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Wisconsin Department of Employee Trust Funds header image It's Your Choice 2018 Local Traditional Health Plan Insurance Program
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2018 It's Your Choice - Local Traditional Health Plan Insurance for Employees and Retirees
Wisconsin Department Of Employee Trust Funds It's Your Choice 2018


Local Traditional Plan
Insurance for Employees
and Retirees
(PO2, PO12)


Health Plan 2018 Premium Rates

Form Number: et-2128prm

Medicare Retiree Rates

The Medicare Retiree health plan rates reflect total monthly premium rates for each health plan. (View non-Medicare rates.)

Health Plan Name Overall Performance Rating It's Your Choice Health Plan Medicare
Monthly Premium Rates (in dollars)
With Dental
Medicare single / Medicare 11 / Medicare 22
Without Dental
Medicare single / Medicare 11 / Medicare 22

Dean Health Insurance

5 stars

587.90  /  1,375.88  /  1,173.16 558.86  /  1,317.80  /  1,100.56

Dean Health Insurance-Prevea360

5 stars

589.70  /  1,381.38  /  1,176.76 560.66  /  1,323.30  /  1,104.16

Group Health Cooperative of Eau Claire

2 stars

594.50  /  1,586.08  /  1,186.36 565.46  /  1,528.00  /  1,113.76

Group Health Cooperative of South Central Wisconsin

4 stars

553.80  /  1,257.98  /  1,104.96 524.76  /  1,199.90  /  1,032.36

HealthPartners Health Plan

3 stars

513.60  /  1,443.58  /  1,024.56 484.56  /  1,385.50  /  951.96

Medical Associates Health Plan

2 stars

451.00  /  1,087.58  /  899.36 421.96  /  1,029.50  /  826.76

MercyCare Health Plan

1 stars

532.90  /  1,288.58  /  1,063.16 503.86  /  1,230.50  /  990.56

Network Health

3 stars

603.60  /  1,407.38  /  1,204.56 574.56  /  1,349.30  /  1,131.96

Quartz-Community

3 stars

509.90  /  1,232.18  /  1,017.16 480.86  /  1,174.10  /  944.56

Quartz-UW Health

3 stars

478.90  /  1,125.58  /  955.16 449.86  /  1,067.50  /  882.56

Security Health Plan - Central

3 stars

521.00  /  1,637.58  /  1,039.36 491.96  /  1,579.50  /  966.76

Security Health Plan - Valley

3 stars

521.00  /  1,633.78  /  1,039.36 491.96  /  1,575.70  /  966.76

State Maintenance Plan (SMP)3
by WEA Trust

3 stars

462.22  /  1,416.32  /  921.78 433.18  /  1,358.24  /  849.18

WEA Trust-East

3 stars

544.60  /  1,466.88  /  1,086.56 515.56  /  1,408.80  /  1,013.96

WEA Trust
-Northwest Chippewa Valley

3 stars

636.70  /  1,792.98  /  1,270.76 607.66  /  1,734.90  /  1,198.16

WEA Trust
-Northwest Mayo Clinic Health System

3 stars

636.70  /  1,792.98  /  1,270.76 607.66  /  1,734.90  /  1,198.16
    It's Your Choice Medicare Plus
    With Dental
Medicare single / Medicare 11 / Medicare 22
Without Dental
Medicare single / Medicare 11 / Medicare 22

WEA Trust

3 stars

462.22  /  1,882.00  /  921.78 433.18  /  1,823.92  /  849.18

1 Medicare 1 = Family coverage with at least one insured family member enrolled in Medicare Parts A, B and D.
2 Medicare 2 = Family coverage with all insured family members enrolled in Medicare Parts A, B and D.
3 Members with Local Access Plan or SMP coverage who enroll in Medicare Parts A and B will automatically be moved to the IYC Medicare Plus plan. All other non-Medicare family members remain covered under the Local Access Plan or SMP.

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: 9/21/2017 5:26:59 PM