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Wisconsin Department of Employee Trust Funds header image It's Your Choice 2019 State of Wisconsin Group Health Insurance Program
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2019 It's Your Choice - State of Wisconsin Group Health Insurance for Employees and Retirees

Wisconsin Department Of Employee Trust FundsIt's Your Choice 2019


State of Wisconsin
Group Health Insurance Program
(State Employees, Retirees, Continuants and Graduate Assistants)

It's Your Choice Plan Design Options

Employee/COBRA/Retiree without Medicare

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. The table below highlights key differences between the available It's Your Choice plan design options.

Banner for ALEX: a virtual benefits counselor

  Plus icon lobe Icon Piggy Icon Green Piggy Icon
  IYC Health Plan Access Plan High Deductible Health Plan (HDHP)
Learn more about HDHPs
Access High Deductible Health Plan (HDHP)
Learn more about HDHPs

Monthly Payment (Premium)

Individual   /   Family
UW Grad Assistant Individual   /   Family

Contribution rates shown. View full Premiums. Premiums do not include Uniform Dental

$85   /   $211
$42.50   /   $105.50
$263   /   $656
$131.50   /   $328
$30   /   $74
Not eligible
$208   /   $519
Not eligible
Cost-Per-Visit
See breakdown of your costs
$$$$ $$$$ $$$$ $$$$

Annual Employer Contribution to Health Savings Account (HSA)

Individual   /  Family

Learn more about HSAs

None

None

 

+$750   /   +$1,500

For eligible employees, not available for retirees

 

+$750   /   +$1,500

For eligible employees, not available for retirees

HSA Required HSAs not allowed HSAs not allowed
Health Plan Selection See Available Health Plans Administered by WEA Trust See Available
Health Plans
Administered by WEA Trust
Statewide / Nationwide Access
All plans include nationwide pharmacy coverage; visit www.navitus.com for in-network pharmacies

Local, county-based coverage area

See Interactive Map for more details

Statewide/Nationwide

Local, county-based coverage area

See Interactive Map for more detail

Statewide/Nationwide

Out-of-Network Benefits Emergency and urgent care only

Out-of-Network Benefits

Emergency and urgent care only

Out-of-Network Benefits

Breakdown of Your Costs by Plan Design

 

Retirees With Medicare

The table below highlights key differences between the available It's Your Choice Medicare plan design options. Medicare Advantage with UnitedHealthcare® is a new option for Medicare-enrolled retirees and their Medicare-enrolled dependents.
 

  US map icon globe icon plus icon
 Medicare Advantage Medicare Plus Health Plan Medicare
Monthly Payment (Premium) $$$ $$$ $$$
Coverage Area
Emergency and urgent care are covered out-of-network for all plans
US map icon
Nationwide
globe icon
Worldwide
Map Icon
Local, county-based
Administered By
UnitedHealthcare WEA Trust See Available Health Plans
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

Hearing aids, routine hearing and vision exams, durable medical equipment
Skilled Nursing Facilities
Covered length of stay
120 Days
120 Days
Medicare
Approved
Facility
30 Days
Non-Medicare
Approved
Facility
120 Days

 

 


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: 9/5/2018 8:20:38 AM