HMO and POS Group Health Insurance Plans

Contact us for coverage advice
For groups with 2-50 employees: 800-332-1398
For groups with 50+ employees: 866-297-4977

    HMO and POS Group Plans for Wisconsin Large Businesses

    Health Plans for 50+ Employees


Let WPS help you protect your employees' health–and your business's health–with flexible and affordable group health insurance plans that make good sense for everyone.

From fully customizable group health plans to affordable and efficient administration of your self-funded plan, WPS makes managing employee health benefits easier so you can focus on the important work of running your business.

Our optional fitness and wellness programs can help your employees stay healthier, which can help control your health care costs. Choose from a variety of programs, including:

  • The Active&Fit Exercise Rewards™ program and the Active&Fit Direct™ program can help make working out at a fitness center more affordable and rewarding 1,2
  • The EyeMed Vision Care program gives your employees access to discounts on eye care and eyewear at thousands of locations nationwide2
  • Certain preventive services and medications are covered at 100% when care is received from an in-network provider3
  • Telehealth services from Teladoc® allows your employees to connect with licensed physicians by phone or video 24/7/3654
  • Express Scripts provides top-tier pharmacy benefits and service, including lower-cost generic drugs and $0 copays on select preventive drugs5
  • Hearing Care Solutions provides comprehensive hearing exams at no charge, fixed, discounted pricing at multiple levels of technology, and much more2

NCQA

Quality Improvement Program

Quality Improvement Program drives organizational improvement for excellence through efficiencies, increasing the competitive advantage, and building trust and recognition in the community to improve the health status, safety, and satisfaction of our customers.

Learn More


1The Active&Fit ExerciseRewards and Active&Fit Direct programs are provided by American Specialty Health Fitness, Inc., a subsidiary of American Specialty Health Incorporated (ASH). Active&Fit ExerciseRewards and Active&Fit Direct are trademarks of ASH. If you think you might be unable to meet a standard for a reward under this wellness program, you might qualify by different means. 2Fitness, vision, and hearing programs are not part of the insurance policy and are offered at no additional charge for membership. Enrollment in these programs is subject to contract renewal. 3Preventive services and medications, include routine exams, screenings, immunizations, specific supplements, contraceptives, and other preventive services ranked A or B by the U. S. Preventive Services Task Force. 4Fees billed by our approved telehealth provider are subject to change. 5Preventive drugs include specific supplements, contraceptives, immunizations, and other preventive drugs ranked A or B by the U. S. Preventive Services Task Force.

    WPS Small Group Health Plans

    Health Plans for 2-50 Employees


WPS small group plans are available in a range of coinsurance and copay options that meet your employees' needs and protect your bottom line. Our prescription drug benefit features tiered copayments to maximize cost efficiency and value. You can offer your employees a choice of up to four benefit designs, each with a different combination of deductibles, copays, and coinsurance. You fund the base plan, and your employees can buy up to higher-cost options if they wish. For more information, talk to an agent.

All WPS group health plans include:

  • Extraordinary network flexibility. Visit our Networks tab to learn more.
  • 100% coverage for in-network preventive care.1
  • $0 copay on select preventive medications2—See plan for details.
  • Fitness reimbursement3 lets employees earn a cash reward each month for staying active.
  • Discounts at fitness centers nationwide through Active&Fit Direct Program3.
  • Telehealth services from our approved telehealth provider.
  • Deep online health resources from educational articles and self-help tools to a comprehensive health encyclopedia.

Your choice of plan types:

  • WPS Health Plan HMO plans deliver value through easy in-network access to health care providers and a primary care practitioner to help employees coordinate their care.
  • WPS Health Plan POS plans provide versatility that allows employees to use in-network or out-of-network health care providers while still relying on a primary care practitioner to help manage their care.

HSA-Qualified High-Deductible Health Plans Available

A high-deductible health plan features a low premium and can be paired with a Health Savings Account (HSA) that lets employees budget and pay for qualified medical expenses using tax-free dollars. An HSA acts like a personal savings account, except the money is used exclusively for medical expenses. Funds roll over from year to year, and the account moves with the employee, providing a sense of security. HSAs are administered and/or maintained by a participating financial institution. WPS does not operate or administer HSAs. For more information, view our HSA FAQ.


NCQA

Quality Improvement Program

Quality Improvement Program drives organizational improvement for excellence through efficiencies, increasing the competitive advantage, and building trust and recognition in the community to improve the health status, safety, and satisfaction of our customers.

Learn More


1Preventive care services include routine exams, screenings, immunizations, and other services ranked A or B by the U.S. Preventive Services Task Force.2Preventive drugs include specific supplements, contraceptives, immunizations, and other preventive drugs ranked A or B by the U.S. Preventive Services Task Force. 3The Active&Fit Direct and ExerciseRewards programs are provided by American Specialty Health Fitness, Inc., a subsidiary of American Specialty Incorporated (ASH). Active&Fit Direct and ExerciseRewards are trademarks of ASH and used with permission herein. If you think an employee might be unable to meet a standard for a reward under this wellness program, the employee might qualify for an opportunity to earn the same reward by different means.

  • Health Care Provider Networks


    WPS Select Plus Network
    • Coverage in 50 Wisconsin counties
    • More than 7,000 health care providers
    • 49 hospitals
    • Available with WPS Health Plan health plans
    Across the U.S.—First Health Wrap
    • More than 1 million health care professional service locations
    • 6,000 hospitals
    • 130,000 ancillary facilities
    • Family at the clinic

Providers can leave or enter the network at any time. It is recommended that you check the network status of your provider on a regular basis.

  • Plan Materials

    View and download health plan information

   

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