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Wisconsin Department of Employee Trust Funds header image It's Your Choice 2017 Local Deductible Health Plan Insurance Program
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2017 It's Your Choice - Local Deductible Health Plan Insurance for Employees and Retirees
Wisconsin Department Of Employee Trust Funds It's Your Choice 2017

Local Deductible Plan
Insurance for Employees
and Retirees
(PO4, PO14)

IYC Medicare Plus

Administered by WPS Health Insurance

What’s New for 2017

Visit the Health Center at, a continually updated online resource designed to help you make good health decisions, whether you’re looking for advice on treating a chronic condition or for tips on leading a healthy lifestyle.

General Information

IYC Medicare Plus will continue to be a Medicare supplement plan for eligible annuitants and their dependents who select the IYC Access Health Plan and the State Maintenance Plan (SMP).

IYC Medicare Plus will pay your Medicare Part A and B deductibles and coinsurance. This group plan is superior to individual Medicare supplements as it provides protections from fees that exceed usual, customary and reasonable amounts if members use a provider who is not affiliated with Medicare. It also offers coverage during foreign travel. Note, however, in cases where Medicare excludes coverage for a service, this plan will also deny coverage.

The IYC Medicare Plus plan is designed to supplement, not duplicate, the benefits available under Medicare for State of Wisconsin Group Health Insurance Program annuitants.

See the Comparison of Benefits section, under the Benefits tab at the top of this page, for benefit differences. View the Health Care Benefit Plan booklet at

Provider Directory

None. This plan provides you with freedom of choice among hospitals and physicians in Wisconsin, nationwide and for travel abroad.

Referrals, Prior Authorizations, Out-of-Network Care

Referrals and prior authorizations are not necessary under this plan as benefits only supplement approved Medicare benefits.

Mental, Behavioral Health and Substance Abuse

Medically necessary services are available when performed by licensed mental health professionals practicing within the scope of their license. Inpatient services will be limited to 120 days.

24-Hour Nurseline

Not available.

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: 8/17/2016 5:06:33 PM