Health Plan Changes
There are two health plans that will no longer be available in 2020. Security Health Plan - Central and Security Health Plan - Valley will no longer be available.
The State Maintenance Plan's (SMP) coverage area has changed. SMP will no longer be available in the following counties: Buffalo, Marinette, Polk, Shawano, St. Croix, Waupaca, Waushara and Wood.
Medical Benefit Changes
New Medical Benefit
Bariatric surgery and weight loss services will be provided for participants with a body mass index (BMI) of 35 or greater, or as determined by your health plan.
Pharmacy Benefit Changes
Vaccines will be covered at in-network retail pharmacies in 2020.
Get vaccinated at any in-network pharmacy, using your pharmacy benefit. Just show your Navitus card at the pharmacy. If you prefer, you can still get vaccinated at your doctor’s office using your medical benefit.
New Enrollment Option for Retirees
For families with Medicare & Non-Medicare Members
Are there people on your health insurance that are not enrolled in Medicare? Now, when you enroll in Medicare Advantage or Medicare Plus, you can enroll in a second health plan for your non-Medicare members.
Why make a change? This option may help you save on monthly premiums, since both plans have low premiums.
New Life Event for Retirees
Becoming Medicare eligible or ineligible
When you or someone on your health insurance becomes eligible for Medicare or no longer eligible, you can now choose a new health plan or plan design.
You must file an application within 30 days of the Medicare coverage change. This is not an opportunity to enroll.