To find out if you are eligible for Medicare Part D low-income subsidy premium assistance, call Wisconsin Medicaid at 1-800-362-3002, 8 a.m. to 6 p.m., CT, Monday-Friday. Or visit www.dhs.wi.gov/medicaid on the Web.

Individuals who are eligible to enroll in Partnership are also eligible for low-income subsidy premium assistance for Medicare Part D.

To learn about Medicare’s Best Available Evidence policy to help consumers who feel they are eligible for the low-income subsidy but do not have the proper documentation or they are not receiving the correct low-income subsidy, call Customer Service at (608) 245-3075 or 1-800-963-0035 (TTY WI Relay 711), Monday-Friday, 8 a.m. to 4:30 p.m., or go to Web site www.cms.gov/PrescriptionDrugCovContra/17_Best_Available_Evidence_Policy.asp.

Medicaid-Only Partnership Members:

• Partnership members with Medicaid-only and no Medicare Part D drug coverage do not pay a premium for drugs or other medical or long-term care services.

Partnership Members with Medicare Part D:

• All Partnership members must have Medicaid. Because Partnership members have Medicaid, our members with Medicare receive extra help from Medicare. The extra help pays the full Part D premium amount. This means Partnership members do not pay a premium for their drugs or other medical or long-term care services.
• The $0 premium does not include any Medicare Part B premium you may have to pay to be eligible for Medicare Part B.
• You might still have a copay for your Part D Drugs. Please see the Summary of Benefits for information on Part D copays.

Summary Premium Chart for All Partnership Members
with Medicare Part D:

* These premiums are for medical services, long-term care and prescription drugs. This does not include any Medicare Part B premium you may have to pay.

** All Partnership members have 100% extra help.

Request Information   

H5209-002_H7475-001_CWHPWEB_9-9-11A CMS Approved 09/20/2011
Last Updated 09/10/2011 DHS Approved 09/08/2011