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
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
- 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)
No matter which plan you choose, WPS Health Insurance, Arise Health Plan, and Aspirus Arise customers enjoy in-network benefits across the U.S.
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.