One health plan will have a name change for 2027:
Employees do not need to make an election to stay in these plans that have name changes.
Non High Deductible Health Plan changes:
The annual medical deductible for the non_HDHP and Access Plans has increased to comply with federal requirements.
Emergency Room co-pays will now be $125.00
High Deductible Health Plan changes:
The annual medical deductible for the HDHP and Access HDHP plans has increased to comply with federal requirements.
Individual increased to $2,000
Family increased to $4,000
The out-of-pocket limit has increased to $1,400 for an individual; $2,800 for a family.
Emergency Room co-pays will now be $125.00
Medical Benefit Changes:
An initial 50 total visits will continue to be allowed each year for physical, occupational, and speech therapy combined. New for 2027, if medically necessary, 50 additional visits for all therapies combined will be covered.
Up to three daytime garments for each affected body part every six months and two nighttime garments every two years covered for lymphedema compression garments.
Laser hair removal to treat hidradenitis suppurativa is now covered.
Specialized contact lenses covered to treat degenerative eye diseases for members ages 18 and younger.
Pharmacy Benefits Changes:
- Level 1 copays are increasing to a maximum of $10.
- Level 2 copays are increasing to 25% with a $60 maximum.
- Level 3 copays are increasing to 45% with a $175 maximum.
- Level 4 copays are increasing to $60.
- There will be a new level on the pharmacy formulary for anti-obesity medications (AOMs) only with a copay of $200.
- The new out-of-pocket limit for all pharmacy levels will be $1,325 for individual; $2,650 for family.
University of Wisconsin (UW) Health Pharmacy will become a preferred mail-order pharmacy starting January 1, 2027. UW Health Pharmacy joins Costco Mail Order Pharmacy as a preferred mail-order pharmacy. In 2027, members will be able to fill prescriptions through both mail order pharmacies and receive a 3-month supply of their prescription for 2 copayments on many drugs.