ADRC Benefit Specialists are your source for unbiased Medicare information.
Your Medicare Coverage Options
There are options when it comes to Medicare. This Medicare Coverage: Your Options handout is designed to provide very basic information about the Medicare options you have. Take a look. It can be confusing. If you still have questions consider taking one of our Medicare workshops. Read more about them below. Call the ADRC at (920) 448-4300.
ABCDs of Medicare, Medicare Part D Plan Finder workshops and Part D Counseling are helpful for Medicare beneficiaries, caregivers, and for individuals who help others in making Medicare choices.
If you want to learn more about Medicare basics and other insurance options, join us for this valuable session.
Call the ADRC to register (920) 448-4300
ABCDs Fall Workshop below held at:
ADRC of Brown County
300 S. Adams, Green Bay
Wednesday, December 12, 2018
9:30 - 11:30 am
Bring the Medicare & You handbook you received from Medicare to the session you attend
either ABCDs of Medicare or Medicare Part D Plan Finder.
Medicare Part D Plan Finder: Understanding Your Medicare Drug Benefit Options
A valuable workshop for persons new to Medicare Part D and those who want to learn more. It is very important to check you coverage every year as plans change, new plans are added, and some plans leave our service area. You'll learn how to use on-line Medicare tools for comparing and enrolling in the Part D.
During the workshop, you will view the Medicare.gov website and learn how to:
• Enter personal information which will take you directly to your current coverage
• Enter your current medications
• Save the drug list you have created for future use
• Select pharmacies
• Choose the types of coverage and plans that meet your needs
• Get detailed information on specific plans
• Run side-by-side comparisons for up to three plans
Call the ADRC at (920) 448-4300 to register for the workshop below
Workshops will resume in 2019
During Open Enrollment Season: October 15 - December 7 take advantage of:
Medicare Part D one on one Counseling Sessions available Call (920) 448-4300 for an appointment
Bonus! Personal assistance to create your own drug list is available after the workshop. Bring information about your medications and your laptop or tablet if you have one.
Medicare Part D Monthly Counseling Services
Many more sessions are added during Open Enrollment Call the ADRC (920) 448-4300 for an appointment
Choosing a Medicare prescription drug plan can be challenging. Take the guess work out of your decision by attending one-on-one counseling sessions with trained ADRC staff and volunteers.
Sessions offered the 4th Wednesday of every month.
Call the ADRC (920) 448-4300 to talk to a Benefit Specialist and learn about monthly counseling sessions
Here are some helpful websites and information sheets for programs that help with health care and prescription drug costs.
If you have questions, or need assistance,
call a Benefit Specialist at the ADRC of Brown County (920) 448-4300.
Your source for unbiased Medicare information.
www.medicare.gov The official medicare site. Sign up/change plans, get medicare cost and coverage information, claims, appeals, forms, and more.
Medicare Program Video in American Sign Language (ASL) - Overview of the Medicare program, what it is, who qualifies, Medicare Part A, B, C, and D, new preventive services under the Affordable Care Act, and help paying Medicare costs.
Medicare Plan Finder
Medicare Plan Finder webpage: Questions and answers about plans and how to sign up.
How to use the Medicare Plan Finder on the Medicare website - Print this guide with easy to follow directions to help you use the plan finder tool to find a Medicare Advantage Plan on the medicare. gov website.
Seniors Page for the Wisconsin Office of the Commissioner of Insurance Webpage with information to help seniors make decisions about purchasing insurance, such as Medigap or Medicare Supplemental policies, planning and paying for long-term care, and information about life insurance and annuities.
Prescription Drug Coverage
Medicare Part D webpage - Questions and answers, plan finder, and more.
Medication Transition Rights Under Medicare Part D Info Sheet - If you are losing, or have lost, coverage for your medications under a Medicare Part D Plan, you may be able to get coverage back with these new requirements. The Centers for Medicare and Medicaid Services (CMS) requires Medicare Part D prescription drug plans to provide access to transition (temporary) supplies of needed medications to avoid disruption of medication schedules, plus give adequate time to contact physicians to inquire about moving to another drug in the formulary, file a formulary exception request, or enroll in a different plan, particularly for Low Income Subsidy (LIS) recipients.
Prescription Drug Assistance Programs - Webpage has links to programs designed for people to get additional help paying for prescription drugs.
Senior Care - Wisconsin's very own prescription drug program. Site explains the plan, fact sheets, eligibility, covered drugs and more. Applications available at ADRC of Brown County (300 S. Adams Street, Green Bay). Volunteers available at ADRC the third Tuesday of the month from 1:00-2:30 p.m. to you fill out applications.
Medicare Extra Help Programs
Extra Help Social Security Program - Medicare beneficiaries can qualify for Extra Help with their Medicare prescription drug plan costs. The Extra Help is estimated to be worth about $4,000 per year. To qualify for the Extra Help, you must be receiving Medicare, have limited resources & income, and reside in one of the 50 States or the District of Columbia.
Extra Help Medicare Prescription Drug Plan Cost - This fact sheet gives more information on the Extra Help Social Security Program described above.
Medicare Savings Program - Wisconsin’s Medicaid program may be able to help pay for certain Medicare costs if you can enroll in a Medicare Savings Program. These programs are for those who receive Medicare benefits and have limited countable income & assets.
Insurance Questions Resources
What is a Medicare Supplement for? What are Medicare Advantage Plans? Do I have to take Medicare Part D, how is it different than Senior Care? Should I buy nursing home and/or long-term care insurance? Can I get help paying for insurance? What if I'm working at 65 and my employer provides insurance coverage? How do I file a complaint?
Wisconsin Medigap Helpline - Toll-Free: 1-800-242-1060
Are you on Medicare? Thinking about how you'd pay for long-term care if you needed it? Looking for unbiased information about your insurance options now that you are Medicare eligible or are approaching eligibility? The Medigap Helpline operated by the Wisconsin Board on Aging and Long Term Care is designed to help you make informed insurance decisions. On topics like:
Wisconsin Office of the Commissioner of Insurance Guides
- Medicare Supplement Insurance
- Medicare Advantage plans
- Medicare Part D plans
- Changing insurance coverage
- Quiting, retiring, or changing from a job
- Thinking about purchasing long-term care insurance
- Filing a complaint against an insurance agent
Medicare Supplement Insurance Approved Policies List - A list of approved Medicare supplement insurance policies from the Office of the Commissioner of Insurance (OCI) for the State of Wisconsin.
Wisconsin Guide to Health Insurance for People with Medicare - OCI's booklet describing the Medicare program, plus the health & prescription drug insurance available to those on Medicare.
Wisconsin Mandated Insurance Benefit Information
Medigap Policies: Wisconsin Mandated Benefits - Resource produced by the ADRC of Brown County that highlights the different benefits required by Wisconsin insurance law for those with individual Medigap policies (Medicare supplement, Medicare select, and some Medicare cost policies).
Medicare and the Healthcare Marketplace
Get answers to your questions about Medicare and the Affordable Care Act Healthcare Marketplace with this link
From Marketplace to Medicare - Get answers to frequently asked questions about Medicare and the Affordable Care Act Healthcare Marketplace. Source Greater Wisconsin Agency on Aging Resources, Inc. (GWAAR).
Fight Fraud and Scams and/or Get Help
Senior Medicare Patrol (SMP) website has valuable information about how to recognize scams and prevent fraud. SMP volunteers are concerned citizens (often retired professionals) who empower seniors to prevent healthcare fraud throught outreach and education. Go to the Wisconsin Senior Medicare Patrol website to learn about how you can help and become part of the SMP. Read the Senior Medicare Patrol Newsletter.
Take a look at these helpful publications.
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Advance Care Planning - Advance Directives
- Medicare and Advance Care Planning
If you suddenly fell ill or were injured and can't speak for yourself you may not get the care you want unless you've designated someone to speak on your behalf. This flyer explains what you need to do to assure you have the papers in place in particular what Medicare requires.
- Medicare: Part A&B Coverage Explained
Easy-to-follow chart outlining Medicare Part A & B coverages.
- Medicare Part B Enrollment
Things to do when you are considering whether you should enroll or decline your Part B Medicare benefits.
- Medigap Enrollment, Waiting Periods, Creditable Coverage
Information sheet that helps participants understand: Open Enrollment, Guaranteed Issue, Pre-Existing Condition Waiting Periods, and Creditable Coverage for WI Medicare Supplemental Insurance.
- Medicare Supplement or Advantage Plan
Explanation of how each plan differs to help you make an informed choice.
- Authorization to Disclose Personal Health Information
Use this form if you want 1-800-MEDICARE to give your personal health information to someone other than you.
- Outpatient Observation Status
Easy-to-follow document from Center for Medicare Advocacy that explains outpatient status, including how to work with your healthcare provider when you are considered "outpatient observation".
- Medicare and Home Healthcare
Booklet: Official guide that explains eligibility, what services are covered, how to find and compare home healthcare agenices, and your medicare rights.
- Your Guide to Medicare's Durable Medical Equipment Program
Booklet: Information on the new Medicare Durable Medical Equipment, Prosthetics, Orthotics, and Supplies Competitive Bidding Program. Explains who is affected by the new program, how it works and were to go for information.
- Medicare Coverage in a Skilled Nursing Facility
Booklet: This area of coverage is one of the most confusing. This comprehensive publication from Medicare.gov will help you understand Medicare's coverage benefits and limitations. 56 pages
- Medicare Coverage in Skilled Nursing Facility Flyer
Flyer explaining one of the most confusing types of coverage. This flyer will help you understand Medicare's coverage benefits and limitations.
- Medicare Hospice Benefits
Booklet: Eligibility and coverage information for Medicare hospice benefits from the Centers for Medicare & Medicaid Services
- Medicare and Current Employer Benefits
If you are eligible for Medicare, still working and covered by employer health insurance, should you take Medicare? This pamphlet answers very important questions about different employer health coverage, employment situations, and in what circumstances should you enroll or delay enrollment in Medicare.