It's Your Choice 2018
State of Wisconsin
Group Health Insurance Program
(State Employees, Retirees, Continuants and Graduate Assistants)
IYC Medicare Plus
Administered by WEA Trust
Open Enrollment October 2 – 27, 2017
If you are currently enrolled in IYC Medicare Plus and do not wish to change plans during open enrollment, you will automatically be enrolled in IYC Medicare Plus for 2018.
What’s New for 2018
WEA Trust is the new administrator of IYC Medicare Plus. If you are currently enrolled in the IYC Medicare Plus and take no action to change health plans during It’s Your Choice, you will be automatically enrolled with WEA Trust and will receive new ID cards in the mail prior to January 1, 2018. There are no benefit changes in 2018, unless initiated by Medicare.
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 and Local Group Health Insurance Program annuitants.
See the Comparison of Benefit Options online for more details and the Certificate of Coverage for complete information.
None. This plan provides you with freedom of choice among hospitals and physicians in Wisconsin, nationwide and for travel abroad. When receiving services for non-Medicare benefits covered by this plan, please use providers from the WEA Trust Preferred Network or through our out-of-state network. Each of those networks can be accessed at weatruststatehealthplan.com/providers.
Referrals, Prior Authorizations
Referrals and prior authorizations are not necessary under this plan as benefits only supplement approved Medicare benefits.
IYC Medicare Plus offers health systems and providers who accept Medicare assignment both statewide and nationwide. It includes a foreign travel rider.
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.No prior authorization is required for outpatient services from a network provider, except for psychiatric and neuropsychiatric testing. Prior authorization is required for in-patient and transitional care. For other services, contact 1-866-485-0630.
WEA Trust contracts with a variety of health care provider systems that offer their own nurselines. A list of those nurselines can be found at weatruststatehealthplan.com/nurseline.
This page was last modified on: 9/21/2017 1:18:37 PM