It's Your Choice 2018
State of Wisconsin
Group Health Insurance Program
(State Employees, Retirees, Continuants and Graduate Assistants)
Important Changes for 2018
If you are currently enrolled in any of the following health plans, you will need to choose a new plan for 2018:
NOTE: If you take no action during open enrollment, you’ll be enrolled in the renamed or merged plan listed above.
The Medicare Advantage Program administered by Humana will not be available in 2018. If you are currently enrolled in Medicare Advantage, you must choose a new plan during open enrollment. Medicare Plus is another plan option with nationwide provider access. See details here.
WEA Trust will be the new administrator of these plan designs. Here is a summary of in-network benefit changes. See detailed plan design comparisons and benefit comparisons If you are a current participant, you will also receive information in the mail from your health plan. Participants of these plans, except SMP and SMP HDHP, will automatically be transitioned to WEA Trust if another plan is not selected during IYC open enrollment.
All prices are listed as individual / family. See Breakdown of Your Costs by Plan Design for more information.
No Longer Covered
Now administered by WEA Trust, will be only be available in Florence County and will have a new provider network. Click here for details. Participants who choose SMP will be limited to providers in and near Florence County.
SMP is no longer available in Bayfield, Buffalo, Forest, Iron, Marquette, Menominee or Pepin counties. There will not be Minnesota providers offered in 2018. All SMP participants, even if you wish to stay in SMP, must select a health plan during open enrollment or you will not have coverage in 2018.
SMP now offers some out-of-network benefits; see plan details here.
Domestic partners will not be covered in 2018. Affected members will receive information about COBRA continuation from their employer or ETF, depending on whether they are an employee, a retiree or a continuant.
Domestic partners and their dependents coverage will automatically end after December 31, 2017.
Primary Care Provider Required
All participants are required to select a primary care provider. If you don’t have one, contact your health plan for help. Your health plan may assign you a primary care provider. You can change your assigned provider by contacting your health plan.
Certain Pharmacies No Longer In-Network
Certain Over the Counter Medications No Longer Covered
New Mandatory Specialty Pharmacies (Level 4 Prescriptions)
New Mail Order Pharmacy
Medication Therapy Management Available
New Discounted Drug List
New Navitus Public Website
NOTE: If you are already enrolled in the State/WPE Group Health Insurance Program this public site does not provide 2017 benefit information or allow you to access your personal prescription history. We encourage you to log on to the NaviGate for Members portal for more detailed pharmacy benefit information.
Changes for Existing Participants only
Additional changes for current employees & retirees enrolling for the first time
Well Wisconsin Program
State and UW Employees: ETF previously communicated plans to move the program incentive from a gift card to a premium reduction in 2019 for active state employees. However, this transition will not occur for 2019. Participation in 2018 will not affect premium rates in 2019. All participants will continue to receive the $150 gift card upon completion of the program steps.
This page was last modified on: 12/14/2017 2:02:37 PM