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Wisconsin Department of Employee Trust Funds header image It's Your Choice 2019 Local Traditional Health Plan Insurance Program
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2019 It's Your Choice - Local Traditional Health Plan Insurance for Employees and Retirees
Wisconsin Department Of Employee Trust Funds It's Your Choice 2019


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


It's Your Choice Plan Design Options

Employee and 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.

Breakdown of Your Costs by Plan Design

  Plus icon lobe Icon
  Local Traditional Health Plan 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
Local, county-based coverage area
See Interactive Map for more detail
Out-of-Network Benefits Emergency and urgent care only

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: 8/22/2018 10:45:04 AM