What is IYC Medicare Advantage?
The IYC Medicare Advantage plan is a “passive” Preferred Provider Organization, or PPO, meaning you are not restricted to using network doctors, hospitals and other health care providers. You can see any provider that accepts Medicare and is willing to treat you and bill UnitedHealthcare.
What does IYC health plan mean?
The It's Your Choice Access Health Plan is a comprehensive health plan that provides you with freedom of choice among a broad network of hospitals and physicians in Wisconsin and nationwide. A higher level of benefits is available by using preferred or in-network providers, which are available nationwide.
What is a Medicare Plus plan?
The Medicare Plus Card offers discounts on prescription drugs, dental, vision and hearing care. To use the card, you must find a pharmacy, dentist, eye doctor or hearing doctor who will accept the card and apply the discount to your appointment or product.
What is a Medicare Select Supplement plan?
Medicare Select is a type of Medigap policy that requires insureds to use specific hospitals and in some cases specific doctors (except in an emergency) in order to be eligible for full benefits.
What is the cost of Medicare Plus?
Average Cost of Medicare Advantage Plans in Each StateStateMonthly PremiumPrescription Drug DeductibleCalifornia$48$377Colorado$49$343Connecticut$79$318Delaware$64$23946 more rows•Mar 21, 2022
What are the top 3 Medicare Advantage plans?
The Best Medicare Advantage Provider by State Local plans can be high-quality and reasonably priced. Blue Cross Blue Shield, Humana and United Healthcare earn the highest rankings among the national carriers in many states.
What are the 4 types of Medicare?
There are four parts of Medicare: Part A, Part B, Part C, and Part D.Part A provides inpatient/hospital coverage.Part B provides outpatient/medical coverage.Part C offers an alternate way to receive your Medicare benefits (see below for more information).Part D provides prescription drug coverage.
What is the most comprehensive Medicare Supplement plan?
Medicare Supplement Plan F is the most comprehensive Medicare Supplement plan available. It leaves you with 100% coverage after Medicare pays its portion. Medigap Plan F covers the Medicare Part A and Part B deductible and the Medicare Part B 20% coinsurance.
What is the difference between Medicare Select and Medicare Supplement?
A Medicare SELECT plan is a version of one of the ten standardized Medicare Supplement (Medigap) plans. They offer the same coverage benefits, but they restrict your network. Because these plans are more restrictive, they tend to be available at a lower premium than their traditional counterparts.
What is the difference between a Medicare Advantage plan and a Medicare Supplement?
Medicare Advantage and Medicare Supplement are different types of Medicare coverage. You cannot have both at the same time. Medicare Advantage bundles Part A and B often with Part D and other types of coverage. Medicare Supplement is additional coverage you can buy if you have Original Medicare Part A and B.
IYC Medicare Plus
Of all your insurance options, WEA Trust is the only one specifically created for Wisconsin public employees—state, local government and schools. We value and believe in the work state and public employees do for Wisconsin.
Enroll in WEA Trust
Ready to make the switch to WEA Trust? Simply follow the instructions below.
Enhanced Care Solutions
Our Enhanced Care Solutions change the way you live and how you interact with the healthcare system. They help you take control of your health by making healthcare easier, more convenient and affordable.
Virtual Visits by Amwell Medical Virtual Visits
See a doctor online 24/7 with WEA Trust virtual visits. In less than ten minutes, you can start a doctor visit on your smartphone, tablet or computer. Stay safe in the comfort of your own home—doctors on Amwell can treat, diagnose and prescribe to your local pharmacy.
Therapy Virtual Visits
You can see a psychologist or therapist to address common behavioral health conditions—all from the privacy of your own home. You can schedule a 45-minute video-based appointment as a more affordable and convenient option to in-person health visits and coming in 2021, you will have access to online psychiatry too.
WEA Trust Care Management
Many people with serious health circumstances often have other healthcare needs too. With our Care Management team, instead of dealing with multiple people for each concern, you have one single point of contact, your care manager.
Description
With It's Your Choice Medicare Plus, you are not bound by a network, having the freedom to see any doctor anywhere who accepts Medicare. You can even receive reimbursement worldwide for services typically covered by Medicare. This plan works with Medicare, acting as a supplement for the portion of covered services not paid by Medicare.
Provider Directory
None. This plan provides you with freedom of choice among hospitals and physicians in Wisconsin, nationwide and for travel abroad. When receiving services for non-Medicare benefits covered by this plan, please use providers from the WEA Trust Preferred Network or through our out-of-state network.
Referrals, Authorizations, Out-of-Network
Referrals and prior authorizations are not necessary under this plan as benefits only supplement approved Medicare benefits.
Mental, Behavioral Health and Substance Abuse
Medically necessary services are available when performed by licensed mental health professionals practicing within the scope of their license. Inpatient services will be limited to 120 days. No prior authorization is required for outpatient services from a network provider, except for psychiatric and neuropsychiatric testing.
24-Hour Nurseline
WEA Trust contracts with a variety of health care provider systems that offer their own nurselines. A list of those nurselines can be found at weatruststatehealthplan.com/nurseline.
Virtual Visits
With WEA Trust’s virtual service, powered by Amwell, health care is delivered to you, on your terms.
Care Outside the Service Area
IYC Medicare Plus offers health systems and providers who accept Medicare assignment both statewide and nationwide. It includes a foreign travel rider.
What is your choice access health plan?
The It's Your Choice Access Health Plan is a comprehensive health plan that provides you with freedom of choice among a broad network of hospitals and physicians in Wisconsin and nationwide. A higher level of benefits is available by using preferred or in-network providers, which are available nationwide.
What is a state maintenance plan?
State Maintenance Plan. The State Maintenance Plan, or SMP, is a health plan that offers Uniform Benefits. SMP is designed to provide a health plan option for members who live or work in areas without adequate access to in-network providers or hospitals.
How do individual Medicare plans work?
Individual plans are purchased by individuals for themselves or their family, either through an insurance company or a broker. With a group Medicare Advantage plan, the state can negotiate plan enhancements that are not available via individual Medicare Advantage plans.
What is Medicare Advantage Plan?
The IYC Medicare Advantage plan is a “passive” Preferred Provider Organization, or PPO, meaning you are not restricted to using network doctors, hospitals and other health care providers. You can see any provider that accepts Medicare and is willing to treat you and bill UnitedHealthcare. For services covered by the group health insurance program, you can continue to see your doctors if they have not opted out of Medicare and agree to see you. Both nationally and in Wisconsin, less than 1% of providers have opted out of Medicare.
Why is it important to use a United Healthcare ID card?
It is important that you use your UnitedHealthcare ID card each time you receive medical services. Because UnitedHealthcare pays all claims directly, the claims no longer go to Medicare first. By always showing your UnitedHealthcare ID card, you will ensure your claims get processed correctly, timely and accurately.
Is UnitedHealthcare a PPO?
No. This is a custom Group Medicare Advantage PPO plan designed exclusively for ETF. This plan is different and should not to be confused with individual UnitedHealthcare Medicare Advantage plans that might be available in the area.
Can I have two health insurance plans?
Yes, if you are insured under a retiree contract where one or more family participants have Medicare and one or more do not, effective January 1, 2020, your family may select up to two health plans. You may select from the following:
Does Medicare claim count towards out-of-pocket limit?
That means, when a non-Medicare member pays for a medical service, it will count towards the non-Medicare deductible and out-of-pocket limit. It will not count towards the Medicare out-of-pocket limit.
Does Navitus offer pharmacy coverage?
No. All Medicare-coordinated plan options through the group health insurance program offer the same pharmacy benefit administered by Navitus. The plans have the same formulary, in-network pharmacies, mail-order program and cost sharing. There is no coverage gap, or “donut hole” to worry about.
Description
- With It's Your Choice Medicare Plus, you are not bound by a network, having the freedom to see any doctor anywhere who accepts Medicare. You can even receive reimbursement worldwide for services typically covered by Medicare. This plan works with Medicare, acting as a supplement for the portion of covered services not paid by Medicare. IYC Medicare...
What’s New For 2021
- SilverSneakers® fitness program: This popular fitness program will continue to be included in your IYC Medicare Plus plan at no additional cost. SilverSneakers provides unlimited access to more than 16,000 fitness locations around the country—just show your WEA Trust Insurance ID card with the SilverSneakers logo. Live telehealth visits at no cost: With our always-available tele…
Provider Directory
- None. This plan provides you with freedom of choice among hospitals and physicians in Wisconsin, nationwide and for travel abroad. When receiving services for non-Medicare benefits covered by this plan, please use providers from the WEA Trust Preferred Network or through our out-of-state network. Each of those networks can be accessed at weatruststatehealthplan.com/…
Referrals, Authorizations, Out-Of-Network
- Referrals and prior authorizations are not necessary under this plan as benefits only supplement approved Medicare benefits. A list of services requiring preauthorization can be found at weatrust.com/members/preauthorization-information.
Mental, Behavioral Health and Substance Abuse
- Medically necessary services are available when performed by licensed mental health professionals practicing within the scope of their license. Inpatient services will be limited to 120 days. No prior authorization is required for outpatient services from a network provider, except for psychiatric and neuropsychiatric testing. Prior authorization is required for in-patient and transiti…
24-Hour Nurseline
- WEA Trust contracts with a variety of health care provider systems that offer their own nurselines. A list of those nurselines can be found at weatruststatehealthplan.com/nurseline.
Virtual Visits
- With WEA Trust’s virtual service, powered by Amwell, health care is delivered to you, on your terms. Use Amwell to have a video visit with a doctor or therapist on your smartphone, tablet, or computer. Providers on Amwell treat, diagnose and even prescribe—helping you feel better faster. You’ll get quality care from your own home, for a more affordable price than in-person visits. Visi…
Care Outside The Service Area
- IYC Medicare Plus offers health systems and providers who accept Medicare assignment both statewide and nationwide. It includes a foreign travel rider.