Wisconsin Physicians Service Insurance (WPS) ensures coverage for Wisconsin residents and employers top to bottom. The not-for-profit company provides managed care plans and related services to some 250,000 members under the WPS Health Insurance and Arise Health Plan brands. Group, family, and individual offerings include HMO, PPO, and high-deductible plans. WPS also administers the policies of supplemental Medicare (Part A and Part B) members across the US, as well as western region TRICARE for Life (dental and pharmacy benefit) members. Subsidiary EPIC Life Insurance provides ancillary product including life, disability, dental, and vision plans, while WPS Bank offers banking and finance services in Wisconsin.
WPS's network includes some 15,000 health care providers and 140 hospitals statewide, supported by regional offices across Wisconsin (located in Eau Claire, Green Bay, Madison, Milwaukee, and Wausau). The Aries Health Plan unit is based in Green Bay and focuses on markets in eastern and north-central Wisconsin. The company has additional administrative offices for its Medicare and TRICARE operations in other states as well.
WPS managed health plans have traditionally made up about 60% of its annual revenues, while its TRICARE and Medicaid contracts have accounted for about 40%. As a result, WPS Health Insurance's future finances will likely be impacted by the expiration of its TRICARE medical (military health insurance administration) western region contract with the US Department of Defense, which occurred in March 2013. The DOD announced that it wouldn't renew the contract (which covers about 5 million members) in mid-2012, and the company began prepared for the change through cost control efforts. Though it lost the contract for TRICARE medical plan members, it continues to administer the TRICARE for Life program, which provides dental and pharmacy benefits in the region.
WPS administers Part A and Part B Medicare programs, providing pharmacy benefits and supplemental coverage for traditional Medicare plans. Altogether, it administers claims for about 10 million Medicare members per year.
The smaller banking division provides banking for individuals and small to midsized businesses in Wisconsin. It also offers mortgage loans, business loans, and commercial real estate loans.
As a result of the impending TRICARE changes, WPS is downsizing the operations at its office in Wausau, Wisconsin. The company is also looking to expand in the commercial insurance market to replace the income that will be lost with the TRICARE contract. To boost customer loyalty, WPS Health Insurance launched a rate guarantee program for individuals and families in late 2012 to relieve uncertainty over potential future rate changes.
In addition, in 2013 the company expanded by opening a WPS Health and Wellness Center through a partnership with employer-sponsored care provider QuadMed.
WPS Health Insurance was established by the Wisconsin State Medical Society in 1946.