HEALTH

Medicare Supplemental Insurance — Wisconsin

Wisconsin Medicare Supplemental Insurance is currently available through State Farm®. Details about rates, quotes, coverage, policies, and benefits are listed below. State Farm has different plans to help you choose the plan to best fit your needs. Please read a brief description of the Medicare Supplemental Insurance in Wisconsin.

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State Farm Medicare Supplement insurance is designed to cover the gaps in Medicare, helping to pay deductibles and coinsurance or copayment amounts not covered by the Original Medicare Plan. Once you have a Medicare Supplement Plan, both your plan and the Original Medicare Plan help pay your covered medical expenses, lowering your out-of-pocket costs and giving you the confidence that your health insurance needs are met.

A brief description of the Plans available in your state and the coverage provided by the Plans follows.

Basic Medicare Supplement Policy

  • Part A coinsurance, plus coverage for 365 days after Medicare hospital benefits end
  • Part A inpatient mental health coverage for 175 days (lifetime) after Medicare inpatient benefits end
  • Skilled nursing facility coinsurance
  • Part B coinsurance
  • Hospice coinsurance
  • First three pints of blood each year
  • Home Care: coverage for Reasonable and Customary charges for qualified home care (up to 40 visits per 12–month period)
  • State mandated benefits that include, but are not limited to, 30 additional days of skilled nursing facility care when certified as medically necessary, preventive care ($120 per year) and diabetic self management education

Additional Benefits Available Through Rider

  • Part A inpatient hospital deductible
  • Medicare Part B excess charges — 100% of the excess charge above Medicare's reasonable charge if medical provider does not accept Medicare assignment, subject to Federal/State mandated limits
  • Additional Home Health Care–up to 365 visits in a 12–month period
  • Foreign Travel Emergency Coverage — 80% of the cost of emergency care beginning during first 60 days of each trip (after you pay the $250 deductible, subject to $50,000 lifetime maximum), if such care would have been covered by Medicare if provided in the U.S.

This policy is not connected with or endorsed by the U.S. Government or the Federal Medicare program. This information is only a general description of coverage. It is not a contract and certain exclusions and limitations apply. A complete statement of the coverages, exclusions and limitations is found only in the policy itself. Contact a State Farm agent/insurance producer for additional details.

Note:

This is a marketing tool intended for use in the sale of insurance. Completion of an application for a State Farm insurance policy will require contact with a State Farm agent/insurance producer.

In some states coverage is available if you are under age 65 and are Medicare eligible due to disability and/or kidney disease. Policy coverage's, exclusions and limitations may vary in some states. For exact terms and conditions see: Medicare Supplement Insurance Policy series 97049HWI.

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