2023 Open Enrollment is Here!

Open enrollment is September 26 – October 21, 2022. Any changes made during this period will be effective January 1, 2023. Make the most of open enrollment:

WEA Trust No Longer Available - Action Required

If you are currently enrolled in a WEA Trust health plan, you must enroll in a new health plan during open enrollment. WEA Trust Plans include:

  • Access Plan by WEA Trust
  • State Maintenance Plan (SMP) by WEA Trust
  • Medicare Plus by WEA Trust
  • WEA Trust – East
  • WEA Trust West – Chippewa Valley
  • WEA Trust West – Mayo Clinic Health System

If you do not enroll in a new health plan, you won't have coverage as of January 1, 2023.

Despite the departure of WEA Trust from the program, you will have more health plan choices this year. Several health plans are offering new service areas, and a new health plan has joined the program.

New Administrators

If Your 2022 Plan is: To Continue Coverage in 2023, You Must Enroll in:
Access Plan by WEA Trust Access Plan by Dean Health Plan
State Maintenance Plan (SMP) by WEA Trust SMP by Dean Health Plan
Medicare Plus by WEA Trust Medicare Plus by UnitedHealthcare

SMP Availability

State Employees and Retirees: SMP will continue to be offered in Florence County. Use the health plan search to find health plans and covered providers where you receive care.

Local Employees and Retirees: SMP will be offered in Florence, Marquette, Waupaca, and Waushara counties. SMP will no longer be available in the following counties: Forest, Pierce, Polk, Rusk, St. Croix, and Wood. Use the health plan search to find health plans and covered providers where you receive care.

WEA Trust Alternatives

The chart below lists some commonly available alternatives in the current WEA Trust service areas. Provider access varies by plan. More providers are available than listed in the table below.

If Your 2022 Plan is: WEA Trust – East WEA Trust West – Chippewa Valley WEA Trust West – Mayo Clinic Health System
For 2023, You May
Want to Consider:
For Advocate Aurora
Health providers:
  • Common Ground
  • HealthPartners Southeast
  • Robin with Health Partners
For Marshfield Clinic
providers:
  • GHC of Eau Claire Greater Wisconsin
  • Security Health Plan

For Marshfield Clinic
providers:

  • GHC of Eau Claire
  • Greater Wisconsin
  • GHC of Eau Claire River Region
  • Security Health Plan

For Mayo Clinic
Health System providers:

  • Dean Health Plan – Prevea360 West and Mayo Clinic Health System

Before selecting a plan, use the health plan search tool to confirm the plan's service area and that your providers are covered:

New Health Plan and Service Areas 

There is one new health plan and several health plans offering new service areas. 

Health Plan Name

Coverage Area

Major Health System(s)

Common Ground Healthcare Cooperative

(Offered in partnership with Group Health Cooperative of Eau Claire)

Eastern WI

  • Advocate Aurora Health 
  • ThedaCare
  • BayCare Clinic

Dean Health Plan - Prevea360 West and Mayo Clinic Health System

Western WI

  • Prevea Health Clinics
  • Mayo Clinic Health System
  • OakLeaf Clinics

GHC of Eau Claire River Region

West Central WI

  • Marshfield Clinic Health System
  • OakLeaf Clinics
  • Hospital Sisters Health System 

HealthPartners Southeast

Southeast WI

  • Aurora Health Care
  • Children's Wisconsin

Security Health Plan 

West Central WI

  • Marshfield Clinic Health System

Resources for Changing Health Plans

Watch or Participate:

Read:

  1. Go to All Benefits Available and select your specific Local Program Option. If you don’t know which option is available to you, go to Benefits Available to Me or ask your employer.  If retired, call ETF.
  2. Click on How to Choose & Enroll in Your Benefits
  3. Click on Enroll or Make Changes

Name Changes

Several health plans have renamed service areas for the 2023 plan year. If you are enrolled in one of the health plans listed below, you do not need to take any action during open enrollment to stay enrolled.

2022 Name 2023 Name
Dean Health Plan - Prevea360  Dean Health Plan - Prevea360 East 
Group Health Cooperative of Eau Claire  Group Health Cooperative of Eau Claire Greater Wisconsin
HealthPartners HealthPartners West

Medical Benefit Changes

There are two medical benefit changes:

  • Health plans may now waive prior authorization for remote patient monitoring when appropriate.
  • Separate behavioral therapy sessions for a patient’s immediate family are now allowed as part of an ongoing mental health and substance use disorder treatment plan.

Pharmacy Benefit Changes

A new speciality drug program (clear bagging) has been added through the University of Wisconsin Specialty Pharmacy for non-Medicare members receiving care within the UW Health System. This new program is limited to certain non-oncology specialty drugs.

If you have a medication dispensed under the program, you will receive multiple explanations of benefit (EOBs) statements. One from your health plan for the administration of the drug. Another from Navitus, for the drug itself

This program will not impact your care. You will still have the drugs administered in the same location, by the same medical professionals, as you would have prior to this program.

Accident Plan

Beginning January 1, 2023, new benefits will be covered and cash payment amounts formost claims will increase.

Learn More About Accident Plan Changes

Pre-Tax Savings Accounts

These changes apply to State Employees and Retirees only.

Contribution Limits

Program Contribution Limit
Health Savings Account (HSA)

$3,850 per year (individual) / $7,750 per year (family)

Increase of $200 / $450 per year

Health Care Flexible Spending Account (FSA) and Limited Purpose FSA

$2,850 per year

Increase of $100 per year

Parking Account and Transit Account

$280 per month

Increase of $10 per month

Carryover Limits

The carryover limit for FSAs and Limited Purpoes FSAs has changed to $570. An increase of $20 from 2022 limit.

Minimum Elections and Carryover Amounts

Effective January 1, 2023, members who enroll in a flexible spending or commuter benefit account will be required to have a minimum annual contribution amount of $50. There must also be at least $50 in these accounts at the end of 2023 for funds to be carried over to 2024.

Learn More About Account Minimums