Individual & Family
Medical Certificate & Policy Materials for Individual & Family Plans
To view your specific benefit and copay information, you will need to log into MyChart.
Your member handbook provides information on benefits, eligibility, choosing and changing your PCP, specialty care, where to go for emergency care, and more.
Plan Choice Form
Release of Information Authorization
Electronic Funds Transfer (EFT) Authorization & Change Form
Change Form for Non-Group Members ** For Changes Only. Please use the application (above) for new enrollment.
Send the Change Form to:
Physicians Plus Insurance Corporation
2650 Novation Parkway
Madison, WI 53713
Individual & Family Plan Base Rates Effective 1/1/17
2017 Individual Health Plans
Gold-1: $35 Office Visits with $2,000 deductible and 20% Coinsurance
Gold-2: $35 Office Visits with $3,300 deductible
Gold-3: $2,500 deductible - Member only
Gold-4: $5,000 deductible - Family only
Silver-1: $40 Office Visits with $2,500 deductible and 30% Coinsurance
Silver-2: $40 Office Visits with $3,000 deductible and 20% Coinsurance
Silver-3: $25 Primary Care Physicians (PCP) Visits with $5,500 deductible
Silver-4: $25 PCP Visits with $6,000 deductible
Silver-5: $25 PCP Visits with $6,600 deductible