Click here to skip navigation
An official website of the United States Government.
Skip Navigation

In This Section

    Healthcare Plan Information

    2016 Plan Information for Wisconsin

    Choose a State, Employee Type, & Payment Period  

    Click to view Plan Information for this state
    State Specific Rates
    Contract Enrollment Code Employee Type Option/Enrollment Type Payment Period Employee Payment
    Aetna Direct N61 Non-Postal CDHP Self Monthly $118.33
    Aetna Direct N62 Non-Postal CDHP Self & Family Monthly $298.42
    Aetna Direct N63 Non-Postal CDHP Self Plus One Monthly $259.50
    Aetna HealthFund CDHP and Value Plan JS1 Non-Postal CDHP Self Monthly $412.06
    Aetna HealthFund CDHP and Value Plan JS2 Non-Postal CDHP Self & Family Monthly $934.70
    Aetna HealthFund CDHP and Value Plan JS3 Non-Postal CDHP Self Plus One Monthly $974.50
    Aetna HealthFund CDHP and Value Plan JS4 Non-Postal Basic Self Monthly $190.54
    Aetna HealthFund CDHP and Value Plan JS5 Non-Postal Basic Self & Family Monthly $431.94
    Aetna HealthFund CDHP and Value Plan JS6 Non-Postal Basic Self Plus One Monthly $476.71
    Aetna HealthFund HDHP 224 Non-Postal HDHP Self Monthly $130.08
    Aetna HealthFund HDHP 225 Non-Postal HDHP Self & Family Monthly $286.94
    Aetna HealthFund HDHP 226 Non-Postal HDHP Self Plus One Monthly $281.31
    Aetna Whole Health F71 Non-Postal Basic Self Monthly $114.64
    Aetna Whole Health F72 Non-Postal Basic Self & Family Monthly $317.20
    Aetna Whole Health F73 Non-Postal Basic Self Plus One Monthly $314.07
    Dean Health Plan WD1 Non-Postal High Self Monthly $380.14
    Dean Health Plan WD2 Non-Postal High Self & Family Monthly $879.25
    Dean Health Plan WD3 Non-Postal High Self Plus One Monthly $770.31
    Dean Health Plan WD4 Non-Postal Standard Self Monthly $146.41
    Dean Health Plan WD5 Non-Postal Standard Self & Family Monthly $351.38
    Dean Health Plan WD6 Non-Postal Standard Self Plus One Monthly $322.10
    Group Health Cooperative WJ1 Non-Postal High Self Monthly $178.77
    Group Health Cooperative WJ2 Non-Postal High Self & Family Monthly $852.00
    Group Health Cooperative WJ3 Non-Postal High Self Plus One Monthly $317.33
    HealthPartners High and Standard Option V31 Non-Postal High Self Monthly $221.50
    HealthPartners High and Standard Option V32 Non-Postal High Self & Family Monthly $607.29
    HealthPartners High and Standard Option V33 Non-Postal High Self Plus One Monthly $512.31
    HealthPartners High and Standard Option V34 Non-Postal Standard Self Monthly $97.08
    HealthPartners High and Standard Option V35 Non-Postal Standard Self & Family Monthly $236.50
    HealthPartners High and Standard Option V36 Non-Postal Standard Self Plus One Monthly $214.55
    MercyCare HMO EY1 Non-Postal High Self Monthly $199.86
    MercyCare HMO EY2 Non-Postal High Self & Family Monthly $928.07
    MercyCare HMO EY3 Non-Postal High Self Plus One Monthly $331.08
    Physicians Plus LW1 Non-Postal High Self Monthly $194.63
    Physicians Plus LW2 Non-Postal High Self & Family Monthly $615.50
    Physicians Plus LW3 Non-Postal High Self Plus One Monthly $572.19
    Physicians Plus LW4 Non-Postal Standard Self Monthly $145.52
    Physicians Plus LW5 Non-Postal Standard Self & Family Monthly $424.77
    Physicians Plus LW6 Non-Postal Standard Self Plus One Monthly $393.16
    Control Panel