State of Wisconsin Group Health Insurance Program

Choose the area's best and broadest network

Physicians Plus in 2017 includes in-network coverage to:

  • More than 4,900 providers, in 21 counties.
  • All local providers at UnityPoint Health – Meriter* and UW Health clinics, as well as many independent provider groups.
  • 28 hospitals, including UW Hospital and Clinics, American Family Children’s Hospital, UW Health at The American Center and UnityPoint Health – Meriter Hospital in Madison.
  • Two pediatric after-hours clinics and 26 urgent care centers.
  • Referral-free care to most in-network specialty care.
  • Health and symptom information 24/7 through the MobileNurse app and NursePlus info line.

At Physicians Plus, you’re the point of everything we do. We look forward to another great year as your partner in health


2017 Physicians Plus Plan Information

Summaries of Benefits and Coverage (SBC's)     
WPE IYC Local Deductible 2017
WPE IYC Local HDHP 2017   
WPE IYC Local Health Plan 2017  
WPE IYC Local Traditional 2017  
WPE IYC State HDHP 2017
WPE IYC State Health Plan 2017

State Flier
2017 Network Provider Map

2017 Directory

Appeal Process

 

2016 Physicians Plus Plan Information

Summaries of Benefits and Coverage (SBC's)     
It's Your Choice Health Plan     
It's Your Choice High Deductible Health Plan    
It's Your Choice Local Health Plan    
It's Your Choice Local HDHP        
It's Your Choice Local Deductible
It's Your Choice Local Traditional

It's Your Choice Certificate of Coverage

Physicians Plus Provider Map 
Provider Directory

Member Handbook

Preventive Services 
Appeal Process

 

Wellness Program Information

Physicians Plus Wellness Programs*
Well Wisconsin Program*
Wellness Reimbursement Form

*Your employer is required to report health plan incentives issued to you and your enrolled family members as taxable income. Physicians Plus is required to report incentive payment information to your employer.

Health information is protected by federal privacy laws and will not be shared with your employer.


2015 Physicians Plus Plan Information

Summaries of Benefits and Coverage (SBC's)
    State Uniform Benefits 
    State HDHP
    WPE Traditional/Full Pay
    WPE Coinsurance 
    WPE Deductible
    WPE HDHP 
Uniform Glossary of Health Coverage and Medical Terms 
Physicians Plus Provider Map 
Provider Directory 
Member Handbook  
Preventive Services
Dental Plan Summary 
Appeal Process

Wellness Program Information

Physicians Plus Wellness Programs*
Well Wisconsin Program*
Wellness Reimbursement Form

*Your employer is required to report health plan incentives issued to you and your enrolled family members as taxable income. Physicians Plus is required to report incentive payment information to your employer.

Health information is protected by federal privacy laws and will not be shared with your employer.


Connect to the Department of Employees Trust Funds (ETF) 

2016 open enrollment is scheduled for October 5–30. For your convenience, here are direct links to important information from ETF.

  • Select "myETF Benefits" to choose Physicians Plus for 2016 and make changes to your current coverage including address/name changes, new enrollments and qualifying event changes.


Wellness Incentive Payments: All wellness incentive payments issued for 2015 were submitted to the Department of Employee Trust Funds (ETF)  by the submission deadline of November 1, 2015.  However, per ETF, health plans are expected to postpone November and December payments until the next tax year. These payments will be processed after January 1, 2016. Please contact ETF with any questions.


Member Service at Your Fingertips...

We are here to serve you! Send an e-mail message to our dedicated team of Member Services representatives at stateinfo@pplusic.com, who will respond to your message within 24 hours (business days only).

You can also call us at (608) 282-8900 or (800) 545-5015, 7 a.m. - 5 p.m., Monday through Friday.

Please Note: Navitus Health Solutions administers the pharmacy benefit for all State of Wisconsin Group Health Insurance program participants. Contact Navitus at (866) 333-2757 or at www.navitus.com.


Physicians Plus complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.

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*UnityHealth Point® – Meriter® is an affiliate of Iowa Health System, which does business as UnityPoint Health.