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


Local High Deductible Health Plan
Insurance for Employees
and Retirees
(PO7, PO17)


Medicare Advantage

Administered by UnitedHealthcare
1-844-876-6175, TTY 711
UHCRetiree.com/ETF

What’s New for 2019

As a State of Wisconsin Group Health Insurance Program participant, you may be eligible to enroll in the It’s Your Choice (IYC) Medicare Advantage plan provided by UnitedHealthcare®.  The IYC Medicare Advantage plan is a UnitedHealthcare® Group Medicare Advantage (PPO) plan, which means you have lots of flexibility in choosing a provider. You can see any provider outside of the network, as long as they accept Medicare and are willing to bill UnitedHealthcare. If you need specialty care, no referral is required.

The IYC Medicare Advantage plan offers comprehensive coverage for hospital and medical services (Uniform Benefits), pharmacy benefits (by Navitus Health Solutions), as well as additional programs and services. Examples are:

  • SilverSneakers® Fitness Program
    Designed for all fitness levels and abilities, includes access to exercise equipment, classes and more at 14,000+ fitness locations.
  • HouseCalls
    With this program, you may get an annual in home clinical visit from one of our nurse practitioners at no extra cost. The visit is voluntary and designed to support but not take the place of your regular doctor’s care. HouseCalls may not be available in all areas.
  • Special Programs
    To help members who are living with chronic disease, like diabetes or heart disease.
  • Solutions for Caregivers
    At no additional cost, Solutions for Caregivers supports you, your family and those you care for by providing information, education, resources and care planning. 
  • Virtual Doctor Visits
    See and speak to specific doctors for non-acute issues using your computer or a mobile device, like a tablet or smartphone, at no additional cost.
  • Online Access
    Look up your latest claim information, review benefit information, learn more about health and wellness topics and sign up for healthy challenges based on your interests and goals.

Provider Directory

Go to UHCRetiree.com/ETF to access a Provider Directory.  This directory is updated regularly to provide you with the current listing of network providers. If you would like help finding a network doctor or to request a written copy of the Provider Directory, call 1-844-876-6175, TTY 711, 7 a.m. – 6 p.m. CT, Monday – Friday.

Referrals, Prior Authorizations, Out-of-Network Care

Members have access to our national network of providers and the flexibility to see any provider (in or out-of-network) at the same cost share, as long as they accept the plan and have not opted out of Medicare. If you need specialty care, no referral is required.

Service Area

The service area includes the 50 United States and the District of Columbia, Puerto Rico, the United States Virgin Islands, Guam, American Samoa, and the Northern Mariana Islands.

Emergency and Urgent Care Outside Service Area

If you require emergency or urgent care, seek care at the nearest medical facility.

You can also receive emergency or urgently needed services from a provider outside the United States. If you receive emergency or urgently-needed services outside of the United States, the provider may require that you pay for the cost of the services in full. Ask for a written, detailed bill or receipt showing the specific services provided to you. Send a copy of the itemized bill or an itemized receipt to us to pay you back. You should be prepared to assist us in obtaining all of the information necessary to properly process your request for reimbursement, including medical records.

Mental, Behavioral Health and Substance Abuse

Behavioral Health: 1-800-453-8440 TTY 711

24-Hour Nurseline

NurseLine: 1-877-365-7949, TTY 711

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: 5/23/2018 1:08:19 PM