The 2026 open enrollment period is set for Oct. 6-31, 2025.
This is when you can make changes for next year, including switching health plans, changing coverage levels, adding new insurance such as dental or vision, and adding or removing dependents.
Benefit Changes Next Year
- For non-Medicare members: Coverage for Continuous Glucose Monitors (CGMs) will be under the pharmacy benefit through Navitus Health Solutions (Navitus) only.
- To comply with federal requirements, the annual medical deductible for the High Deductible Health Plan (HDHP) and Access HDHP will increase to $1,700 for individual and $3,400 for family.
- Medicare Advantage members can earn the $150 Well Wisconsin incentive.
Health Plan Name Changes
Several health plans are changing their names next year.
If you are currently enrolled in any of the following plans, you do not need to do anything to remain on it:
- Dean Health Plan - Medica West and Mayo Clinic Health System will be Medica West and Mayo Clinic Health System.
- Common Ground Healthcare Cooperative will be CareSource.
- Dean Health Plan-Prevea360 East will be Prevea 360 East.
- Dean Health Plan will be Dean Health Plan by Medica.
- The Access Plan by Dean will be the Access Plan.
- The State Maintenance Plan (SMP) by Dean Health Plan will be the State Maintenance Plan (SMP).
New Vendors, Administrators
- MetLife will administer the vision program. Your current enrollment will continue with MetLife, and you will not receive or need a MetLife ID card.
- For state employees and retirees, TASC (Total Administrative Services Corporation) will administer the pre-tax savings accounts. These include your Health Savings Account (HSA), Health Care Flexible Spending Account (FSA), Limited Purpose FSA, Dependent Day Care Account, Parking Account, and Transit Account. You must reenroll for 2026. TASC will communicate with current members on the transfer and carryovers of HSA assets.
Benefit Reminder
Your health plan pays 100% of certain preventive care services with no out-of-pocket costs to you.
Preventive care is routine health care that includes screenings, checkups, and patient counseling to help prevent illnesses or other health problems.