Standardized Medicare Supplement Plans for Wisconsin
Basic Benefits - Included in all plans:
Basic Benefits - Included in all plans:
- Inpatient Hospital Care: Covers the Part A coinsurance.
- For Medicare Supplement plans, Medical Costs: Covers the Part B coinsurance (generally 20% of Medicare-approved payment amount) or copayment amount which may vary according to the service. For hospital outpatient services, the copayment amount will be paid under a prospective payment system. If this system is not used, then 20% of eligible expenses will be paid.
- Blood: Covers the first 3 pints of blood each year.
Optional Riders: Insurance companies are permitted to offer six additional riders that can be added to a Basic plan. You may choose any one of all of the riders to design a Medicare Supplement plan that meets your needs.
Mandated State Benefits under Medicare Supplement Basic Plan:
- Usual and customary expenses for chiropractic services
- Usual and customary expenses for diabetic supplies and equipment
- 30 day skilled nursing home confinement
- Kidney disease treatment for dialysis, transplantation and donor-related services with a $30,000 maximum
- Usual and customary expenses for breast reconstruction following a masectomy
- Usual and customary expenses for hospital and ambulatory surgery center charges and anesthetics for dental care
- Nervous and mental disorder and alcoholism and other drug abuse coverage
- Coverage for at least 80% of the charges for outpatient prescription drugs after a drug deductible of no more than $6,250 per calendar year