MedicareBlue SupplementSM

Plans shown here available for purchase.

  Plan A
Plan D
Plan F
High
Deductible
Plan F
Plan N
Plan Summary Basic benefits, guaranteed acceptance. Broader benefits with a lower premium. Greatest benefit package. Lowest cost option. Lower cost plan with small copays.
Features of all Wellmark MedicareBlue SupplementSM Plans
  • Blue365® Member Discounts
  • Local customer service
  • No waiting periods, even for pre-existing conditions
  • No claims filing when you see providers in Iowa or South Dakota
  • No medical exams
  • Nationwide acceptance
Part A (Hospital) Deductible

 

X

X

X

X

Part A Coinsurance          
  • Days 61-150

X

X

X

X

X

  • 365 Additional Hospital Days

X

X

X

X

X

Skilled Nursing Facility Coinsurance          
  •  Days 21-100

 

X

X

X

X

Part B (Medical) Deductible  

 

X

X

 
Part B 20% Coinsurance

X

X

X

X

X

(Except up to $20 per office visit and up to $50 per ER visit)

Part B Excess Charges    

X

X

 
Foreign Travel Emergency (after first $250 each calendar year)  

X

X

X

X

Outline of Coverage

MedicareBlue Supplement

Iowa Outline of Coverage pdf 

South Dakota Outline of Coverage pdf 

 

X indicates coverage.

 

MedicareBlue SupplementSM is a Medicare supplement insurance plan. Medicare supplement plans are specific to Wellmark Blue Cross and Blue Shield and can only be purchased by Iowa or South Dakota residents. Enrollment and coverage in a MedicareBlue Supplement Medicare supplement plan is with Wellmark Blue Cross and Blue Shield of Iowa or Wellmark Blue Cross and Blue Shield of South Dakota, independent licensees of the Blue Cross and Blue Shield Association. MedicareBlue Supplement is not connected with or endorsed by the U.S. government or the federal Medicare Program.

 

 
 
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Wellmark Blue Cross and Blue Shield is an Independent Licensee of the Blue Cross and Blue Shield Association doing business in Iowa and South Dakota.
 
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