Medicare Supplement Plan Details

We have 4 Medicare plans available in your area for 2018

Product Details

Plan Information
Premium	$45
Issuer	WPS \| Healthcare Insurance
Plan Type	Medicare Supplement

RIDERS
Part A Deductible:	Select
Part B Deductible	select
Part B Excess charges	select
Foreign Travel Rider	select

HOSPITALIZATION	COST
Hospitalization (First 60 days)	You Pay: $0
Hospitalization (days 61-90)	You Pay: $0
Hospitalization (days 91 and after)	While using 60 lifetime reserve days: You pay $0 a day Once lifetime reserve days are used - Additional 365 days: You pay $0 - Beyond the additional 365 days: You pay all costs

SKILLED NURSING FACILITY	COST
Skilled Nursing Facility Care (First 20 days)	You Pay: $0
Skilled Nursing Facility Care (days 21-100)	You Pay: $0
Skilled Nursing Facility Care (days 101 and after)	You Pay: All costs

MEDICARE PART B	COST
Medicare Part B Deductible	You Pay: $0
Medicare Part B Coinsurance	The plan pays the $183 Part B Deductible and then the plan pays the remainder of Medicare Approved Amount - Generally 20%
Medicare Part B Copayment	N/A
Medicare Part B Excess Charges	You Pay: $0

BLOOD	COST
Blood (Part A Services) - Amounts over first three pints	You Pay: $0
Blood (Part B Services) - First three pints	You Pay: $0
Blood (Part B Services) - Additional pints	You Pay: $0

OTHER BENEFITS	COVERED
Physician Choice	Yes
Prescription Drugs	Not Covered

Additional Document
Plan Brochure
SBC

Requested Effective Date

Zip Code

County

Part A Deductible:

Part B Deductible

Part B Excess charges

Foreign Travel Rider:

Individual	Tobacco User	Gender	Date of Birth	Included in Coverage
parent	select	gender	Select date	No
parent	select	gender	Select date	No

Requested Effective Date

Zip Code

County

Part A Deductible:

Part B Deductible

Part B Excess charges

Foreign Travel Rider:

Individual	Tobacco User	Gender	Date of Birth	Included in Coverage
parents	gender	gender	select date	No
parent	select	Gender	select date	select