Form Number: et-2158prm
Monthly Premiums For Retirees with Medicare
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.
| Health Plan |
Individual |
Medicare All |
|---|---|---|
| IYC Medicare Advantage by Unitedhealthcare | $231.52 | $441.08 |
| Medicare Plus by Unitedhealthcare | $416.26 | $810.56 |
| Aspirus Health Plan | $647.58 | $1,273.20 |
| Common Ground Healthcare Cooperative | $611.70 | $1,201.44 |
| Dean Health Plan |
$495.90 |
$969.84 |
| Dean Health Plan - Prevea360 East | $501.46 | $980.96 |
| Dean Health Plan - Prevea360 West and Mayo Clinic Health System | $557.92 | $1,093.88 |
| GHC of Eau Claire Greater Wisconsin | $508.14 | $994.32 |
| GHC of Eau Claire River Region | $627.82 | $1,233.68 |
| GHC of South Central Wisconsin | $449.50 | $877.04 |
| HealthPartners Health Plan Southeast | $606.90 | $1,191.84 |
| HealthPartners Health Plan West | $592.72 | $1,163.48 |
| Medical Associates Health Plan | $367.46 | $712.96 |
| MercyCare Health Plan | $444.66 | $867.36 |
| Network Health | $534.32 | $1,046.68 |
| Quartz Central | $586.80 | $1,151.64 |
| Quartz - UW Health | $430.82 | $839.68 |
| Quartz West | $490.52 | $959.08 |
| Robin with HealthPartners Health Plan | $667.12 | $1,312.28 |
| Security Health Plan | $671.94 | $1,321.92 |