It's Your Choice 2018
Local Health Plan
Insurance for Employees
and Retirees
(PO6, PO16)
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
|
 |
 |
|
It’s Your Choice
Local
Health Plan |
It’s Your Choice
Local Access Plan |
Monthly Payment (Premium)
|
$$$$ |
$$$$ |
Cost-Per-Visit
See breakdown of your costs
|
$$$$ |
$$$$ |
Health Plan Selection
|
See Interactive Map
for available health plans and provider directories |
Administered by WEA Trust |
Statewide / Nationwide Access
All plans include nationwide pharmacy coverage; visit www.navitus.com for in-network pharmacies
|
See Interactive Map for more details |
✔ |
Out-of-Network Benefits |
Emergency and urgent care only |
✔ |
Retirees With Medicare
The table below highlights key differences between the available Medicare plan design options.
|
 |
 |
|
It’s Your Choice
Health Plan Medicare |
It’s Your Choice
Medicare Plus |
Monthly Payment (Premium)
|
$$$ |
$$$ |
Coverage Area
Emergency and urgent care are covered out-of-network for all plans
|

Local, county-based |

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 |
 |

Medicare
Approved
Facility |

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 11:23:47 AM