Medicare

ADRC: Your Unbiased Medicare Expert

ADRC is your source for unbiased, up-to-date Medicare information.

  • Serving residents of Brown County
  • We are not insurance agents
  • We are not affiliated with any insurance company

Click the “Request Your Medicare Plan Comparison” button below to electronically submit your information and request for services. If you would prefer to talk to ADRC staff over the phone, call us (920) 448-4300.

Take action.

See what plan is right for you.

Looking to compare plans on your own?

Watch this educational video below to learn how to use the Medicare Plan Finder tool found here: www.medicare.gov.

We Take the Mystery out of Medicare

Medicare is complicated. ADRC staff and specially trained volunteers are here to answer your questions and take the mystery out of Medicare. Below are a few sample questions.

I’m 65 still working and have coverage with my employer, am I required to sign-up for Medicare?
Not everyone who is turning 65 or who is eligible for Medicare due to disability payments may be required to enroll in Medicare. Call us to talk about your individual situation.
I am about to turn 65 and am getting a lot of mail from insurance companies.

There are many Medicare health plans to choose from. ADRC does not sell insurance. We do provide unbiased information about your Medicare options.

Attending one of our Medicare workshops (see below) provided monthly throughout the year will help you understand how Medicare works so you can make an informed decision about the plan that will work best for you.

Do I have choice in selecting Medicare coverage options?

Medicare coverage options can be confusing. This very basic Medicare Coverage: Your Options Chart illustrates your options. Need more help? Contact ADRC to discuss our services and find out how we can help.

My Medicare coverage is expensive, is there a way to save money?

Medicare can be very costly. Are you on the plan that is best for you? Contact ADRC to discuss your options.

What does Medicare Cover?

Download this Medicare Chart to learn which benefits are covered under original Medicare Part A and Part B. You can see if your particular test, item, or service is covered under original Medicare by going to www.medicare.gov/coverage.

Medicare Updates

10/07/2024 | Medicare Rights Center

Dear Marci:

My doctor mentioned that she might want me to try a new medication next year, but I don’t think my current Part D plan will cover it. How do I switch to a plan that will cover this medication?
 
-Liam (Phoenix, AZ)

08/12/2024 | Medicare Rights Center

Dear Marci:

When speaking to my insurance company, I was told to look out for an Annual Notice of Coverage in the mail. Can you tell me more about this?
 
-Sara (Greenville, SC)

Navigating Medicare

Destination Medicare: ABCD's

Learn about the full scope of the Medicare program:

  • ABCD's - the different parts of Medicare
  • Enrollment information
  • Coverage options

Now available online! You need a computer, tablet, or smart phone and internet service to participate.
Choose from one of the following sessions:

Medicare Pit Stop

The Medicare Minute provides accurate, up-to-date, and easy to understand information. Please join us to learn more about your Medicare benefits.

Now available online! You need a computer, tablet, or smart phone and internet service to participate.

Upcoming Medicare Workshops

Medicare Enrollment due to Loss of Employer Health Coverage

If you have lost your group health coverage due to a job loss, layoff, or furlough and had put off enrolling into Medicare or declined Medicare Part B, you should explore requesting those benefits now. It will not only give you health coverage but help you avoid penalties in the future.

Individuals who were covered under a group plan due to active employment or employment of a family member have a special eight month enrollment period to request Medicare Part A and/or Part B through the Social Security Administration (SSA). SSA has put together instructions, see button below.

Call ADRC (920) 448-4300 with questions or for more information.

ADRC is your unbiased Medicare expert.

Medicare Money Savings Programs

Below is a short description of some plans that can help reduce the cost of Medicare. ADRC is your best source to determine if you qualify and how to apply.

Medicare Savings Program

At the low end, this program pays for Part B premiums. At the high end, it pays Part A and B premiums along with deductibles and coinsurance for original Medicare. Eligibility is subject to gross income and asset requirements.

Senior Care

Prescription drug assistance program for Wisconsin residents age 65 or older who meet enrollment requirements. It can be used to meet Medicare’s drug coverage requirement or with other Medicare drug plans to lower medication costs. Annual growth income used to determine eligibility and coverage. Call an ADRC Benefit Specialist (920) 448-4300 or pick up an application at ADRC.

Extra Help (Low Income Subsidy-LIS)

It can help pay premiums, deductible, and co-pays for prescription medications. Income and resource limits apply. Limits change annually. Medicaid recipients are automatically eligible but others are encouraged to apply.

Patient Assistance Program

Offered by pharmaceutical companies to help eligible patients purchase costly medications. Not all medications have assistance programs. Programs have financial and coverage restrictions. A portion of the application will need to be completed by the prescribing physician. To see if you medication has an assistance program, search by the med name on these sites: www.needymeds.org or www.goodrx.com

Medicaid

Other Insurance

Medicare Resources

  • EClick to Read More

Resources with this icon can be clicked to learn more.

Medicare Forms

Forms organized by situations to help you find the form to fit your individual situation.

Medicare Website

Great source of information about Medicare for new, soon to be, and current recipients and their caregivers.

Medicare & You Booklet

Provided by CMS annually to all Medicare participants. This booklet gives a lot of valuable information about Medicare. Find the booklet in different formats (audio, electronic, etc.) and in languages other than English.

Wisconsin Senior Medicare Patrol (SMP)

Call 888-818-2611 or email: smp-wi@gwaar.org. Help for Medicare recipients to prevent, detect, and report Medicare fraud, errors, and abuse.