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Facts about Wisconsin Senior Health Insurance (WI)

On average, the increase in Medicare spending in the state of Wisconsin from 1995-2004 was 7% per year, compared to the national average of 6%. This means that, every year, Wisconsin Medicare enrollees increased their medical costs $7 more for every $100 spent. While the number of Medicare beneficiaries in Wisconsin as of July 2008 is the same as the national average (15%), Wisconsin residents are outrunning the average American by 1% a year. What does this mean when a senior citizen incurs medical costs? This means that every year, he or she will be struggling 1% harder than his or her contemporaries in other states on average.

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What about Wisconsin's Coverage Gap?

The continuing contraction in senior health finances brings home the fact of the "coverage gap" in Medicare, where out-of-pocket costs begin to mount as medical bills and expenses become more frequent. Many eligible Americans turn to supplementary health policies such as Medical Advantage plans to minimize their obligations. In Wisconsin, the Medicare Advantage penetration is 20%, 1% higher than the national average of 19%.

Plans Offered in WI

To answer the demand, at least 40 Medicare Advantage plans covering part or the whole of Wisconsin are offered to the state's eligible residents. These include Medicare Advantage plans with prescription drug coverage* at no monthly premium and do not require consulting physicians in the provider network, such as:

  • Anthem Medicare Preferred Standard [H4036 - 001]
  • MedicareDirect Rx Plan 56 [H5435 - 025]
  • Today's Options PPO Complete powered by CCRx [H8172 - 005]

Sounds good, but the best choice depends mainly on what specific needs have to be addressed. The information needed for making this determination is available online, and for Medicare-approved Medicare Advantage plans.

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Providers for Medicare plans available in Wisconsin1

AARP
Advantra
Security Health Plan of Wisconsin
Aetna
Blue Cross
Community Care
Community Health Partnership
WellCare
Dean Health Plan
Evercare
Gundersen Lutheran Health Plan
HealthPartners
Humana
iCare
Care Wisconsin Health Plan
Medical Associates Clinic Health Plan of Wisconsin
Managed Health Services
Medica
National Health Insurance Coorporation
SecureHorizons
Sterling Options
HealthMarkets Care Assured
Today’s Health
Today’s Options
Ucare
UnitedHealthcare
Wisconsin Personal Care Plan

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* You may be able to get extra help to pay for your prescription drug premiums and costs. To see if you qualify for getting extra help, call:

1-800-MEDICARE (1-800-633-4227). TTY/TDD users should call 1-877-486-2048, 24 hours a day/7 days a week;

The Social Security Administration at 1-800-772-1213 between 7 a.m. and 7 p.m., Monday through Friday. TTY/TDD users should call, 1-800-325-0778; or Your State Medicaid Office


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