Deferred Compensation Board

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Helping hands to a seated person.

Caregiving

The costs of providing care are high and demands on a caregiver's time are significant. Even if you are not a caregiver currently, there is a good chance you will be at some point in your life. Use the information and resources on this page to help you learn about caregiving and make a plan for financial security.

Form Active Employee / Local Employer / State Employer

Health Care Provider Form

Complete this form using results from your most recent health care provider visit to earn credit for the Well Wisconsin Program.

Some Out-Of-State Coverage

Prevea360 East

Major Health Systems
  • Prevea Health Clinics
  • HSHS Health System WI Hospitals and Clinics
  • Door County Memorial Hospital & Medical Center
  • Holy Family Memorial Hospital and Clinics
Full Service Areas
  • Brown County
  • Calumet County
  • Door County
  • Kewaunee County
  • Manitowoc County
  • Oconto County
  • Outagamie County
  • Sheboygan County
Limited Service Areas
  • Marinette County
  • Menominee County
  • Shawano County

General Information FAQs

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

Local Employers with Supplemental Options

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