2017 Plan Information for Wisconsin
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Disclaimer: In some cases, the enrollee share of premiums for the Self Plus One enrollment type will be higher than the Self and Family enrollment type. Enrollees who wish to cover one eligible family member are free to elect either the Self and Family or Self Plus One enrollment type. Check premiums on our website at www.opm.gov/fehbpremiums.
Nationwide Fee-for-Service Open to All
| Plan - Plan Code | Option | Enrollment Codes | Plan Brochure | Plan Brochure Download | Provider Directory | Plan Website |
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| APWU Health Plan | High | 471, 472, 473 |
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Go (external link) | Go (external link) |
| APWU Health Plan | CDHP | 474, 475, 476 |
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Go (external link) | Go (external link) |
| Blue Cross and Blue Shield Service Benefit Plan | Standard | 104, 105, 106 |
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Go (external link) | Go (external link) |
| Blue Cross and Blue Shield Service Benefit Plan | Basic | 111, 112, 113 |
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Go (external link) | Go (external link) |
| Compass Rose Health Plan | High | 421, 422, 423 |
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Go (external link) | Go (external link) |
| GEHA Benefit Plan | High | 311, 312, 313 |
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Go (external link) | Go (external link) |
| GEHA Benefit Plan | Standard | 314, 315, 316 |
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Go (external link) | Go (external link) |
| GEHA High Deductible Health Plan | HDHP | 341, 342, 343 |
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Go (external link) | Go (external link) |
| MHBP - Consumer Option | HDHP | 481, 482, 483 |
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Go (external link) | Go (external link) |
| MHBP - Std | Standard | 454, 455, 456 |
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Go (external link) | Go (external link) |
| MHBP - Value Plan | Value | 414, 415, 416 |
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Go (external link) | Go (external link) |
| NALC | CDHP | 324, 325, 326 |
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Go (external link) | Go (external link) |
| NALC | High | 321, 322, 323 |
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Go (external link) | Go (external link) |
| NALC Value Option | Value | KM1, KM2, KM3 |
Brochure Link
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Go (external link) | Go (external link) |
| SAMBA | High | 441, 442, 443 |
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Go (external link) | Go (external link) |
| SAMBA | Standard | 444, 445, 446 |
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Go (external link) | Go (external link) |
Nationwide Fee-for-Service Plans Open Only to Specific Groups
| Plan - Plan Code | Option | Enrollment Codes | Plan Brochure | Plan Brochure Download | Provider Directory | Plan Website |
|---|---|---|---|---|---|---|
| Foreign Service Benefit Plan | High | 401, 402, 403 |
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Go (external link) | Go (external link) |
| Panama Canal Area Benefit Plan | High | 431, 432, 433 |
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Go (external link) | Go (external link) |
| Rural Carrier Benefit Plan | High | 381, 382, 383 |
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Go (external link) | Go (external link) |
State Specific HMO, HDHP and CDHP Plans
| Plan - Plan Code | Option | Enrollment Codes | Location | Plan Brochure | Plan Brochure Download | Provider Directory | Plan Website |
|---|---|---|---|---|---|---|---|
| Aetna Direct | CDHP | N61,N62,N63; | All of Wisconsin |
Brochure Link
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Go (external link) | Go (external link) |
| Aetna HealthFund CDHP and Value Plan | CDHP | JS1,JS2,JS3; | All of Wisconsin |
Brochure Link
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Go (external link) | Go (external link) |
| Aetna HealthFund CDHP and Value Plan | Value | JS4,JS5,JS6; | All of Wisconsin |
Brochure Link
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Go (external link) | Go (external link) |
| Aetna HealthFund HDHP | HDHP | 224,225,226; | All of Wisconsin |
Brochure Link
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Go (external link) | Go (external link) |
| Aetna Whole Health | Basic | F71,F72,F73; | Milwaukee, WI area |
Brochure Link
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Go (external link) | Go (external link) |
| Dean Health Plan | Standard | WD4,WD5,WD6; | South Central Wisconsin |
Brochure Link
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Go (external link) | Go (external link) |
| Dean Health Plan | High | WD1,WD2,WD3; | South Central Wisconsin |
Brochure Link
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Go (external link) | Go (external link) |
| Group Health Cooperative | High | WJ1,WJ2,WJ3; | South Central Wisconsin |
Brochure Link
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Go (external link) | Go (external link) |
| HealthPartners High and Standard Option | Standard | V34,V35,V36; | Western Wisconsin |
Brochure Link
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Go (external link) | Go (external link) |
| HealthPartners High and Standard Option | High | V31,V32,V33; | Western Wisconsin |
Brochure Link
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Go (external link) | Go (external link) |
| MercyCare HMO | High | EY1,EY2,EY3; | South Central Wisconsin : Rock, Walworth and Jefferson |
Brochure Link
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Go (external link) | Go (external link) |
| Physicians Plus | Standard | LW4,LW5,LW6; | South Central Counties in Wisconsin |
Brochure Link
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Go (external link) | Go (external link) |
| Physicians Plus | High | LW1,LW2,LW3; | South Central Counties in Wisconsin |
Brochure Link
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Go (external link) | Go (external link) |