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May 19, 2011

Wisconsin Medicare Supplement Plans

Wisconsin, along with Massachusetts and Minnesota, are the three states that do not offer the 10 standardized Medigap plans. The principal Wisconsin Medicare Supplement insurance plan is the "Wisconsin Basic Plan." However, Wisconsin also offers versions of Medigap Plans K and L. These plans are called "50% and 75% coverage plans." A high deductible plan is also available.

Wisconsin Basic Plan

The Wisconsin Basic Plan provides the following benefits. These benefits can be expanded through the use of optional riders offered through the insurance company providing the plan.

  • Part A co-insurance costs
  • Part B co-insurance costs (typically 20% of the Medicare-approved amount for a covered medical service)
  • The first three pints of blood each year for Medicare-approved procedures
  • Part A hospice co-insurance or copayment
  • Skilled Nursing Facility co-insurance
  • An additional 175 days inpatient mental health care per lifetime beyond Original Medicare's benefits
  • An additional 40 home health care visits beyond Original Medicare's benefit
  • Outpatient mental health coverage

Optional Riders

Medicare-eligible residents in Wisconsin can add one or more of the following riders to their Wisconsin Basic Plan to extend coverage:

  • Medicare Part A deductible
  • Medicare Part B deductible
  • Foreign travel
  • Additional home health care (365 visits including those paid by Medicare)
  • Medicare Part B Excess Charges

In Wisconsin, insurance companies are allowed to offer additional riders beyond the ones listed above.

* By submitting this form, you agree that a licensed sales rep may contact you to discuss the specific types of products listed above. The sales agent that will be discussing plan options with you is either employed or contracted by a Medicare Health plan or prescription drug plan that is not the Federal government, and they may be compensated based on your enrollment in a plan. Submitting this form does NOT affect your current enrollment, nor will it enroll you in a Medicare Advantage plan, Prescription Drug Plan, or other Medicare plan. A Medicare Advantage plan is a health insurance plan provided through a private insurer and delivers Medicare Part A and Part B benefits. A Part D Drug plan is a prescription drug insurance plan provided through a private insurer and delivering Medicare Part D benefits. A Medicare Supplement plan is a health insurance plan provided by a private company that fills in the "gaps" in original Medicare coverage. By submitting this form, you acknowledge that you have read and understand PlanPrescriber's Terms and Conditions.