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Wisconsin Medicare Supplement Plans

Wisconsin is unique in their Medicare Supplement offerings. They do not offer the same Standardized plans that are available in most states. Instead, Wisconsin offers a “Basic Plan” with the ability to add on additional coverage riders.

Basic Plan

  • Out-of-Pocket Costs under this plan:
    • Part A Inpatient Hospital Deductible
    • Part B Deductible
    • Part B Excess (“Reasonable and Customary”)
      • Providers are allowed to charge up to 15% more than the Medicare allowable rates for their services.

Available Riders to add to Basic Plan

  • Part A deductible
    • Covers the Part A deductible at 100%
  • Part B deductible
    • Covers the Part B outpatient deductible at 100%
    • Only available if Medicare eligible before 1/1/2020
  • Part B excess charge
    • Covers the 15% Medicare Excess charge
  • Foreign travel emergency care
  • Part B copayment or coinsurance
    • This rider reduces your Part B coverage
    • Instead of having Part B co-insurance paid at 100%, you agree to pay $20 co-pay for Dr’s office visit and $50 for emergency room visit
  • Additional home health care
    • Covers an additional of 365 days of home health care

High Deductible Plan 

  • Out of Pocket Costs under this plan:
    • This plan caps your Medicare eligible out of pocket expenses at $2,800/calendar year (in 2024). 
    • You will have Original Medicare coverage only until you have hit the out of pocket cap, then this plan pays 100% of your Medicare eligible expenses for the remainder of the calendar year.
    • You cannot add any riders to this plan

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