Medicare Supplement in Beloit Wisconsin
Beloit, WI Medicare Supplement Plans
Medicare supplements in Beloit, Wisconsin follow base plans instead of the lettered plans like other parts of the country. You can add riders to these base plans to equal or exceed the benefits offered by lettered plans. To learn more about Medicare supplement plans in Beloit, call us at 920-545-4884.
Medicare Supplement Plans in Beloit
We will walk you through all of the important details of the optional riders, but first there are a few essential requirements you should be aware of tobe eligible for a Beloit Medicare supplement plan. The first requirement is that you must be a resident of the great state of Wisconsin.
You Need Medicare Part A and B
You can not enroll in a Medicare supplement plan in Beloit without first enrolling in Origiginal Medicare part A and B. That is the second requirement and there are two different scenario’s.
- If you are receiving Social Security, your Medicare card will be mailed to you 90 days prior to your 65th birthday.
- If you are not receiving Social Security benefits, you need to contact Social Security to enroll in Original Medicare Part A and Part B.
If you decide to purchase a Medicare Supplement plan, you will continue to pay your Medicare Part B premium.
Medicare Part AHospital Insurance
Medicare can help cover the costs of hospitalization, skilled nursing care, some home health care services, and hospice care. These benefits can help alleviate the financial burden of medical expenses and provide peace of mind during difficult times.
Part A is $0 for most people
Has a “Per Period” Deductible
Medicare Part BMedical Insurance
Medicare Part B helps cover the costs of doctor visits, outpatient hospital care, and other medical services not covered by Part A. With Part B, you can choose your own doctors and other health care providers.
Part B is $134.00 per month for most
Has a small annual deductible
Medicare Supplement Enrollment Periods
You’re allowed to enroll, change, or cancel a Medicare supplement plan at any time in the state of Wisconsin. However, you might have to go through medical underwriting and could subject to a rate increase or even be denied coverage outside of an enrollment period. The most opportune time to get a Medicare supplement plan in Beloit is during your initial open enrollment period.
Medicare Supplement open enrollment period
Your Medicare supplement open enrollment period is available in one of three ways in Wisconsin:
- You are 65 and start Medicare part B
- You enroll in part B that you had on hold while on group coverage
- You were entitled to Medicare for a disability under age 65 and now turn 65
Open Enrollment time period
Your open enrollment period, starts on the first of the month when you first turn 65 (the month prior if your birthday is on the first of the month) or start part B and runs for 6 months.
It’s important to know that during Medicare’s annual enrollment period, all insurance companies are required to provide coverage to anyone who applies, regardless of health status. This means that you can shop around and compare plans without having to worry about being denied coverage.
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Medicare Supplement Guaranteed Issue Periods
Another way to get a Medicare supplement plan without having to go through underwriting in Beloit is by qualifying for a guaranteed issue enrollment period. You may qualify for this type of enrollment period under certain circumstances, such as falling within a certain age range or having recently lost other types of health coverage.
- Your Medicare Advantage plan or cost plan, no longer participates in Medicare or stops providing coverage in your area.
- You move outside of your Medicare advantage geographic service area.
- Your health plan failed to meet its contractual obligations
- Your employer plan ends your coverage
- You terminate your employer group plan to join a Medicare advantage plan and then leave the advantage plan with-in 12 months of your enrollment in the advantage plan.
- Your Medicare supplement provider ends your Medicare supplement or select plan and you are not at fault, such as the company goes bankrupt.
- You dropped your Beloit Medicare supplement plan to join a Medicare advantage plan, Medicare cost plan or a Medicare select policy for the first the time and leave the plan with-in 12 months after joining. (With this period, you will most likely need to return to the company and Medicare supplement plan you were originally on if it is available.)
- You have joined a Medicare advantage plan when you first became eligible for Medicare part A and B at age 65 and within one year of joining you leave the advantage plan.
- You have Medicare part A and B and are covered by financial assistance and lose your eligibility for assistance.
Preexisting conditions are always a concern when signing up for a new health insurance plan. It’s great to know that, with a Medicare Supplement plan, you’re guaranteed coverage and your preexisting conditions will be covered with no waiting period.
Guaranteed Issue Enrollment time period
Your open guaranteed issue enrollment period, last for no longer than 63 calendar days after your previous policy ends.
Beloit Wisconsin Medicare Supplement Insurance Plans (Medigap)
As we said earlier, Wisconsin is one of 3 states that do not follow the lettered plans. We have a base and we pick from a series of riders to match the benefits of a lettered Medicare supplement plan.
The Medicare Supplement Base
The base is the basic part of the Medicare supplement plan in Beloit and it covers the 20% or coinsurance of Part A and Part B that Medicare does not cover. The base also covers 40 home health care visits in addition to what is paid for my Medicare. and the first 3 pints of blood. To expand the coverage we add riders that cover other various gaps left by Medicare.
The Wisconsin base plan must also offer coverage for the following state mandatory benefits:
- 30 days of skilled nursing care in a skilled nursing facility, no prior hospitalization may be required and the care must meet the standards of “medically necessary.
- Kidney Disease: Must cover inpatient and outpatient expenses for dialysis, transplant or donor related services of kidney disease in an amount not less than $30,000.00 in any year. They are not required to duplicate Medicare payments for kidney disease treatment.
- Diabetes Treatments: Must cover the usual and customary expenses incurred for installation of an insulin infusion pump or other equipment or non-prescription supplies for the treatment of diabetes. Self managed services are also considered a covered expense, even if Medicare does not cover the claim.
- Chiropractic care: Coverage for the usual and customary expense for chiropractor services that meets the standards of medically necessary.
- Breast Reconstruction: Reconstruction of the affected tissue incident due to a mastectomy
For a full explanation, see our Medigap plans in Wisconsin article.
The Medicare Supplement Riders
To increase the coverage over just the base, we attache the following riders:
- Part A deductible rider (100% or 50%)
- Part B coinsurance rider: This rider actually gives you a copay at the doctor and the emergency room, but it does significantly lower the monthly premiums.
- Part B deductible rider
- Part B excess rider
- Emergency travel rider
- Home Health care rider
The Best Medicare Supplement Plan in Beloit Wisconsin
Finding the best Medicare supplement in Beloit can be tricky. Everyone’s needs and budget are different, so there’s no one-size-fits-all answer. The best way to find a supplement that meets your needs is to shop around and compare prices. Keep in mind that the cheapest option isn’t always the best value.
Plan G and Plan N are the most popular Medicare Supplement plans in Wisconsin. Plan F was the most popular plan, but it is quickly dropping in popularity due to the discontinuation of the plan and lack of availability for new enrollments in 2020. We do not recommend Plan F for new enrollees.
We highly recommend the Medicare supplemental plan G or N, with the Medicare supplement plan N being the lowest cost monthly. A very import thing about Medicare supplement Plan N in Beloit, Wisconsin is that an applicant can add the Part B excess rider which is not available in the rest of the country, making Plan N even more attractive.
There is never a fee for our services and we carry all the top rated Medicare supplement companies for Beloit and the state of Wisconsin
October 8, 2018