Plan Documents and Information
Welcome to Aspirus Health Plan. We’ve teamed up with Aspirus Health to help you get quality care and excellent service. We’re committed to serving central Wisconsin, and we’re always here to support you.
2023 Plans
Formulary (list of covered drugs)
Search Preferred Pharmacy Network
TruHearing Hearing Aid Benefit (PDF)
Dental Overview (PDF)
Dental Enrollment Form (PDF)
Online Dental Enrollment Form
Member Release of Information Form (PDF)
Statement of Representative Form (PDF)
Power of Attorney short form (PDF, external link)
Member reimbursement form (PDF)
Automatic Payment Form (PDF)
Health and Wellness Program
Quality Highlights
Mental health and substance use disorder
Medication Therapy Management (MTM) for plans with a Part D component
Enrollment Forms
Enrollment Form (PDF)
Online Enrollment Form
Enrollment Change Form (PDF)