Insurance plan information

Get the most out of your health insurance plan

Aspirus Health Plan believes in giving you all the information you need to make a sound decision. Whether you are choosing a plan and need to see the fine details, requesting information on behalf of a family member, or filing a claim, we are your resource. The plan options below will connect to your insurance plan documents.

What you will find in the charts

Certificate/Contract – This is the legal contract between you and Aspirus Health Plan. It includes the details about your insurance plan.

Plan Summary – High level chart that shows the deductible, coinsurance, out-of-pocket and much more for all plan offerings.

Summary of Benefits (SBC) – An easy-to-read version of your plan that can be used to compare plans. The Certificate/Contract and Plan Summary will give a “detailed version” of same information.

Questions? Contact member services at 866.631.5404

Insurance plan documents

To find your insurance plan documents, choose the option that describes you best

I have a Small Group Health Maintenance Organization (HMO) plan

I have a Small Group Point-of-Service (POS) plan

I have a Large Group, Level Funded or Self-Funded Plan

To access your benefit details contact your employer for a copy of your Summary of Benefits (SBC), Certificate of Coverage/Contract or your Summary Plan Description (SPD)

Wisconsin Employee Trust Funds (ETF) plan