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Guide to Medicare Supplement Coverage in Wisconsin

Federal legislation established minimum standards for Medicare Supplement insurance policies for the entire country by adopting model standards developed by the National Association of Insurance Commissioners (NAIC).

Because Wisconsin (along with Massachusetts and Minnesota) had previously established strict Medicare Supplement standardization rules, the state became exempted from the national standardization requirements.

Medicare Supplement Benefits and Coverage

Wisconsin

Wisconsin

Basic Benefits

Inpatient hospital care:
Covers the Medicare Part A coinsurance

Medical costs:
covers the Medicare Part B coinsurance (generally 20% of the Medicare‑approved amount)

Blood:
covers the first 3 pints of blood each year

Part A hospice & respite cost-sharing

Plan Matrix

"x" means the item is covered at a 100%

* Except if Part B Copayment or Coinsurance Optional Rider is purchased.

** Not available to people who are newly eligible for Medicare on or after January 1, 2020

"x" means the item is covered at a 100%

* The High-deductible Plan does not cover the Part B deductible for individuals who are new to Medicare beginning on January 1, 2020. 
Under the High-deductible coverage option, beneficiaries must pay for the Medicare-covered costs up to $2,370 before the policy pays

* Not reimbursed for people who are newly eligible for Medicare on or after January 1, 2020