Form Number: et-2107prtr
These premium amounts may be withdrawn from your accumulated sick leave conversion credits or WRS annuity payment, or you may be directly billed by your health plan.
You and your dependents who are eligible for Medicare must be enrolled in Parts A and B upon retirement or when initially eligible. When you and/or your dependents are eligible, your group health insurance coverage will be coordinated with Medicare and your monthly premium will be reduced. If you are a HDHP Family w/ Medicare Dependent, view the non-Medicare rates.
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 With / Without Uniform Dental |
Medicare All With / Without Uniform Dental |
|---|---|---|
| IYC Medicare Advantage by Unitedhealthcare | $226.14 / 194.98 | $430.32 / 368.00 |
| Medicare Plus by Unitedhealthcare | $396.48 / 365.32 | $771.00 / 708.68 |
| Aspirus Health Plan | $561.54 / 530.38 | $1,101.12 / 1,038.80 |
| Common Ground Healthcare Cooperative | $573.88 / 542.72 | $1,125.80 / 1,063.48 |
| Dean Health Plan |
$469.38 / 438.22 |
$916.80 / 854.48 |
| Dean Health Plan - Prevea360 East | $539.48 / 508.32 | $1,057.00 / 994.68 |
| Dean Health Plan - Prevea360 West and Mayo Clinic Health System | $587.82 / 556.66 | $1,153.68 / 1,091.36 |
| GHC of Eau Claire Greater Wisconsin | $553.26 / 522.10 | $1,084.56 / 1,022.24 |
| GHC of Eau Claire River Region | $612.34 / 581.18 | $1,202.72 / 1,140.40 |
| GHC of South Central Wisconsin | $483.64 / 452.48 | $945.32 / 883.00 |
| HealthPartners Health Plan Southeast | $426.18 / 395.02 | $830.40 / 768.08 |
| HealthPartners Health Plan West | $418.82 / 387.66 | $815.68 / 753.36 |
| Medical Associates Health Plan | $392.86 / 361.70 | $763.76 / 701.44 |
| MercyCare Health Plan | $421.88 / 390.72 | $821.80 / 759.48 |
| Network Health | $498.02 / 466.86 | $974.08 / 911.76 |
| Quartz Central | $485.34 / 454.18 | $948.72 / 886.40 |
| Quartz - UW Health | $435.08 / 403.92 | $848.20 / 785.88 |
| Quartz West | $474.84 / 443.68 | $927.72 / 865.40 |
| Robin with HealthPartners Health Plan | $447.26 / 416.10 | $872.56 / 810.24 |
| Security Health Plan | $585.46 / 554.30 | $1,148.96 / 1,086.64 |