The Medicare & Medicaid Center

Wisconsin, like a few other states, has made a couple of adjustments to their Medigap regulations to assist people who might need the coverage.  These regulations are put in place to ensure that the state is doing its best to protect the individuals that rely on Medicare coverage every day.  Remember, these are regulations for those that provide Medigap (Medicare Supplement Insurance) coverage, not Medicare coverage.

First of all, you should know that the first three pints of blood that you may need in a given year will be covered by your Medigap policy.  This could be a concern for you if you have spent a decent amount of time in the hospital and you should be aware of the benefits.  Also, your Medicare Part A Hospice coinsurance or copayment will be covered by your Medigap policy if you happen to purchase one in the state of Wisconsin.

The other basic benefits that are required due to Wisconsin’s statutes have to do with the care you may receive if you have a medical procedure done.  First, your Part A coinsurance for inpatient hospital stays will be covered in your supplemental policy.  Additionally, your Part B coinsurance (which is generally 20% of the Medicare approved amount) will be covered by your Medigap policy in Wisconsin.