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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)

Health Plan 2019 Total Premium Rates

Form Number: et-2107prtr

Retired State of Wisconsin Employees & Continuants

These premium amounts may be withdrawn from your accumulated sick leave conversion credits or WRS annuity payment, or you may be directly billed by your health plan.
You and your dependents who are eligible for Medicare must be enrolled in Parts A and B upon retirement or when initially eligible. When you and/or your dependents are eligible, your group health insurance coverage will be coordinated with Medicare and your monthly premium will be reduced. If you are a HDHP Family w/ Medicare Dependent, view the non-Medicare rates.

(View non-Medicare rates.)

Health Plan Name Overall Performance Rating Medicare Advantage
With Dental
Medicare single / Medicare 11 / Medicare 22
Without Dental
Medicare single / Medicare 11 / Medicare 22

UnitedHealthCare

Not yet rated $308.52  /  Not available  /  $596.48 $278.32  /  Not available  /  $536.08
    Medicare Plus
With Dental
Medicare single / Medicare 11 / Medicare 22
Without Dental
Medicare single / Medicare 11 / Medicare 22

WEA Trust

$401.70  /  $1,917.46  /  $782.84 $371.50  /  $1,857.06  /  $722.44
    Health Plan Medicare
With Dental
Medicare single / Medicare 11 / Medicare 22
Without Dental
Medicare single / Medicare 11 / Medicare 22

Dean Health Insurance

$451.60  /  $1,105.00  /  $882.64 $421.40  /  $1,044.60  /  $822.24

Dean Health Insurance-Prevea360

$502.20  /  $1,211.50  /  $983.84 $472.00  /  $1,151.10  /  $923.44

Group Health Cooperative of Eau Claire

$513.50  /  $1,326.90  /  $1,006.44 $483.30  /  $1,266.50  /  $946.04

Group Health Cooperative of South Central Wisconsin

$471.20  /  $1,104.00  /  $921.84 $441.00  /  $1,043.60  /  $861.44

HealthPartners Health Plan

$424.20  /  $1,199.40  /  $827.84 $394.00  /  $1,139.00  /  $767.44

Medical Associates Health Plan

$387.40  /  $1,064.60  /  $754.24 $357.20  /  $1,004.20  /  $693.84

MercyCare Health Plan

$436.68  /  $1,109.46  /  $852.80 $406.48  /  $1,049.06  /  $792.40

Network Health

$471.30  /  $1,244.40  /  $922.04 $441.10  /  $1,184.00  /  $861.64

Quartz-Community

$484.32  /  $1,266.04  /  $948.08 $454.12  /  $1,205.64  /  $887.68

Quartz-UW Health

$434.16  /  $1,093.50  /  $847.76 $403.96  /  $1,033.10  /  $787.36

Robin with HealthPartners

Not yet rated $424.20  /  $1,199.40  /  $827.84 $394.00  /  $1,139.00  /  $767.44

Security Health Plan - Central

$466.16  /  $1,292.14  /  $911.76 $435.96  /  $1,231.74  /  $851.36

Security Health Plan - Valley

$473.52  /  $1,319.92  /  $926.48 $443.32  /  $1,259.52  /  $866.08

State Maintenance Plan (SMP)3 by WEA Trust

$401.70  /  $1,374.36  /  $782.84 $371.50  /  $1,313.96  /  $722.44

WEA Trust-East

$452.00  /  $1,257.90  /  $883.44 $421.80  /  $1,197.50  /  $823.04

WEA Trust West
- Chippewa Valley

$451.50  /  $1,256.30  /  $882.44 $421.30  /  $1,195.90  /  $822.04

WEA Trust West
- Mayo Clinic Health System

$451.50  /  $1,256.30  /  $882.44 $421.30  /  $1,195.90  /  $822.04

 

1Medicare 1 = Family coverage with at least one insured family member enrolled in Medicare Parts A, B and D.
2Medicare 2 = Family coverage with all insured family members enrolled in Medicare Parts A, B and D.
3Members with IYC Access and Access HDHP, or SMP coverage who enroll in IYC Medicare Parts A and B will automatically be moved to the Medicare Plus plan. All other non-Medicare family members will remain covered under the IYC Access and Access HDHP 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: 8/30/2018 8:48:27 AM