Form Number: et-2169pr

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.

Revised 9/29/2022

Health Plan

Individual

Family

Access Plan by Dean Health Plan1 $941.18 $2,320.04
Aspirus Health Plan  $952.32 $2,347.86
Common Ground Healthcare Cooperative $889.16 $2,189.96
Dean Health Plan

$699.32

$1,715.36
Dean Health Plan - Prevea360 East $709.34 $1,740.42
Dean Health Plan - Prevea360 West and Mayo Clinic Health System  $811.20 $1,995.06
GHC of Eau Claire Greater Wisconsin $706.78 $1,734.02
GHC of Eau Claire River Region $917.52 $2,260.86
GHC of South Central Wisconsin $603.56 $1,475.96
HealthPartners Health Plan Southeast $966.24 $2,382.66
HealthPartners Health Plan West $938.48 $2,313.26
Medical Associates Health Plan $641.20 $1,570.06
MercyCare Health Plan $636.94 $1,559.42
Network Health $752.90 $1,849.32
Quartz Central $1,006.00 $2,482.06
Quartz - UW Health $671.12 $1,644.86
Quartz West $799.14 $1,964.92
Robin with HealthPartners Health Plan $1,084.10 $2,677.32
Security Health Plan  $996.72 $2,458.86
State Maintenance Plan (SMP)1 - Dean Health Plan $748.10 $1,837.34

 

1 Members with the 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 will remain covered under the Access Plan or SMP.