Health Insurance Designed for Wisconsin Dental Practices

The WDA Association Health Plan is an exclusive member benefit available only to Wisconsin Dental Association (WDA) member dentists and their practices.

Unlike many traditional Affordable Care Act (ACA) health plans, the WDA Association Health Plan is underwritten outside of community rating. This allows participating practices to be evaluated based on their own group characteristics rather than being subject to standard ACA community-rated pricing.

For many dental practices, this can mean competitive rates, flexible plan options, and access to one of Wisconsin’s largest provider networks.

Why Practices Choose the WDA Association Health Plan

  • Exclusive benefit for WDA member practices
  • Access to the WPS Statewide Network
  • In-state and nationwide provider access
  • Preventive care covered at no cost when using in-network providers
  • Telemedicine access for general medicine, dermatology, and mental health services
  • Wellness programs and resources, including diabetes management, tobacco cessation support, and fitness discounts
  • Multiple plan options to fit a variety of budgets and employee needs

Plan Options

Choose from a variety of plan designs to fit your practice and budget.

Traditional Co-Pay and Coinsurance Plans
  • Six plan options available
  • Deductibles starting at $750
$750 individual/$1,500 family deductible with 20% coinsurance $3,750 individual/$7,500 family out of pocket
$1,500 individual/$3,000 family deductible with 20% coinsurance $5,500 individual/$11,000 family out of pocket
$2,500 individual/$5,000 family deductible with 20% coinsurance $6,500 individual/$13,000 family out of pocket
$5,000 individual/$10,000 family deductible with 20% coinsurance $8,000 individual/$16,000 family out of pocket
$7,500 individual/$15,000 family deductible with 20% coinsurance $9,000 individual/$18,000 family out of pocket
$9,200 individual/$18,400 family deductible with 0% coinsurance $9,200 individual/$18,400 family out of pocket
HSA-Qualified High Deductible Health Plans
  • Seven plan options available
  • Deductibles starting at $2,500
  • Compatible with Health Savings Accounts (HSAs)
$2,500 individual/$5,000 family deductible with 0% coinsurance $2,500 individual/$5,000 family out of pocket*
$2,500 individual/$5,000 family deductible with 20% coinsurance $5,500 individual/$11,000 family out of pocket*
$3,500 individual/$7,000 family deductible with 0% coinsurance $3,500 individual/$7,000 family out of pocket
$5,000 individual/$10,000 family deductible with 0% coinsurance $5,000 individual/$10,000 family out of pocket
$6,500 individual/$13,100 family deductible with 0% coinsurance $6,500 individual/$13,400 family out of pocket
$7,500 individual/$15,000 family deductible with 0% coinsurance $7,500 individual/$15,000 family out of pocket
$8,050 individual/$16,100 family deductible with 0% coinsurance $8,050 individual/$16,100 family out of pocket

*Non-embedded deductible. If an employee has family coverage, the family deductible must be met before the plan will pay for benefits.

Broad Provider Network

Coverage is provided through the WPS Statewide Network, one of the broadest provider networks available in Wisconsin.

Employees have access to physicians, specialists, hospitals, and healthcare facilities throughout Wisconsin and across the country.

Additional Employee Benefits Solutions

In addition to health insurance, our team can help you build a comprehensive employee benefits package tailored to your firm’s needs.

Short-Term Disability and Term Life Insurance

Through our partnership with Illinois Mutual, Wisconsin dentists and their employees have access to disability and life insurance solutions designed to help protect income and provide financial security.

Group Long-Term Disability Insurance

We partner with MGIS to offer specialized Group Long-Term Disability (LTD) coverage designed specifically for dental professionals.

Benefits may be payable when an insured can no longer perform the actual procedures they routinely performed during the previous 12 months, based on CPT, CDT, or SNOMED coding documentation.

Free HR Support Through Mineral

As a client of Professional Insurance Programs, you may have access to Mineral’s comprehensive HR platform at no additional cost.

Features include:

  • HR compliance tools
  • Employee handbook resources
  • Training and development programs
  • Access to live HR experts
Compliance and Benefits Administration Support

Special pricing is available to WICPA members for:

  • Section 125 Premium Only Plans
  • Flexible Spending Accounts (FSAs)
  • Health Savings Accounts (HSAs)
  • Health Reimbursement Arrangements (HRAs)
  • ERISA Compliance Services

Ready to Learn More?

Whether you’re reviewing your current benefits package or exploring new health insurance options, we’re here to help. Call 1-800-637-4676 or email info@profinsprog.com to speak with a member of our team today.