It's Your Choice 2018
State of Wisconsin
Group Health Insurance Program
(State Employees, Retirees, Continuants and Graduate Assistants)
IYC Access Plan
Administered by WEA Trust
Open Enrollment October 2 - 27, 2017
If you are currently enrolled in the IYC Access Plan and do not wish to change plans during open enrollment, you will automatically be enrolled in IYC Access Plan for 2018.
What’s New for 2018
The IYC Access Plan (formerly Standard Plan) is a comprehensive Preferred Provider Organization (PPO) that provides you with freedom of choice among health systems and providers both statewide and nationwide. Lower out-of-pocket costs are available by using preferred or in-network providers, which are available nationwide. See the Comparison of Benefit Options online for more details and the Certificate of Coverage for complete information.
Go to weatruststatehealthplan.com/providers to search for providers or to access a directory. To request a printed directory be mailed to you, call 1-866-485-0630.
Referrals, Prior Authorizations, Out-of-Network Care
Prior authorization is required for certain services and procedures before you receive care. A list of services requiring preauthorization can be found at weatrust.com/preauthorization. You will receive notification of the approval or denial for the prior authorization.
Prior authorization is required for low back surgery and high-tech radiology services.
The IYC Access Plan, offered by WEA Trust, will reimburse for covered services at 70% of our maximum allowable fee, subject to a $500 individual, $1,000 family deductible up to an out-of-pocket limit of $2,000 individual, $4,000 family.
The IYC Access Plan offers health systems and providers both statewide and nationwide.
Emergency and Urgent Care Outside Service Area
If you require emergency or urgent care when outside of the network, seek care at the nearest medical facility. Contact 1-866-485-0630 or your primary care physician if assistance is needed to determine the appropriate level of care. Follow-up care must be performed by a network provider to receive network benefits.
Mental, Behavioral Health and Substance Abuse Services
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: 11/1/2017 1:59:56 PM