Individual & Family Health Plans

WPS Health Plan POS Plans

Individual Health Insurance Plans for Wisconsin Residents

Medicare Supplement plans

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Medicare Supplement plans

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A Point-of-Service (POS) plan offers individuals and families in Wisconsin choices for health care. This type of managed care plan offers benefits in network plus a lower level of benefits when out of network. POS plans use a primary care practitioner (PCP) to coordinate your overall medical care. Choose from Bronze plan options.

With the WPS Individual POS Plan, you'll enjoy:
  • Comprehensive medical and hospital benefits, including telehealth services
  • Preventive care coverage with no calendar year maximums
  • Prescription drug coverage
  • The WPS Select Network of health care providers
  • Optional dental insurance through Delta Dental
HSA-Qualified High-Deductible Health Plans Available

A high-deductible health plan can save you money on your premium. When you pair this type of plan with a Health Savings Account (HSA) that you own and control, you can maximize your health care spending! An HSA acts like a personal savings account, except the money is used exclusively for medical expenses. Plus, it allows you to pay for qualified medical expenses with tax-free funds. For more information, view our HSA FAQ.

Business owner

If you are a business owner purchasing your own individual plan, complete the Declaration of Employer Status form if you wish to pay using your company or business checking account.


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.

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The Centers for Medicare & Medicaid Services require Qualified Health Plans, such as WPS Health Plan, to post a notification online explaining the necessity of rate changes.

At WPS Health Plan, we do our best to control costs and provide our customers with the best value for their money. To continue providing top-quality health plans, rate adjustments are needed from time to time.

The primary factors impacting WPS Health Plan’s premium rate changes are:

  • The continued increases in the cost of medical care and prescription drugs.
  • An increase in health care service use by consumers.
  • The elimination of the individual mandate, which is expected to increase costs of the overall risk pool as healthier consumers drop out of the health insurance market.
  • WPS Health Plan is establishing premiums for 2021 assuming the Cost Sharing Reduction benefit subsidies are not funded and therefore need to be included in the premium development. A rate decrease has also been applied assuming the Wisconsin Health Care Stability Plan will be fully funded in 2021.

Rate adjustments were made to the renewing health plans and the individual HMO and POS products as a whole. Primary changes in cost sharing were only made to maintain benefit offerings within the prescribed metal tiers.

   

  • Health Care Provider Networks

    High-quality health care providers and facilities

    Choose coverage for yourself or your family

    An individual health insurance plan from WPS provides the comfort of knowing that you’re protected so you can focus on the things that matter most to you.

    WPS Select Network
    • Coverage in 50 Wisconsin counties
    • More than 25,000 health care professional service locations
    • 165 hospitals
    First Health Network
    • Coverage in 49 states outside Wisconsin
    • More than 510,000 practitioners
    • More than 5,000 hospitals

    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.

    • Family at the clinic
  • Plan Materials

    View and download health plan information

Is your doctor in your network?