Form Number: et-2158pr
The employee and non-Medicare Retiree health plan rates reflect total monthly premium rates for each health plan.
Members of new participating employers may have a surcharge added to their rates. Your employer will inform you. Contact your payroll office with questions.
Health Plan | Individual | Family |
---|---|---|
Access Plan1 by Dean Health Plan | $1,074.96 | $2,654.48 |
Aspirus Health Plan | $1,087.64 | $2,686.16 |
Common Ground Healthcare Cooperative | $1,015.90 | $2,506.80 |
Dean Health Plan | $800.28 | $1,967.76 |
Dean Health Plan - Prevea360 East | $811.66 | $1,996.20 |
Dean Health Plan - Prevea360 West and Mayo Clinic Health System | $927.36 | $2,285.46 |
GHC of Eau Claire Greater Wisconsin | $808.76 | $1,988.96 |
GHC of Eau Claire River Region | $1,048.12 | $2,587.36 |
GHC of South Central Wisconsin | $691.50 | $1,695.80 |
HealthPartners Southeast | $1,103.44 | $2,725.66 |
HealthPartners Health Plan West | $1,071.92 | $2,646.86 |
Medical Associates Health Plan | $734.26 | $1,802.70 |
MercyCare Health Plan | $729.42 | $1,790.60 |
Network Health | $861.14 | $2,119.90 |
Quartz Central | $1,148.60 | $2,838.56 |
Quartz - UW Health | $768.26 | $1,887.70 |
Quartz West | $913.66 | $2,251.20 |
Robin with HealthPartners Health Plan | $1,237.30 | $3,060.30 |
Security Health Plan | $1,138.08 | $2,812.26 |
State Maintenance Plan (SMP)1 by Dean Health Plan | $871.36 | $2,145.50 |
1Members with Local Access Plan or SMP coverage who enroll in Medicare Parts A and B will automatically be moved to the Medicare Plus plan. All other non-Medicare family members remain covered under the Local Access Plan or SMP.