As a 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. The UnitedHealthcare Medicare Advantage service area includes the 50 United States, the District of Columbia and all U.S. territories.
What’s New for 2021
The IYC Medicare Advantage plan continues to offer comprehensive coverage for hospital and medical services (Uniform Benefits), pharmacy benefits (by Navitus Health Solutions), as well as additional benefits, programs and services. Examples are:
Your care begins with your doctor
This plan is a Preferred Provider Organization (PPO) plan and as a member you have access to nationwide coverage. You can see any provider (in-network or out-of-network) at the same cost share, as long as they are willing to treat you and bill UnitedHealthcare and have not opted out of or been excluded from Medicare.
Hear the moments that matter most with custom-programmed hearing aids
Your hearing health is important to your overall well-being and can help you stay connected to those around you. With UnitedHealthcare Hearing, you’ll get access to hundreds of name-brand and private-labeled hearing aids — available in-person at any of our 5,500 UnitedHealthcare Hearing providers nationwide* or through home delivery — so you’ll get the care you need to hear better and live life to the fullest.
*Please refer to your Summary of Benefits for details regarding your benefit coverage.
SilverSneakers® Fitness Program
SilverSneakers® is a fitness benefit included with your health plan at no additional cost. SilverSneakers includes:
- Memberships to thousands of locations1 nationwide
- Group exercise classes2 designed for all abilities
- Fun activities held outside the gym2
1: Participating locations (“PL”) are not owned or operated by Tivity Health, Inc. or its affiliates. Use of PL facilities and amenities are limited to terms and conditions of PL basic membership. Facilities and amenities vary by PL.
2: Membership includes SilverSneakers instructor-led group fitness classes. Some locations offer Members additional classes. Classes vary by location.
Enjoy a preventive care visit in the privacy of your own home
With UnitedHealthcare® HouseCalls, we’ll give you a call to see if you’d like to receive a yearly in-home visit from one of our health care practitioners at no extra cost. A HouseCalls visit is optional and designed to support, but not take the place of your regular doctor’s care.
Chronic Conditions Programs
UnitedHealthcare has special programs designed to support members living with chronic conditions like diabetes or heart disease.
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.
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, Authorizations, Out-of-Network
If you need specialty care, no referral is required. Members have access to our national network of providers and the flexibility to see any provider (in-network or out-of-network) at the same cost share, as long as they accept the plan and have not opted out of Medicare.
Emergency and Urgent Care
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
NurseLine: 1-877-365-7949, TTY 711
See a doctor or a behavioral health specialist using your computer, tablet or smartphone. With Virtual Visits, you’re able to live video chat from your computer, tablet or smartphone — anytime, day or night. You will first need to register and then schedule an appointment. On your tablet or smartphone you can download the Doctor On Demand or Amwell apps.
Virtual Doctor Visits
You can ask questions, get a diagnosis, or even get medication prescribed and have it sent to your pharmacy. All you need is a strong internet connection. Virtual Doctor Visits are good for minor health concerns like:
- Allergies, bronchitis, cold/cough
- Migraines/headaches, sinus problems, stomachache
- Bladder/urinary tract infections, rashes
Virtual Behavioral Health Visits
Virtual Behavioral Health Visits may be best for:
- Initial evaluation
- Medication management
- Trauma and loss
- Stress or anxiety
You can find a list of participating virtual providers by signing in to your personal online account at www.UHCRetiree.com/etf.
Care Outside the Service Area
Our service area includes the 50 United States, the District of Columbia and all U.S. territories.
Major Health Systems
You have access to any provider who accepts Medicare assignment.