2022 Plan Information for Wisconsin
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Disclaimer: In some cases, the enrollee share of premiums for the Self Plus One enrollment type will be higher than the Self and Family enrollment type. Enrollees who wish to cover one eligible family member are free to elect either the Self and Family or Self Plus One enrollment type. Check premiums on our website at www.opm.gov/fehbpremiums.
Nationwide Fee-for-Service Open to All
| Plan - Plan Code | Option | Enrollment Codes | Plan Brochure | Plan Brochure Download | Provider Directory | Plan Website |
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| APWU Health Plan | CDHP | 474, 475, 476 |
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Go (external link) | Go (external link) |
| APWU Health Plan | High | 471, 472, 473 |
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Go (external link) | Go (external link) |
| Blue Cross and Blue Shield Service Benefit Plan Basic Option | Basic | 111, 112, 113 |
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Go (external link) | Go (external link) |
| Blue Cross and Blue Shield Service Benefit Plan FEP Blue Focus | FEP Blue Focus | 131, 132, 133 |
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Go (external link) | Go (external link) |
| Blue Cross and Blue Shield Service Benefit Plan Standard Option | Standard | 104, 105, 106 |
Brochure Link
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Go (external link) | Go (external link) |
| GEHA Benefit Plan | High | 311, 312, 313 |
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Go (external link) | Go (external link) |
| GEHA Benefit Plan | Standard | 314, 315, 316 |
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Go (external link) | Go (external link) |
| GEHA HDHP | HDHP | 341, 342, 343 |
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Go (external link) | Go (external link) |
| GEHA Indemnity Benefit Plan | Elevate Plus | 251, 252, 253 |
Brochure Link
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Go (external link) | Go (external link) |
| GEHA Indemnity Benefit Plan | Elevate | 254, 255, 256 |
Brochure Link
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Go (external link) | Go (external link) |
| MHBP Consumer Option | HDHP | 481, 482, 483 |
Brochure Link
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Go (external link) | Go (external link) |
| MHBP Standard Option | Standard | 454, 455, 456 |
Brochure Link
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Go (external link) | Go (external link) |
| MHBP Value Plan | Value | 414, 415, 416 |
Brochure Link
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Go (external link) | Go (external link) |
| NALC Health Benefit Plan | CDHP | 324, 325, 326 |
Brochure Link
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Go (external link) | Go (external link) |
| NALC Health Benefit Plan | High | 321, 322, 323 |
Brochure Link
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Go (external link) | Go (external link) |
| NALC Health Benefit Plan | Value | KM1, KM2, KM3 |
Brochure Link
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Go (external link) | Go (external link) |
| SAMBA Health Benefit Plan | High | 441, 442, 443 |
Brochure Link
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Go (external link) | Go (external link) |
| SAMBA Health Benefit Plan | Standard | 444, 445, 446 |
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Go (external link) | Go (external link) |
Nationwide Fee-for-Service Plans Open Only to Specific Groups
| Plan - Plan Code | Option | Enrollment Codes | Plan Brochure | Plan Brochure Download | Provider Directory | Plan Website |
|---|---|---|---|---|---|---|
| Compass Rose Health Plan | High | 421, 422, 423 |
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Go (external link) | Go (external link) |
| Foreign Service Benefit Plan | High | 401, 402, 403 |
Brochure Link
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Go (external link) | Go (external link) |
| Panama Canal Area Benefit Plan | High | 431, 432, 433 |
Brochure Link
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Go (external link) | Go (external link) |
| Rural Carrier Benefit Plan | High | 381, 382, 383 |
Brochure Link
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Go (external link) | Go (external link) |
State Specific HMO, HDHP and CDHP Plans
| Plan - Plan Code | Option | Enrollment Codes | Location | Plan Brochure | Plan Brochure Download | Provider Directory | Plan Website |
|---|---|---|---|---|---|---|---|
| Aetna Advantage | Advantage | Z24,Z25,Z26; | All of Wisconsin |
Brochure Link
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Go (external link) | Go (external link) |
| Aetna Direct | CDHP | N61,N62,N63; | All of Wisconsin |
Brochure Link
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Go (external link) | Go (external link) |
| Aetna HealthFund CDHP and Aetna Value Plan | Value | JS4,JS5,JS6; | All of Wisconsin |
Brochure Link
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Go (external link) | Go (external link) |
| Aetna HealthFund CDHP and Aetna Value Plan | CDHP | JS1,JS2,JS3; | All of Wisconsin |
Brochure Link
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Go (external link) | Go (external link) |
| Aetna HealthFund HDHP | HDHP | 224,225,226; | All of Wisconsin |
Brochure Link
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Go (external link) | Go (external link) |
| Dean Health Plan, Inc. | Basic | AG1,AG2,AG3; | Focus Network - Limited to Dane, Dodge, Fond du Lac, Green, Rock and Sauk counties (also includes the WI Monroe satellite clinics in Durand, IL; Freeport, IL and Lena, IL) |
Brochure Link
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Go (external link) | Go (external link) |
| Dean Health Plan, Inc. | High | WD1,WD2,WD3; | South Central Wisconsin (Includes limited satellite clinics in IL and IA) |
Brochure Link
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Go (external link) | Go (external link) |
| Dean Health Plan, Inc. | Standard | WD4,WD5,WD6; | South Central Wisconsin (Includes limited satellite clinics in IL and IA) |
Brochure Link
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Go (external link) | Go (external link) |
| Group Health Cooperative of South Central Wisconsin | High | WJ1,WJ2,WJ3; | South Central Wisconsin |
Brochure Link
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Go (external link) | Go (external link) |
| Group Health Cooperative of South Central Wisconsin | Standard | WJ4,WJ5,WJ6; | South Central Wisconsin |
Brochure Link
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Go (external link) | Go (external link) |
| HealthPartners | Standard | V34,V35,V36; | Wisconsin - partial |
Brochure Link
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Go (external link) | Go (external link) |
| HealthPartners | High | V31,V32,V33; | Wisconsin - partial |
Brochure Link
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Go (external link) | Go (external link) |