iyc medicare plus
TRANSCRIPT
Did you know that Medicare doesn’t cover all of
your medical costs? The IYC Medicare Plus plan
from WEA Trust is designed to supplement the
benefits available under Medicare for State and
Local Group Health Insurance Program retirees.
Rather than take over your Medicare coverage, IYC
Medicare Plus works hand-in-hand with your
Enroll in the IYC Medicare Plus plan today! Just submit your health
insurance application to the Department of Employee Trust Funds,
or log in to myETF.wi.gov (available for currently enrolled retirees only).
2020 PLAN YEAR
trusted Medicare service. WEA Trust coordinates
payment with Medicare and your medical providers.
WEA Trust pays your Medicare Part A and B
deductibles and coinsurance. If your service is
covered by Medicare, WEA Trust will cover the
portion that Medicare doesn’t pay, leaving you with
no out-of-pocket costs. And IYC Medicare Plus
includes pharmacy benefits from Navitus.
IYC MEDICARE PLUS
“Service has been excellent. The customer service has
been very helpful in answering questions and there has
been a seamless collaboration between charges going
to Medicare and then coming over to WEA Trust. My
wife and I have both been happy campers with WEA.”
-Jerry Rousseau, WEA Trust Member
From WEA Trust
SEE A DOCTOR ANYWHERE With IYC Medicare Plus, you can see any doctor in the
United States who accepts Medicare assignment. This
plan even includes worldwide coverage for Medicare-
covered services, beyond urgent or emergency
services.
ABOUT WEA TRUSTWith a well-known reputation for outstanding
customer service since 1970, WEA Trust is the only
health plan in the Group Health Insurance Program
devoted solely to state and local employees, retirees,
and their families.
Instead of phone trees, being stuck on hold and
automated calls, at WEA Trust you talk to a real
person located here in Wisconsin every time—
with no waiting. We pride ourselves on our
high touch, personalized customer
service, and our members
love it too.
ENHANCED CARE SOLUTIONSAs a WEA Trust member, you also have access to
our Enhanced Care Solutions. These solutions make
getting care easier, more affordable and include:
WEA TRUST TELEHEALTH POWERED
BY AMWELL—
See a doctor for minor conditions or online therapy
with your smartphone, tablet or computer. Doctors
on Amwell can diagnose, treat and even prescibe.
Learn more at WEAtrust.com/Amwell.
WEA TRUST LOW BACK PAIN PROGRAM
POWERED BY KIIO—
A free smartphone or tablet app designed to reduce
your low back pain and strengthen your back. This
personalized program provides a unique solution for
you and your specific type of back pain. Learn more
at WEAtrust.com/lowbackpain.
SILVERSNEAKERS® INCLUDED WITH YOUR IYC MEDICARE PLUS MEMBERSHIPSilverSneakers is a fitness program for seniors
that’s included with your WEA Trust IYC Medicare
Plus plan. SilverSneakers helps millions of people
on Medicare defy the odds, shatter stereotypes and
answer every challenge with, “I can do this!” And
where available, SilverSneakers also offers fitness
classes for all abilities led by SilverSneakers trained
instructors.
WEA Trust complies with applicable Federal civil rights
laws and does not discriminate on the basis of race, color,
national origin, age, disability, or sex.
ATENCIÓN: si habla español, tiene a su disposición
servicios gratuitos de asistencia lingüística. Llame al
866.485.0630.
LUS CEEV: Yog tias koj hais lus Hmoob, cov kev pab txog
lus, muaj kev pab dawb rau koj. Hu rau 866.485.0630
Unlimited access to more than
16,000 fitness locations*—just
show them your WEA Trust
Insurance ID card with the
SilverSneakers® logo.
Portable membership—join
more than one fitness location
at a time and in various cities.
Fitness designed for all levels
and abilities, led by certified
instructors trained in adult
fitness.
SILVERSNEAKERS OFFERS:
*Classes and amenities vary by location. Some classes
and services offered at SilverSneakers locations may
not be covered under the SilverSneakers benefit.
SilverSneakers is a registered trademarks of Tivity
Health, Inc. and/or its subsidiaries and/or affiliates
in the USA and/or other countries. © 2019. All rights
reserved.
Part A
: Ho
spital Services
1
SE
RV
ICE
SIY
C M
ED
ICA
RE
PLU
S PA
YS
YO
U PA
Y
Hospitalization
Semi-private room
and board, gen
eral nu
rsing, an
d m
iscellaneou
s hospital services an
d supplies.
Medicare dedu
ctible/coinsu
rance u
p to 90
days per benefit period. If
your 6
0 lifetim
e reserve days are exhau
sted, IYC
Medicare P
lus w
ill cover 10
0%
of days 91-120
.
$0
Skilled Nursing Facility Care
You
mu
st meet M
edicare’s requirem
ents, in
cludin
g havin
g been
in a h
ospital for at least three days an
d entered a M
edicareapproved facility w
ithin
30 days after leavin
g the h
ospital.
Medicare dedu
ctible/coinsu
rance u
p to 120 days per ben
efit period. If en
tering a n
on-M
edicare-approved facility with
in 24
hou
rs of disch
arge from an
approved hospital stay, th
e Plan
will pay ben
efits for approved ch
arges up to 30
days per confin
emen
t.
$0
Part B
: Med
ical Services1
SE
RV
ICE
SIY
C M
ED
ICA
RE
PLU
S PA
YS
YO
U PA
Y
Hospice Care
Available as lon
g as your doctor certifies you
are termin
ally ill an
d you elect to receive th
ese services.
Medicare copaym
ent/coin
suran
ce$
0
Medical Expenses
Eligible expen
se for physician
’s services, inpatien
t and
outpatien
t medical services an
d supplies, ph
ysical and speech
th
erapy, diagnostic tests, du
rable medical equ
ipmen
t.
Medicare dedu
ctible/coinsu
rance
$0
Hom
e Health Care
(non
-custodial; refer to defin
ition in
Certificate of C
overage.)
Medicare dedu
ctible/coinsu
rance
$0
Foreig
n Travel M
edical C
are Ben
efits1
SE
RV
ICE
SIY
C M
ED
ICA
RE
PLU
S PA
YS
YO
U PA
Y
Foreign T
ravel Medical C
are10
0%
of eligible charges
$0
1 Th
is is not a com
plete description of coverage. P
lease consu
lt the IY
C M
edicare Plu
s Certificate of C
overage at etf.wi.gov or available on
paper by calling
ET
F at 877-533-5020
.
Co
verage Su
mm
aryA
vailable exclusively for State of W
isconsin
ann
uitan
ts and th
eir dependen
ts, the IY
C M
edicare Plu
s plan offers ou
tstandin
g
health
care coverage at an affordable price. Y
ou’ll en
joy top-notch
benefits an
d custom
er service from W
EA
Tru
st.
WE
A SH
P 0
09
7 0819