Form Number: ET-2107prtr
These premium amounts may be withdrawn from your accumulated sick leave conversion credits or WRS annuity payment, or you may be directly billed by your health plan.
You and your dependents who are eligible for Medicare must be enrolled in Parts A and B upon retirement or when initially eligible. When you and/or your dependents are eligible, your group health insurance coverage will be coordinated with Medicare and your monthly premium will be reduced.
Find Your Rate:
- Medicare Individual: Individual coverage for a member enrolled in Medicare Parts A, B, and D.
- Medicare Some: Family coverage with at least one insured family member enrolled in Medicare Parts A, B, and D. Non-Medicare members will have the IYC Health Plan plan design.
- Medicare All: Family coverage with all insured family members enrolled in Medicare Parts A, B, and D.
Medicare Individual and Medicare All Rates
Note: Uniform Dental premiums are added to your medical premiums if you choose coverage.
| Health Plan | Individual with / without dental | Medicare All with / without dental |
|---|---|---|
| IYC Medicare Advantage by UnitedHealthcare | $360.74 / $328.02 | $693.30 / $627.86 |
| Medicare Plus by UnitedHealthcare | $507.20 / $474.48 | $986.22 / $920.78 |
| Aspirus Health Plan | $697.56 / $664.84 | $1,366.94 / $1,301.50 |
| Common Ground Healthcare Cooperative | $682.66 / $649.94 | $1,337.14 / $1,271.70 |
| Dean Health Plan | $602.90 / $570.18 | $1,177.62 / $1,112.18 |
| Dean Health Plan - Prevea360 East | $686.02 / $653.30 | $1,343.86 / $1,278.42 |
| Dean Health Plan - Medica West and Mayo Clinic Health System | $762.66 / $729.94 | $1,497.14 / $1,431.70 |
| GHC of Eau Claire Greater WI | $725.20 / $692.48 | $1,422.22 / $1,356.78 |
| GHC of Eau Claire River Region | $737.58 / $704.86 | $1,446.98 / $1,381.54 |
| GHC-SCW Dane Choice | $617.38 / $584.66 | $1,206.58 / $1,141.14 |
| GHC-SCW Neighbors | $643.06 / $610.34 | $1,257.94 / $1,192.50 |
| HealthPartners Southeast | $539.82 / $507.10 | $1,051.46 / $986.02 |
| HealthPartners West | $546.46 / $513.74 | $1,064.74 / $999.30 |
| Medical Associates Health Plans | $510.22 / $477.50 | $992.26 / $926.82 |
| MercyCare Health Plans | $544.32 / $511.60 | $1,060.46 / $995.02 |
| Network Health | $596.52 / $563.80 | $1,164.86 / $1,099.42 |
| Quartz Central | $619.44 / $586.72 | $1,210.70 / $1,145.26 |
| Quartz UW Health | $561.00 / $528.28 | $1,093.82 / $1,028.38 |
| Quartz West | $611.92 / $579.20 | $1,195.66 / $1,130.22 |
| Robin with HealthPartners | $550.76 / $518.04 | $1,073.34 / $1,007.90 |
| Security Health Plan | $714.22 / $681.50 | $1,400.26 / $1,334.82 |
Medicare Some
When you select IYC Medicare Advantage or Medicare Plus to coordinate with Medicare coverage, you can select a different health plan for your non-Medicare members. If you select Health Plan Medicare, the non-Medicare members will have the same health plan, just the non-Medicare version. The rates below include the IYC Health Plan plan design for non-Medicare members.
Note: Uniform Dental premiums are added to your medical premiums if you choose coverage.
| Health Plan | Health Plan Medicare with / without dental | Medicare Advantage with / without dental | Medicare Plus with / without dental |
|---|---|---|---|
| Access Plan by Dean Health Plan | Not available | $2,032.68 / $1,967.24 | $2,179.14 / $2,113.70 |
| Aspirus Health Plan | $1,772.02 / $1,706.58 | $1,435.20 / $1,369.76 | $1,581.66 / $1,516.22 |
| Common Ground Healthcare Cooperative | $1,727.30 / $1,661.86 | $1,405.38 / $1,339.94 | $1,551.84 / $1,486.40 |
| Dean Health Insurance | $1,571.90 / $1,506.46 | $1,329.74 / $1,264.30 | $1,476.20 / $1,410.76 |
| Dean Health Insurance-Prevea360 East | $1,758.52 / $1,693.08 | $1,433.24 / $1,367.80 | $1,579.70 / $1,514.26 |
| Dean Health Insurance-Medica West and Mayo Clinic Health System | $1,992.18 / $1,926.74 | $1,590.26 / $1,524.82 | $1,736.72 / $1,671.28 |
| GHC of Eau Claire Greater WI | $1,854.92 / $1,789.48 | $1,490.46 / $1,425.02 | $1,636.92 / $1,571.48 |
| GHC of Eau Claire River Region | $1,892.08 / $1,826.64 | $1,515.24 / $1,449.80 | $1,661.70 / $1,596.26 |
| GHC-SCW Dane Choice | $1,531.48 / $1,466.04 | $1,274.84 / $1,209.40 | $1,421.30 / $1,355.86 |
| GHC-SCW Neighbors | $1,608.50 / $1,543.06 | $1,326.18 / $1,260.74 | $1,472.64 / $1,407.20 |
| HealthPartners Health Plan Southeast | $1,603.50 / $1,538.06 | $1,424.42 / $1,358.98 | $1,570.88 / $1,505.44 |
| HealthPartners Health Plan West | $1,630.88 / $1,565.44 | $1,445.16 / $1,379.72 | $1,591.62 / $1,526.18 |
| Medical Associates Health Plan | $1,504.22 / $1,438.78 | $1,354.74 / $1,289.30 | $1,501.20 / $1,435.76 |
| MercyCare Health Plan | $1,427.84 / $1,362.40 | $1,244.26 / $1,178.82 | $1,390.72 / $1,325.28 |
| Network Health | $1,648.60 / $1,583.16 | $1,412.82 / $1,347.38 | $1,559.28 / $1,493.84 |
| Quartz Central | $1,696.56 / $1,631.12 | $1,437.86 / $1,372.42 | $1,584.32 / $1,518.88 |
| Quartz - UW Health | $1,496.22 / $1,430.78 | $1,295.96 / $1,230.52 | $1,442.42 / $1,376.98 |
| Quartz West | $1,671.06 / $1,605.62 | $1,419.88 / $1,354.44 | $1,566.34 / $1,500.90 |
| Robin with HealthPartners Health Plan | $1,648.12 / $1,582.68 | $1,458.10 / $1,392.66 | $1,604.56 / $1,539.12 |
| Security Health Plan | $1,821.98 / $1,756.54 | $1,468.50 / $1,403.06 | $1,614.96 / $1,549.52 |
| State Maintenance Plan (SMP) by Dean Health Plan | Not available | $1,662.80 / $1,597.36 | $1,809.26 / $1,743.82 |