Freedom of Information
The Freedom of Information Act (FOIA) provides access to non-privileged records/documents maintained by Federal agencies, and those acting on behalf of Federal agencies, such as Medicare Part B carriers. This carrier's Freedom of Information Unit directly responds to certain requests for existing records/documents in the possession of the carrier. If the requester is seeking information or clarification, as opposed to documents, the request does not fall within the scope of the FOIA.
All FOIA requests must be in writing and signed by the requester. The FOIA Unit will respond in writing, not by phone or fax. The FOIA is authorized by law to collect fees for responding to FOIA requests. FOIA requests processed by the carrier may involve a nominal fee.
Below are some examples of the information most commonly requested by Medicare beneficiaries. Much of this information is currently available on the Internet. Some examples from our beneficiaries' requests are:
- Duplicate Explanation of Benefits or Medicare Summary Notice for deceased beneficiaries
- Drug Coverage
- General Medicare Coverage
Submit your FOI requests
to:
| WISCONSIN
Wisconsin Physicians Service (WPS) Medicare Part B Attn: Freedom Of Information Dept. P. O. Box 1787 Madison, WI 53701-1787 |
ILLINOIS
Wisconsin Physicians Service (WPS) Medicare Part B Attn: Freedom Of Information Dept. P.O. Box 4433 Marion, IL 62959 Fax Number (618) 998-5287 |
| MICHIGAN
Wisconsin Physicians Service (WPS) Medicare Part B Attn: Freedom Of Information Dept. P.O. Box 5533 Marion, IL 62959 Fax Number (618) 998-5287 |
MINNESOTA
Wisconsin Physicians Service (WPS) Medicare Part B Attn: Freedom Of Information Dept. 8120 Penn Avenue South #200 Bloomington, MN 55431-1394 Fax Number (618) 998-5287 |
If your are a Medicare beneficiary, please print, fill out, and send the WPS Authorization form along with the Request form A (below) to the appropriate address listed above.
FREEDOM OF INFORMATION REQUEST FORM
| FORM A | |
| Enter the description of your request here. | |
| CUSTOMER INFORMATION | |
| Customer Name: | |
| Mailing
Address - Street (No P.O. Boxes) |
|
| City, State, Zip Code | |
| Telephone Number | ( ) |
| Signature | |
Page Last Updated: Tuesday, 15-Jan-2008 12:05:14 CST


