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.