201​8 Uniform Medical Benefits & Schedule of Benefits

+ It’s Your Choice Health Plan
+ It’s Your Choice High Deductible Health Plan (HDHP)

Please view the Department of Employee Trust Funds' educational information about the High Deductible Health Plan (HDHP) with a Health Savings Account (HSA).

Please note, your HDHP deductible must be satisfied before any medical, dental or pharmacy claims are paid, except for routine preventive services as required by federal law.


201​​7 Uniform Medical Benefits & Schedule of Benefits

+ It’s Your Choice Health Plan
+ It’s Your Choice High Deductible Health Plan (HDHP)

Please view the Department of Employee Trust Funds' educational information about the High Deductible Health Plan (HDHP) with a Health Savings Account (HSA).

Please note, your HDHP deductible must be satisfied before any medical, dental or pharmacy claims are paid, except for routine preventive services as required by federal law.


Estimate Your Out-of-Pocket Costs
Determine costs you may incur prior to receiving health care services using the Determination of Benefits FormMyChart link. To complete the form, you will have to ask your provider for certain medical coding information including procedure codes, procedure modifiers and unit codes for the services.


 

201​​8 Pharmacy Benefits

Your pharmacy benefit is administered by Navitus Health Solutions.

  • Employer Trust Funds offers step-by-step instructions on how to use Navitus’ member tool Navi-Gate, to help determine your prescription drug costs​

 

201​​8 Uniform Dental Benefits

Delta Dental of Wisconsin is the administrator of ​the Uniform Dental Benefit. If you have questions about your dental benefits or network, please contact Delta Dental at 844.337.8383 or visit their website at ​deltadentalwi.com/state-of-wi.


Note: Your benefits are subject to eligibility and plan provisions effective at the time services are rendered.

 

Questions?

Contact ​Quartz Customer Service by sending a message.MyChart link



Unity Health Plans Insurance Corporation administers the Uniform Benefits for the State of Wisconsin and Wisconsin Public Employers Group Health Insurance program as determined by the Group Insurance Board.