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


Local Health Plan
Insurance for Employees
and Retirees
(PO6, PO16)


Health Plan 2019 Premium Rates

Form Number: et-2168prm

Medicare Retiree Rates

The Medicare Retiree health plan rates reflect total monthly premium rates for each health plan. (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 $319.18   /   Not available   /   $617.80 $288.98   /   Not available   /   $557.40
    Medicare Plus
With Dental
Medicare single / Medicare 11 / Medicare 22
Without Dental
Medicare single / Medicare 11 / Medicare 22

WEA Trust

$394.66   /   $1,601.70   /   $768.76 $364.46   /   $1,541.30   /   $708.36
    Health Plan Medicare
With Dental
Medicare single / Medicare 11 / Medicare 22
Without Dental
Medicare single / Medicare 11 / Medicare 22

Dean Health Insurance

$496.56   /   $1,141.42   /   $972.56 $466.36   /   $1,081.02   /   $912.16

Dean Health Insurance-Prevea360

$498.16   /   $1,146.04   /   $975.76 $467.96   /   $1,085.64   /   $915.36

Group Health Cooperative of Eau Claire

$489.66   /   $1,271.58   /   $958.76 $459.46   /   $1,211.18   /   $898.36

Group Health Cooperative of South Central Wisconsin

$504.06   /   $1,150.14   /   $987.56 $473.86   /   $1,089.74   /   $927.16

HealthPartners Health Plan

$482.66   /   $1,402.20   /   $944.76 $452.46   /   $1,341.80   /   $884.36

Medical Associates Health Plan

$397.96   /   $974.30   /   $775.36 $367.76   /   $913.90   /   $714.96

MercyCare Health Plan

$493.08   /   $1,210.62   /   $965.60 $462.88   /   $1,150.22   /   $905.20

Network Health

$569.06   /   $1,337.26   /   $1,117.56 $538.86   /   $1,276.86   /   $1,057.16

Quartz-Community

$493.32   /   $1,233.82   /   $966.08 $463.12   /   $1,173.42   /   $905.68

Quartz-UW Health

$441.64   /   $1,063.66   /   $862.72 $411.44   /   $1,003.26   /   $802.32

Robin with HealthPartners

Not yet rated $482.66   /   $1,402.20   /   $944.76 $452.46   /   $1,341.80   /   $884.36

Security Health Plan - Central

$592.00   /   $1,678.68   /   $1,163.44 $561.80   /   $1,618.28   /   $1,103.04

Security Health Plan - Valley

$590.54   /   $1,673.42   /   $1,160.52 $560.34   /   $1,613.02   /   $1,100.12

State Maintenance Plan (SMP)3 by WEA Trust

$394.66   /   $1,196.64   /   $768.76 $364.46   /   $1,136.24   /   $708.36

WEA Trust-East

$482.96   /   $1,304.54   /   $945.36 $452.76   /   $1,244.14   /   $884.96

WEA Trust West
- Chippewa Valley

$557.86   /   $1,555.42   /   $1,095.16 $527.66   /   $1,495.02   /   $1,034.76

WEA Trust West
- Mayo Clinic Health System

$534.26   /   $1,470.42   /   $1,047.96 $504.06   /   $1,410.02   /   $987.56


1 Medicare 1 = Family coverage with at least one insured family member enrolled in Medicare Parts A, B and D.
2 Medicare 2 = Family coverage with all insured family members enrolled in Medicare Parts A, B and D.
3 Members with Local Access Plan or SMP coverage who enroll in Medicare Parts A and B will automatically be moved to the IYC Medicare Plus plan. All other non-Medicare family members remain covered under the Local Access Plan 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 9:19:12 AM