Health Care Benefits: Wisconsin
Federal law and guidance on this subject should be reviewed together with this section.
Author: Alan M. Levy, Lindner & Marsack, S.C.
Summary
- Wisconsin chose not to establish a state-based Marketplace under the Affordable Care Act. See Health Insurance Marketplaces Under the ACA.
- Same-sex marriage is legal nationwide. See Same-Sex Partner Benefits.
- Wisconsin has certain minimum benefits that are required to be included in insured health plans. See Mandated Group Health Benefits in Wisconsin.
- Group health plans must include certain maternity and dependent coverage. See Maternity and Dependent Coverage.
- Health plans that provide coverage for mastectomy must provide coverage for reconstructive breast surgery. See Reconstructive Breast Surgery.
- Group health plans must provide mental health and drug abuse parity. See Mental Health Parity.
- Group health plans must provide coverage for certain other illnesses, diseases and services. See Diabetes Coverage; Mammogram Coverage; Skilled Nursing Care.
- Group health plans that provide coverage for prescription drugs must cover contraceptives and drugs for treatment of HIV infection. See Prescription Drug Coverage.
- Employers with 50 or more employees must post a notice before discontinuing health care benefits. See Notice Requirement.
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