WPS Health Insurance

Health Insurance 101

Are You Eligible for a Special Enrollment Period?

The open enrollment period for getting health insurance has ended. However, life happens and you may encounter instances where you qualify for a special enrollment period based on a qualifying life event.

One More Way a Health Plan Saves You Money

Health insurance is a complex subject, but most people understand that the purpose of a health plan is to provide protection from the high costs of health care. But there's another way health insurance saves you money, and it's one that most people never think about.

What's a Deductible?

Deductibles are a common feature of most types of insurance, from car to home to health. But what is a deductible? Put simply, a health insurance deductible is the amount that a policyholder must pay toward his or her medical expenses before the insurance company begins to pay its share.

Is COBRA the Best Option for People Between Jobs?

It's a question many unemployed Wisconsin residents ask themselves each year: Should I continue paying for health insurance through my former employer's group health plan (COBRA or state continuation), or should I buy an individual health plan from a private insurance company?

Provider Networks Explained

One of the most basic and important concepts in the world of health care and insurance is the provider network. A provider network is made up of the doctors, hospitals, clinics, and other health care professionals and facilities that a health plan contracts with to offer services at reduced costs.

What is an HSA-qualified Health Plan and How Can It Benefit Me?

One of the fastest-growing types of health plans is the high-deductible health plan tied to a tax-free health savings account (HSA) that you own and control. These plans can lower your premium, reduce your income taxes, and help you save money for future medical expenses, tax-free. Is an HSA-qualified health plan for you? Read more to find out.

Health Insurance Terms and Definitions

Premiums. Deductibles. Coordination of Benefits. Sometimes, the language of health insurance is hard to understand. Here, you'll find plain-English definitions for 33 of the most commonly used insurance terms—to increase your health insurance I.Q. and help you make smart decisions that will benefit you and your family.

Getting the Most from Your Health Plan

Having the right health coverage is important. Yet it's only one part of an effective overall strategy for good health. Here, you'll learn proactive ways to protect your health and your family's health—from contacting WPS Member Services to gain a better understanding of your health plan, to keeping records of illnesses and medications, to wellness tips, and more.

How to Find a Preferred (In-network) Provider

The best time to find a doctor is before you really need one. Use this easy tool to find doctors that participate in your plan's provider network—saving you money and giving you prompt access to quality care.

What is an Explanation of Benefits and How Do I Read It?

Your EOB gives you information on how an insurance claim was paid. Here, we break down the anatomy of an EOB, piece by piece, to help you understand how your WPS health plan is working for you.

What Do These Codes On My Explanation of Benefits Mean?

See six of the most common claim codes that may appear on your EOB—and find out what you need to do if you see them.