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About Physicians Plus
Physicians Plus Insurance Corporation was founded in 1986 to provide health insurance to residents of the southern part of Wisconsin. Their HMO plans offer services at a range of local hospitals and clinics. They are the insurance company for Meriter-UnityPoint Health and are associated with a number of independent health systems as well.
In recent years Physicians Plus has had some struggles with losing money and membership due to issues with patient access to UW Health. Their policies regarding approval of services caused a large number of people to switch insurance companies. However, in 2014 Physicians Plus was able to restore access, and in 2015 they signed a new agreement with UW Health. Their website states they insure approximately 65,000 people currently.
While the company headquarters are located in Madison, Physicians Plus has a coverage area that extends beyond Madison to south central areas of the state. Their plans are sold direct to the public, without the middleman of an agent or broker.
Although they are a full service insurance company and not a supplemental insurer, Physicians Plus does not offer Medicare Advantage or Part D. They have one Medicare Supplement plan that falls in line with the state of Wisconsin’s specific standards. Unlike most states, Wisconsin does not use the lettered system for Medicare Supplement, but uses its own.
Physicians Plus offers their HMO Medicare Select Plan to residents in their service area who are eligible for Medicare. This plan covers all of the out-of-pocket costs that are not included with Medicare. That means that all of the deductibles and coinsurance are paid for, along with cost for blood, medical equipment, and even coverage when traveling outside the country.
As an HMO, the plan offers access to all providers within the company’s network. This now includes access to UW Health per the recent agreement. Physicians Plus also contracts with a variety of local hospitals and clinics to offer a good network of services. As with all HMOs, however, the network is still limited to these providers.
Although this plan is solid in covering everything Medicare does not, being the only plan does not give the consumer much selection. Unlike the multi-choice of lettered plans elsewhere.
The Physicians Plus website offers an easy to read chart outlining the plan rates. This chart requires no submission of personal information or quote request form to view.
Rates start at $131 for a female aged 65-69. Considering the comprehensive coverage offered by the policy, this is a reasonable rate. While we are unable to provide a comparison to rates in our usual sample location, or on a national level, the rates here do appear to be well in line with what we have seen elsewhere.
Ratings and Reviews
Physicians Plus has an A+ rating with the Better Business Bureau (BBB) and there are no complaints on file in the past three years. We do not expect a high complaint volume for a small, local insurer, but no complaints at all in three years is still surprising, and a good sign.
Among the few scattered reviews available on the company are two negative reviews on Yelp and a 3.9 out of 5 star rating on Facebook. As a small local insurance company, it’s not surprising that it is difficult to find much in the way of reviews and ratings. What we did find reflects common complaints regarding denial of claims, and a few five-star ratings without commentary to explain the reasoning.
The Bottom Line
If you live in the service area covered by Physicians Plus and have no issues with the limited network of an HMO, they do offer a good plan at a reasonable rate. However, those who prefer to deal with a large, national insurance company or access to a broader network may wish to look elsewhere.
For a list of companies that we recommend, visit our Best Insurance Companies page.