Medicare Health Plan Premium Rates

How much you will pay each month for your health care premium?
Plan Year
    2026
Program Option
    Local Traditional Health Plan (PO12) & Supplemental Benefits

Medicare Health Plan Premium Rates

How much you will pay each month for your health care premium.
Plan Year
    2026
Program Option
    Local Deductible Health Plan (PO14) & Supplemental Benefits
ET-2385
Form Active Employee / Local Employer / State Employer

Health Savings Account (HSA) Enrollment

For UWs use only, as a paper alternative for a member who cannot complete their HSA enrollment online.

Department News
Nov 10, 2025 12:00pm

Take the Health Insurance Survey

ETF wants to know about your preferences for paying for health insurance. Please complete the Group Health Insurance Program Plan Design Survey for Members by Monday, December 1, 2025.

Employer News
Nov 4, 2025 8:00am

Watch for Health Insurance Surveys

ETF will survey both members and employers this quarter to better understand their preferences for paying for health insurance. 

Network Health

Major Health Systems

• Froedtert Health
• Children’s Hospital of Wisconsin - with locations in Milwaukee, Green Bay and Neenah
• ThedaCare
• Ascension Wisconsin
• Bellin Health
• Prevea Health
• SSM Health

Full Service Areas
  • Brown County
  • Calumet County
  • Dodge County
  • Door County
  • Fond Du Lac County
  • Green Lake County
  • Kenosha County
  • Kewaunee County
  • Manitowoc County
  • Marinette County
  • Milwaukee County
  • Oconto County
  • Outagamie County
  • Ozaukee County
  • Racine County
  • Shawano County
  • Sheboygan County
  • Washington County
  • Waukesha County
  • Waupaca County
  • Waushara County
  • Winnebago County
Limited Service Areas
  • Marquette County
  • Menominee County
  • Portage County
Nationwide Access, Out-Of-Network Benefits, Higher Premium

Access Plan by Dean

Major Health Systems

Search for a provider on First Health’s Locate a Provider webpage.

Full Service Areas
  • United States
Limited Service Areas
  • Worldwide