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Medicare Coverage, Enrollment Process, Exclusions, Available Options, and associated Costs under WPS

Medicare Coverage, Sign-up Process, Exclusions, Available Plans, and Associated Expenses under WPS

Medicare Coverage, Enrollment Process, Exceptions, Available Options, and Associated Expenses under...
Medicare Coverage, Enrollment Process, Exceptions, Available Options, and Associated Expenses under the WPS Program

Medicare Coverage, Enrollment Process, Exclusions, Available Options, and associated Costs under WPS

WPS Offers Enhanced Medicare Supplement Plans in Wisconsin

Wisconsin Physicians Service (WPS), a not-for-profit corporation based in Madison, Wisconsin, is offering Medicare Supplement (Medigap) plans tailored for Wisconsin residents. These plans provide more extra benefits compared to other companies, making them a popular choice among seniors in the state.

Supplement Insurance Options by WPS in Wisconsin

WPS offers Medicare Supplement plans with an average monthly cost of around $133 in 2025, which is slightly above the base rate offered by competitors like Mutual of Omaha ($122 per month). The plans come with additional benefits, making them distinct among the Medicare Supplement options in Wisconsin.

Apart from Medicare Supplement plans, WPS also provides Short-Term Medical plans with a $1 million maximum coverage and access to a large provider network within the state.

Costs and Comparison

| Aspect | WPS Wisconsin (Medigap) | Mutual of Omaha Wisconsin (Medigap) | |----------------------|------------------------------------|-------------------------------------| | Average Monthly Cost | ~$133 | ~$122 | | Plan Benefits | Extra benefits beyond base coverage | Base plan with fewer additional benefits | | Customer Satisfaction| 4.0 out of 5.0 | 4.5 out of 5.0 | | Other Plans Offered | Short-term medical with large network | High-deductible Medigap plans |

WPS's supplement plans in Wisconsin are priced roughly 10% higher than the leading base plan but compensate for this with extra benefits.

Enrollment Processes and Differences from Other States

WPS is primarily a Wisconsin-based health insurer and focuses its Medicare Supplement and Short-Term Medical products within the state. There is no specific information indicating that WPS offers identical supplement insurance plans in other states or that their enrollment process differs substantially by state.

However, the emphasis on large provider networks and additional benefits suggests WPS tailors plans for Wisconsin residents, possibly restricting availability or variations outside Wisconsin. Since WPS is headquartered and regionally focused in Wisconsin, enrollment for supplement plans outside Wisconsin might not be available or may significantly differ in terms of network access and plan offerings (though exact details by state are not available from the search results).

Additional Benefits of WPS Medigap Plans

WPS Medigap plans come with several added benefits, such as:

  • Rider 1 allows WPS to pay either 100% or 50% of the Part A deductible during the first 60 days of hospitalization.
  • Rider 3 covers the difference between a healthcare provider's charges and the amount Medicare approves for their services if the provider does not accept Medicare assignment.
  • WPS Medigap plans also include access to the EyeMed Vision Care program, offering savings on eyeglasses, contact lenses, eye exams, and laser vision correction at no extra cost.

Costs of WPS Medigap Plans

The cost of WPS Medigap plans depends on a person's age, location, and coverage level. The chart provided shows area 3 (most of Wisconsin) costs for three age groups, effective from January 1, 2025.

Optional Coverage

Optional Delta Dental coverage is available for an extra monthly cost of $55.31, providing access to various dental services with an annual maximum benefit of $1,200 per person.

If you require information about WPS supplement insurance options explicitly outside Wisconsin or detailed enrollment steps for other states, that information may not be readily available and may require contacting WPS directly or checking state-specific insurance resources.

  1. Wisconsin Physicians Service (WPS) provides Medicare Supplement plans with additional benefits, making them a popular choice among seniors in Wisconsin. (health, medicare, healthinsurance, benefits)
  2. In comparison to Mutual of Omaha, WPS's Medicare Supplement plans are priced slightly higher but offer extra benefits. (health, medicine, finance, comparison)
  3. Apart from Medicare Supplement plans, WPS also offers Short-Term Medical plans with a large provider network within Wisconsin. (health, healthorganizations, medical-conditions, health-and-wellness)
  4. WPS provides Rider 1 and Rider 3 benefits that cover Part A deductibles and the difference between healthcare provider charges and approved Medicare amounts. (health, science, medical-conditions)
  5. WPS Medigap plans include access to the EyeMed Vision Care program, offering savings on eyeglasses, contact lenses, eye exams, and laser vision correction at no extra cost. (health, health-and-wellness, science)

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