Medigap in Wisconsin

What's covered?

• The Part A coinsurance or copayment for: 
  •  Inpatient hospital care
  • Skilled nursing facility care
  • Hospice care
• 175 days of inpatient mental health care per lifetime, in addition to what Medicare covers
• 40 home health care visits, in addition to what Medicare covers
• The Part B coinsurance (generally 20% of the Medicare-approved amount) for medical costs
• 3 pints of blood each year
• Benefits that Wisconsin must offer (known as state-mandated benefits)

Note: Plans known as "50% and 25% Cost-sharing Plans" are available. These plans are similar to standardized Plans K (50%) and L (25%). A high-deductible plan is also available.

Important Plan Information

Insurance companies can add more coverage to the Medigap policy. You may choose any or all of these options to design a Medigap policy that meets your needs:

• Part A deductible
• Additional home health care (365 visits including those paid by Medicare)
• Part B deductible
• Part B excess charge
• Foreign travel emergency care
• 50% Part A deductible
• Part B copayment or coinsurance

Contact your State Insurance Department for more information on these policies. 

Next step: Learn how Medigap works