The Medigap Helpline

Toll-Free: 1-800-242-1060

Are you a Medicare beneficiary? Thinking about long-term care costs? Looking for objective information about your insurance options? This statewide toll-free helpline, operated by the Wisconsin Board on Aging and Long Term Care, can help you make informed insurance decisions.

Call with questions about Medicare supplement or Medigap policies. Helpline counselors can help you evaluate your current policy and clarify many issues related to employer-sponsored coverage, managed care, Medicare Advantage, open enrollment, and Medicare Savings Programs. Get answers to questions such as:

  • How does your Medigap policy compare with other Medicare supplements that are available?
  • Should you purchase an HMO or a managed care plan?
  • Can you get a policy with prescription drug coverage or protection while traveling in foreign countries?
  • If you have an employer health plan, is Medicare the primary or secondary payer?
  • Do you need Medicare Part B?
  • What types of supplement insurance are available to a Medicare beneficiary under age 65?

Call with questions about long-term care insurance. Have you ever thought about how you would pay for extended home health care, or stays in a nursing home, assisted living facility or community-based residential facility (CBRF)? There are many insurance products currently marketed in Wisconsin, including long-term care insurance, nursing home insurance, and home health care insurance. Helpline counselors can answer questions, such as:

  • What are the differences between long-term care insurance policies?
  • What factors should be considered before purchasing?
  • What are the benefits and limitations of the Medicaid or Medical Assistance (Title 19) program?
  • What are the financial safeguards for couples under Wisconsin Spousal Impoverishment Protection laws?
  • What is your liability under the Medical Assistance estate recovery law?

The Medigap Helpline also has useful booklets on Medicare supplement and long-term care insurance. Call the toll-free number to request this material.

Additional Resources

  • To file a complaint about a specific insurance company or agency, contact the Wisconsin Office of the Commissioner of Insurance at 1-800-236-8517.
  • For information about Medicare Part D and other prescription drug coverage options contact:
    • Medigap Part D and Prescription Drug Helpline (for 60 and older): 1-855-677-2783
    • Disability Drug Benefits Helpline (for Medicare beneficiaries with disabilities): 1-800-926-4862
  • For hands-on assistance with Medicare enrollment, benefit applications or appeals, contact your local Aging and Disability Resource Center (ADRC) or Aging Unit to speak with a benefit specialist.

 

State Health Insurance Assistance Programs - Local Help for People with Medicare

This project is funded, in whole or in part, by grant number 90SAPG0051-01-00 from the U. S. Administration for Community Living, Department of Health and Human Services, Washington, D. C. 20201.
Last Revised: August 11, 2017