Medicare Supplement Insurance — Wisconsin

State Farm Medicare Supplement insurance is designed to cover the gaps in Medicare, helping to pay deductibles, coinsurance and copayment amounts not covered by Medicare. Once you have a Medicare Supplement plan, both your plan and Medicare help pay your covered medical expenses, lowering your out-of-pocket costs and giving you the confidence that your health insurance needs are met.

Basic Medicare Supplement Policy

• Part A coinsurance, plus coverage for 365 days after Medicare hospital benefits end
• Part A inpatient mental health coverage for 175 days (lifetime) after Medicare inpatient benefits end
• Skilled nursing facility coinsurance
• Part B coinsurance
• Hospice care coinsurance
• First three (3) pints of blood each year
• Home Care: coverage for the usual and customary charges for qualified home care (up to 40 visits per 12–month period)
• State mandated benefits that include, but are not limited to, 30 additional days of skilled nursing facility care when certified as medically necessary, preventive care ($150 per year) and diabetic self-management education

Additional Benefits Available Through Rider

• Part A inpatient hospital deductible
• Medicare Part B excess charges — 100% of the excess charge above Medicare's reasonable charge if medical provider does not accept Medicare assignment, subject to Federal/State mandated limits
• Additional home health care — up to 365 visits in a 12–month period
• Foreign travel emergency coverage — 80% of the cost of emergency care beginning during first 60 days of each trip (after you pay the $250 deductible, subject to $50,000 lifetime maximum), if such care would have been covered by Medicare if provided in the U.S.