Health Insurance
Health insurance remains one of the most expensive and frustrating employee benefits your business offers. Since the Affordable Care Act (ACA) passed, many have experienced price increases, limited plan options, and a lack of carrier availability.
The WBA heard your concerns and is proud to announce the new WBA Association Health Plan in conjunction with The Insurance Center of Wisconsin and underwritten by WPS Health Insurance. WBA membership is required of the business owner, there is health underwriting, and health insurance must be offered to all your employees.
WBA Association Health Plan
The Right Partner and the Right Plan for Your Business - Together with WPS Health Insurance, Arise Health Plan, and Aspirus Arise, Wisconsin Builders Association members can offer employees high-quality coverage and networks, affordable plans, and a wide range of benefit choices. These plans offer:
Comprehensive, cost-effective networks locally and nationwide
Friendly, local customer service
Help managing your health care
Ethical, honest support
Flexibility of an independent health insurer
Plans start with July 1, 2018 effective dates. In addition to health insurance, when you team up with WPS Health insurance, Arise Health Plan, and Aspirus Arise, you're eligible for exclusive WBA member pricing on additional services administered by EPIC Specialty Benefits. This lets you offer employer-paid ancillary benefits, such as life, short-term disability, and long-term disability, to your employees.
Choose network options to fit your unique needs
In Wisconsin: Convenient access to thousands of health care providers, professional service locations, and hospitals throughout the state.
WPS Statewide Network
Opt for a WPS plan that offers a ROBUST NETWORK - Take advantage of health care access throughout Wisconsin, including the following providers and systems:
Aspirus Network, Inc.
Aurora Health Care
Bellin Health
Children Health System
Dean/St. Mary's/SSM Health
Froedtert & Medical College of Wisconsin
Mayo Clinic Health System
University of Wisconsin Hospital and Clinics
Download WPS Group Health Insurance Plans Summary (PDF)
For a complete list of WPS Statewide Network providers, click here and select "Find a Doctor."
Arise AboutHealth Network
Choose the narrower Arise AboutHealth network for a LOWER PREMIUM - Choose some of Wisconsin's top health care providers throughout Wisconsin:
Aspirus Network, Inc.
Aurora Health Care
Bellin Health
Children's Hospital
Gundersen Health System
Holy Family Memorial
ProHealth
ThedaCare
University of Wisconsin Hospital and Clincs
Download Arise Group Health Insurance Plans Summary (PDF)
For a complete list of AboutHealth providers, click here and select "Find a Doctor."
Aspirus Arise Network
Get the option to expand coverage with your LOCAL CHOICE - Central Wisconsin is home to the high-quality Aspirus Network, which is known for its professional, compassionate care. But we don't stop there. You can also add the AboutHealth network as a Wisconsin Wrap option to obtain coverage across more Wisconsin counties.
Download Aspirus Arise Group Health Insurance Plans Summary (PDF)
For a complete list of Aspirus Network providers, click here and select "Find a Doctor."
NOTE: Aspirus Arise markets products to individuals who reside and businesses domiciled in the blue Wisconsin counties and in Shawano County in ZIP code areas beginning with 544 only.
Blue: Aspirus Arise Network
Orange: Wisconsin Wrap Network (Also includes Aspirus Arise Network)
Coast-to-Coast Coverage
No matter which plan you choose, WPS Health Insurance, Arise Health Plan, and Aspirus Arise customers enjoy in-network benefits across the U.S.
WPS Health Insurance
In addition to First Health, WPS plans add a SelectCare Wrap that covers Minnesota, North Dakota, and South Dakota.
Click here and select "Find a Doctor."
For First Health, click here.
For Select Care, click here.
Arise Health Plan and Aspirus Arise
The First Health network covers all 49 states outside Wisconsin, including Puerto Rico.
Visit Arise Health Plan or Aspirus Arise and select "Find a Doctor"
For First Health, click here.
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.
Benefits For Your Health
Preventive Care - 100% covered when care given by preferred provider:
Routine medical exams and immunizations
Mammograms and well-baby care
Preventive screenings
The preventive services listed are covered subject to the terms and conditions set forth in your certificate. Age-appropriate screenings are set by the United States Preventive Services Task Force and are subject to change.
Prescription Drug Coverage
$0 copay on select preventive drugs for common conditions (e.g., hypertension, cholesterol, heart conditions, asthma)
Keep costs down: Lower-cost generic drugs and monitoring of specialty drug use
Home delivery service available
EyeMed Vision Care Discount(1)
FREE access for health plan customers
Save on eye care and eyewear
Thousands of locations nationwide
Customer Resources - Convenient access to benefit information, plus wellness information and tools for your best health.
Teladoc® Telehealth Services
The care you need, when you need it
Connect with a licensed physician over the phone or via video consult
Cost: FREE for a copay plan or $45 fee for the HDHP plan
Delta Dental Insurance - The most in-network providers in the state and nation:
Delta Dental PPO network: Lowest agreed-upon fees; more locations offer care than any other PPO network(2)
Delta Dental Premier: More than 90% of Wisconsin dentists belong to this network—the largest in the state(2)
More options available: orthodontic services; coverage and treatment for endodontic and non-surgical periodontic services; and maximum allowable charge reimbursement plan. Plan underwritten by Delta Dental of Wisconsin.
ExerciseRewards™ Program(3)(4) - Included with your group health plan, this program encourages employees to stay active:
$30 reward each month for visiting a fitness club 10 or more times that month
Includes large fitness chains, independently owned clubs, and YMCA/YWCA
Three ways to track: Automated reporting via 5,700 partner centers, smartphone app, or paper log
Active&Fit Direct™ Program(4) - Optional Active&Fit Direct™ program helps you complete your monthly fitness center requirement for your ExerciseRewards program rewards. It offers affordable access to more than 9,000 participating fitness centers nationwide.
Make your inititial payment of $75 (covers enrollment, your current month, your next month), plus applicable taxes, and your membership will continue at just $25 per month plus applicable taxes. After a three-month commitment, your participation is month-to-month, so you can cancel at any time.
(1)Vision discount program is not part of the insurance policy and is offered at no additional charge. Enrollment in this program is subject to contract renewal. (2)Delta Dental of Wisconsin, 2017. (3)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. (4)The Active&Fit Direct and ExerciseRewaards 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.
Contact:
Call The Insurance Center at (877) 811-8786 (hours M-F, 7:30 AM - 4:30 PM). Printable brochure available here.