State of Wisconsin Group Health Insurance Program

Choose the area's best and broadest network

For 2016, Physicians Plus continues to provide the area's broadest provider network and more top-rated doctors and hospitals. Our network includes all of UW Health, including UW Hospital and Clinics, American Family Children's Hospital and UW Health at The American Center, as well as all Meriter providers and many independent practices.

Choose Physicians Plus and you get a single provider network that also includes two after-hours pediatric clinics in Madison; same-day and next-day appointments at most Meriter clinics; 26 urgent care centers; and 22 regional hospitals.

Physicians Plus doesn't require referrals for most in-network specialty care, and we coordinate your care with all providers in our network to make sure you stay healthy.

Check out this overview of all Physicians Plus has to offer.

When you choose health insurance, pick the company that has you covered. Choose Physicians Plus, because you're the point of everything we do!


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.