Flyer Active Employee / Retiree / Local Employer / State Employer

Accessing Your Health Benefits While Out of State

This document for State, UW and Local retirees describes the health plans that offer out-of-state coverage for routine care and what to expect while you're out of network.

Free or Low-Cost Health Coverage to Children and Families

Program Option
  • Local Deductible Health Plan (PO14) & Supplemental Benefits
  • Local Deductible Health Plan with Uniform Dental (PO4) & Supplemental Benefits
  • Local Health Plan (PO16) & Supplemental Benefits
  • Local Health Plan with Uniform Dental (PO6) & Supplemental Benefits
  • Local High Deductible Health Plan (PO17) & Supplemental Benefits
  • Local High Deductible Health Plan with Uniform Dental (PO7) & Supplemental Benefits
  • Local Traditional Health Plan (PO12) & Supplemental Benefits
  • Local Traditional Health Plan with Uniform Dental (PO2) & Supplemental Benefits
  • State Employee and Retiree Health Plan & Supplemental Benefits
ET-2144
Flyer Active Employee / Retiree / Other Benefit Recipient

State of Wisconsin Health Benefit Program Data Flow

Learn how the data warehouse securely collects and stores enrollment, claims, and wellness data for all participants of the Group Health Insurance Program.

Out-Of-Network Health Services for Access Plans

Out-of-network services are only available with the Access Plan and Access HDHP. Learn how much it will cost to visit the doctor, have labs drawn, get an X-ray, and more.

Program Option
  • State Employee and Retiree Health Plan & Supplemental Benefits
Plan Year
  • 2025
Department News
May 24, 2024 8:30am
Graphic image representing insurance

GIB Sets 2025 Health Insurance Program Rates

(Updated June 18, 2024) The Group Insurance Board has set premium rates for 2025, while taking action to stabilize the reserve of the State of Wisconsin Group Health Insurance Program. The Board also approved health plan service areas for the 2025 plan year at its meeting yesterday.

State Maintenance Plan (SMP) by Dean Health Plan for Locals

Major Health Systems
  • Aspirus Health
  • Ascension Wisconsin
  • Aurora Health Care
  • Essentia Health
  • Marshfield Clinic
  • Northlakes Community Clinics
  • St. Luke's (Aspirus Health)
Full Service Areas
  • Adams County
  • Ashland County
  • Barron County
  • Bayfield County
  • Buffalo County
  • Burnett County
  • Clark County
  • Columbia County
  • Douglas County
  • Dunn County
  • Florence County
  • Forest County
  • Grant County
  • Green County
  • Iowa County
  • Iron County
  • Jefferson County
  • Juneau County
  • Lafayette County
  • Langlade County
  • Lincoln County
  • Marathon County
  • Marquette County
  • Menominee County
  • Oneida County
  • Polk County
  • Portage County
  • Price County
  • Richland County
  • Rock County
  • Rusk County
  • Sauk County
  • Sawyer County
  • St. Croix County
  • Taylor County
  • Vilas County
  • Walworth County
  • Washburn County
  • Wood County
Limited Service Areas
  • Michigan
  • Minnesota