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


Local Deductible Plan
Insurance for Employees
and Retirees
(PO4, PO14)


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 premiums and out-of-network benefits.

Below are the health plan designs you have to choose from. Take a moment to compare these options and choose the plan design that fits best with your situation. For benefit information, see the Breakdown of Your Costs by Plan Design.

 

Employee and Retiree without Medicare

  Plus icon lobe Icon
  It’s Your Choice
Local Deductible
Health Plan
It’s Your Choice
Local Access Plan

Monthly Payment (Premium)

$$$$ $$$$
Cost-Per-Visit
See breakdown of your costs
$$$$ $$$$
Health Plan Selection See Interactive Map
for available health plans and provider directories
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
Out-of-Network Benefits Emergency and urgent care only

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
Many health plans, see Interactive Map for more details 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: 9/22/2017 10:23:42 AM
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