Form Number: et-2128prm
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.
|IYC Medicare Advantage by UnitedHealthcare||$231.52||$441.08|
|Medicare Plus by Unitedhealthcare||$416.26||$810.56|
|Aspirus Health Plan||$689.02||$1,356.08|
|Common Ground Healthcare Cooperative||$650.04||$1,278.12|
|Dean Health Plan||
|Dean Health Plan - Prevea360 East||$530.20||$1,038.44|
|Dean Health Insurance - Prevea360 West and Mayo Clinic Health System||$591.58||$1,161.20|
|GHC of Eau Claire Greater Wisconsin||$537.46||$1,052.96|
|GHC of Eau Claire River Region||$667.54||$1,313.12|
|GHC of South Central Wisconsin||$473.74||$925.52|
|HealthPartners Health Plan Southeast||$495.12||$968.28|
|HealthPartners Health Plan West||$484.64||$947.32|
|Medical Associates Health Plan||$407.52||$793.08|
|MercyCare Health Plan||$445.84||$869.72|
|Quartz - UW Health||$453.44||$884.92|
|Robin with HealthPartners Health Plan||$539.90||$1,057.84|
|Security Health Plan||$715.94||$1,409.92|
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.