Form Number: et-2158prm
 

Monthly Premiums For Retirees with Medicare

Medicare All = Family coverage with all insured family members enrolled in Medicare Parts A, B and D.

Note: Uniform Dental premiums are added to your medical premiums if you choose coverage.

Health Plan Individual Medicare All
IYC Medicare Advantage by UnitedHealthcare $253.78 $484.02
IYC Medicare Plus by WEA Trust $422.02 $820.50
Aspirus Health Plan $637.52 $1,251.50
Dean Health Insurance $507.90 $992.26
Dean Health Insurance-Prevea360 $504.64 $985.74
Group Health Cooperative of Eau Claire $444.34 $865.14
Group Health Cooperative of South Central Wisconsin $459.78 $896.02
HealthPartners Health Plan $604.08 $1,184.62
Medical Associates Health Plan $389.02 $754.50
MercyCare Health Plan $447.52 $871.50
Network Health $531.26 $1,038.98
Quartz Central $547.60 $1,071.66
Quartz - UW Health $429.22 $834.90
Quartz West $482.28 $941.02
Robin with HealthPartners Health Plan $623.46 $1,223.38
State Maintenance Plan (SMP)1 by WEA Trust $422.02 $820.50
WEA Trust - East $479.96 $936.38
WEA Trust West - Chippewa Valley $534.98 $1,046.42
 WEA Trust West - Mayo Clinic Health System $529.20 $1,034.86

1Members 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.