Medicare Advantage Plans for Medicare-Enrolled Participants in the State of Wisconsin Group Health Insurance and Wisconsin Public Employer Programs

The Medicare Advantage Plans multi-award vehicle for Wisconsin provides comprehensive health insurance services for Medicare-enrolled participants in state group health insurance and public employer programs. The vehicle covers a wide range of medical services including inpatient and outpatient hospital services, preventive care, specialty medical services, and prescription drug coverage. Designed specifically for state employees, annuitants, and local government employees enrolled in Medicare Parts A and B, this contract enables participants to access a robust network of healthcare providers across Wisconsin with uniform benefits and comprehensive medical coverage.

The contract is administered by the Wisconsin Department of Employee Trust Funds, with UnitedHealthcare (Sierra Health and Life Insurance Company) serving as the prime contractor. The initial contract period runs from June 1, 2018, through December 31, 2021, with options for two additional two-year renewal periods. The vehicle covers the entire state of Wisconsin and is structured as a comprehensive health services contract, adhering to CMS Medicare Advantage regulations. Premium rates are negotiated annually, and the state retains audit rights to ensure contractor performance meets specified standards. The contract is categorized under multiple UNSPSC and NIGP codes related to medical services, claims management, and healthcare administration.