Choose from two medical plan options: Wisconsin Freedom Basic or Wisconsin Freedom Balance. Prescription drug coverage is available with Wisconsin Freedom Balance. There are no dental coverage options offered with either plan.
|
|
Freedom Wisconsin Basic (Cost) |
Freedom Wisconsin Balance (Cost) |
|---|---|---|
Monthly premium |
$63 | $187 |
Monthly premium with Rx |
Rx not offered | $219.20 |
Routine physical exams and preventive care |
$0 copay (100% covered) | |
Primary care doctor or specialist |
20% of the cost | $15 copay |
virtuwell®24/7 online clinic |
First five virtuwell visits are free! After that, member pays no more than $40 per visit. What is virtuwell? |
|
Hospital |
You pay $600 per benefit period | You pay $150 per benefit period |
Durable medical equipment |
20% of the cost | 20% of the cost |
Emergency room |
You pay $100 per visit. | You pay $65 per visit. |
Travel coverage |
Coverage for up to 9 months within the U.S. Just call Member Services to activate! More about the Extended Absence Benefit. |
|
Hearing services |
Annual routine check not covered. 20% of the cost for diagnostic exams. Hearing aid discounts of up to 30 percent. | $0 copay for annual routine check. $15 copay for diagnostic exams. Hearing aid discounts of up to 30 percent. |
Optional supplemental dental |
Not offered | |
Fitness |
You have access to Healthy Discounts (this link will take you away from the HealthPartners Medicare website) at more than 40 local and national retailers | |
The benefit information provided is a brief summary, not a complete description of benefits. For more information contact the plan. Benefits, formulary, pharmacy network, premiums and/or copayments may change on January 1 of each year. You must continue to pay your Medicare Part B premium.
Certain diabetic supplies, including blood glucose testing products, are limited to specific manufacturers. For more information, please call Member Services.