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Open Enrollment / Eligibility Verification Information

Please Note!

Open enrollment is the period each fall when enrollees may switch plans for coverage that will begin January 1 of the following year.

You must already be enrolled in WSHIP to participate in this process.

To assist you with lost or misplaced forms or the entire packet,
please locate your plan by clicking on the links below.

If you require assistance, please reach out to WSHIP customer service at 1-800-877-5187.

 

2023 Notices, Premium Rates, Plan Summaries, and Forms

Non-Medicare Plans (Preferred Provider and HSA)
2023 Open Enrollment Notice
2023 Non-Medicare Rates
2023 Non-Medicare Eligibility Verification Form - (MUST be returned by December 15th)
2023 Non-Medicare Plan Change Form
2023 Non-Medicare Comparison Chart
2023 Non-Medicare Preferred Provider Plan Summary
2023 HSA Preferred Provider Plan Summary

Click here for a printable/viewable copy of the entire open enrollment packet that was mailed to you. The documents listed above are included in this packet.

Medicare Basic Plan
2023 Medicare Basic Open Enrollment Notice
2023 Medicare Basic Rates
2023 Medical Supplement Plan Premium Rates
2023 Medicare Basic Eligibility Verification Form - (MUST be returned by December 15th)
2023 Medicare Basic Summary of Benefits
2023 Medical Supplement Summary of Benefits

Click here for a printable/viewable copy of the entire open enrollment packet that was mailed to you. The documents listed above are included in this packet.

Medicare Basic PLUS Plan
2023 Medicare Basic PLUS Open Enrollment Notice
2023 Medicare Basic PLUS Rates
2023 Medical Supplement Plan Premium Rates
2023 Eligibility Verification Form - (MUST be returned by December 15th)
2023 Medicare Basic PLUS Summary of Benefits
2023 Medical Supplement Summary of Benefits

Click here for a printable/viewable copy of the entire open enrollment packet that was mailed to you. The documents listed above are included in this packet.

Medicare Medical Supplement Plan
2023 Medicare Medical Supplement Open Enrollment Notice
2023 Medicare Medical Supplement Rates
2023 Eligibility Verification Form - (MUST be returned by December 15th)
2023 Medicare Medical Supplement Summary of Benefits

Click here for a printable/viewable copy of the entire open enrollment packet that was mailed to you. The documents listed above are included in this packet.