Each year’s health benefits open enrollment period provides members the opportunity to change health plans within the State of Wisconsin Group Health Insurance Program, as administered by the Department of Employee Trust Funds. When considering a change in health plans, there are several things you may want to consider, including:
- Are my providers in the health plan’s network?
- Are my dependents providers within the plan’s network?
- Does the health plan have adequate access to specialty providers I might need?
- Is the in-network hospital my hospital of choice?
- Are there any prior authorization requirements/requests I may need to consider being covered under a new plan? Check on coverage of special treatments.
- Are there any medical management programs at the plan that may be of interest to myself and my dependents?
- What would my premium payments be under different plans (e.g., IYC Health Plan, High Deductible Health Plan, IYC Medicare Plan)?
- Did I review the plan’s quality information?
ETF benefits specialists are always available to answer your questions – contact ETF to get started.