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Wisconsin Department of Employee Trust Funds header image It's Your Choice 2018 State of Wisconsin Group Health Insurance Program
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2018 It's Your Choice - State of Wisconsin Group Health Insurance for Employees and Retirees

Wisconsin Department Of Employee Trust FundsIt's Your Choice 2018


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

Plan Design Options

No matter which plan design option or health plan you choose, the in-network coverage is the same (Uniform Benefits). The main differences are deductibles, copays and premiums. Choose a plan design option that fits best with your situation.

Below are the health plan designs you have to choose from. Take a moment to read about these options and see which one is best for you. Not everyone is eligible for HDHP; see eligibility information below. For benefit information, see the Breakdown of Your Costs by Plan Design.

 

Employee/COBRA/Retiree without Medicare

  Plus icon lobe Icon Piggy Icon Green Piggy Icon
  It’s Your Choice
Health Plan
It’s Your Choice
Access Plan
It’s Your Choice
High Deductible
Health Plan (HDHP)
It’s Your Choice
Access High Deductible
Health Plan (HDHP)

Monthly Payment (Premium)

Individual / Family
UW Grad Assistant Individual / Family

Contribution rates shown. View full Premiums. Premiums do not include Uniform Dental

$85 / $211
$42.50 / $105.50
$263 / $656
$131.50 / $328
$30 / $74
Not eligible
$208 / $519
Not eligible
Cost-Per-Visit
See breakdown of your costs
$$$$ $$$$ $$$$ $$$$
Health Plan Selection See Available
Health Plans
Administered by WEA Trust See Available
Health Plans
Administered by WEA Trust
Statewide / Nationwide Access
All plans include nationwide pharmacy coverage; visit www.navitus.com for in-network pharmacies
See Interactive Map for more details See Interactive Map for more details
Out-of-Network Benefits Emergency and urgent care only Emergency and urgent care only
Health Savings Account (HSA) Required Not allowed with this plan design Not allowed with this plan design
Employer may
contribute $

Employer may contribute $

Retirees With Medicare

The table below highlights key differences between the available Medicare plan design options.


  plus icon globe icon
  It’s Your Choice
Health Plan Medicare
It’s Your Choice
Medicare Plus
Monthly Payment (Premium) $$$ $$$
Coverage Area
Emergency and urgent care are covered out-of-network for all plans
Map Icon
Local, county-based
globe icon
Worldwide
Administered By
See Available
Health Plans
WEA Trust
Coverage Includes Items Not Covered by Medicare
Hearing aids, routine hearing and vision exams, durable medical equipment

Only helps pay for items partially covered by Medicare
Skilled Nursing Facilities
Covered length of stay
120 Days
120 Days
Medicare
Approved
Facility
30 Days
Non-Medicare
Approved
Facility

 

 


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: 10/11/2017 9:36:35 AM
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