1,296.24 976.06
WEA Trust-Northwest Chippewa Valley 864.46 2,136.98 749.64 1,849.88 1,237.02 503.54 1,351.84 1,004.86
WEA Trust-Northwest Mayo Clinic Hlth. Sys. 864.46 2,136.98 749.64 1,849.88 1,237.02 503.54 1,351.84 1,004.86

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 1:09:25 PM