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.
|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 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|
|Quartz - UW Health||$768.26||$1,887.70|
|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.