Covers Part B deductible
Only available to enrollees with Medicare Part B effective date prior to 1-1-2020. (Must reside in Rock or Green County)
*Applications, 2 months' premium and acknowledgement of receipt form must be received by MercyCare Sales Department by the 25 of each month for the upcoming month.
The Provider Directory (hard copy) is updated annually. For an up-to -ate list of providers, please use our "Find a Doctor" search tool, which is updated monthly.
Forms and documents
- Application
- Voluntary discontinuation of coverage
- Stay healthy form
- Auto withdrawal form
- Agent statement - to be completed by agent if assisting in process
- Guide to health insurance for people with Medicare in Wisconsin
MCSUPP3_MERCYCAREHEALTHPLANS.COM
UPDATED 12/21/21