These are four big changes to medical health insurance plans in Madison, WI.

Four Big Changes for Medical and Health Insurance Plans in Wisconsin

Many people have heard about the Affordable Care Act (ACA), but it’s hard to know what effect it may have on an average person in Wisconsin. If you get your insurance through your employer, you may not notice changes related to your medical or health insurance coverage. Each year, you’ll likely have the choice to stay with or change your medical insurance plan, just like before.


However, things have changed in ways that may benefit you whether you have coverage through your employer or an individual plan. New medical or health insurance plans generally have these specific features – 


  1. An open enrollment period.   This is a period of several months where everyone can buy or switch insurance plans. You may not sign up for an individual medical insurance plan in WI any other time unless you have a “qualifying event.” This is a change in your life that can make you eligible for a Special Enrollment Period. Qualifying life events may include moving to a new state, changes in your income, and other changes like getting married, divorced or having a baby.

  2. All ​ACA-compliant medical insurance plans generally cover certain preventive services without charging you a copay, coinsurance or deductible.

    You and your family may be eligible for screenings, vaccines, counseling and other preventive services at no out-of-pocket cost to help keep you healthy.

  3. Most people will have to have health coverage in Wisconsin or may be required to pay a fee. If you don’t have medical or health insurance in 2017, you may have to pay a hefty fee.

  4. All medical insurance plans in the individual and small group markets must offer 10 essential health benefits. There is no dollar limit on these items or services which include –
    • Preventive Services
    • Outpatient Services
    • Emergency Services
    • Inpatient Services & Hospitalization
    • Lab Tests & Services
    • Prescription Coverage
    • Maternity & Newborn Care
    • Rehabilitative Services & Devices
    • Mental Health & Addition Treatment Services
    • Pediatric Services

    Learn more about the 10 essential benefits of ​ACA-compliant health care plans in WI.


Now that you know the major changes in medical and health insurance plans in WI, it's time to find the right one for you. Browse our health plans today and get a quote online.