Wisconsin
The purpose of this document is to provide resources for gathering more
information regarding Medicare Part D in your state. This listing supplies
contact information for state and federal agencies working on issues relating
to the Medicare prescription drug benefit. It also includes information
about groups with which MHAs may partner to conduct outreach and education
activities.
Centers for Medicare & Medicaid Services (CMS):
- The Medicare Part D prescription drug benefit is administered
by CMS within the Department of Health and Human Services. The CMS
Region V Office
serving Wisconsin is located in Chicago and can be reached at 312-886-6432.
For specific inquiries regarding Medicare, call 312-353-7180.
- Additional contacts about Medicare outreach include:
- Medicare beneficiaries can also visit the official government
website, www.medicare.gov, for additional information, including billing,
appeals and enrollment. For general Medicare information, as well as
information
about health plans, contact the 24-hour toll-free hotline
at 1-800-MEDICARE (1-800-633-4227).
Social Security Administration (SSA):
- The Social Security Administration helps individuals determine
whether or not they qualify and how to apply for benefits, including
additional help for the prescription drug benefit. SSA maintains a toll-free
number,
1-800-772-1213, twenty-four hours a day.
- Wisconsin is located in Region 5, the Midwestern Region. The office is
located in Chicago. Its website is http://www.ssa.gov/chicago.
-
Further contact information, including addresses, for SSA’s local
Wisconsin offices can be found at http://www.ssa.gov/chicago/wisconsin.htm.
State Medicaid Agency:
- To obtain information regarding Medicaid enrollment, eligibility
and coverage information for those residing in Wisconsin, contact the
Department
of Health and Family Services at:
1-800-362-3002 http://www.dhfs.state.wi.us/medicaid/index.htm
State Pharmacy Assistance Programs (SPAPs):
- Access, Eligibility and Contact Information:
- Wisconsin SeniorCare Prescription Drug Assistance Program provides prescription
assistance to residents over the age of 65. There is an income limit
and participants must pay a $30 annual enrollment fee. Recipients are also
subject to certain
out-of-pocket expenses based upon annual income.
http://dhfs.wisconsin.gov/seniorcare/index.htm
1-866-657-2038 (SeniorCare Customer Service Hotline)
Access to Benefits Coalition (ABC):
- ABC coalitions work to help Medicare beneficiaries locate and
apply for additional assistance in paying for prescription drugs. They
also aid individuals
in enrolling in both public and private prescription savings programs.
www.accesstobenefits.org
- There are no ABC coalitions in the state of Wisconsin. The national
coalition recommends calling the Medigap Helpline (1-800-242-1060) for
Medicare
assistance.
State Health Insurance Assistance Program (SHIP):
- SHIPs offer free counseling and assistance to Medicare beneficiaries
and their families. In addition, SHIPs will be planning Medicare
Part D enrollment and education events throughout each state. The National
Network
website is https://www.shiptalk.org. You may find information about
Wisconsin’s
SHIP below or at the national website.
- Wisconsin SHIP is composed of two parts. The first, a Medigap
Helpline, is a toll-free line operated by the Board on Aging and Long
Term
Care. The second component is the Benefits Specialist Program which is within
the
Department of Health and Family Services. New funding is being utilized
to establish and operate two new toll-free assistance lines to aid
individuals with the Medicare Part D drug benefit. One line will focus on individuals
age 65 and older and the other will focus on those with disabilities.
1-800-242-1060
www.dhfs.state.wi.us/aging/index.htm
www.nmha.org/medicare
For more information or questions, please email schrinfo@nmha.org or
call 1-800-969-6642
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