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
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
ET-7414
Form
Active Employee /
Retiree /
Other Benefit Recipient
This form gives ETF and entities that perform contracted services for ETF permission to release your designated medical information to a person or entity specified by you.
The 2024 health benefits open enrollment period is set for September 25–October 20. Premium rates will increase in 2024 for participating state and local government employees. Read about highlights of changes in 2024 so you can make informed decisions.
The Well Wisconsin program is available to subscribers and spouses enrolled in the Group Health Insurance Program via a partnership with WebMD. Participants can earn a taxable $150 gift card by completing a health check, health assessment, and well-being activity.
