WPS Health Insurance

Wisconsin Physicians Service Insurance Corporation (WPS Health Insurance) contracts with the Federal government to provide this Medicare prescription drug plan.

If you qualify for extra help with your Medicare prescription drug plan costs, your premium and costs at the pharmacy will be lower. When you join the WPS MedicareRx Plan, Medicare will tell us how much extra help you are getting. Then we will let you know the amount you will pay. If you are not getting this extra help, you can see if you qualify by calling 1-800-MEDICARE (1-800-633-4227). TTY/TDD users should call 1-877-486-2048.

Medicare beneficiaries may enroll in the WPS MedicareRx Plan through the Centers for Medicare & Medicaid Services Online Enrollment Center, located at www.medicare.gov. For more information contact the WPS MedicareRx Plan at 1-800-731-0459, 1-888-877-2837 TTY/TDD, 8 a.m. - 8 p.m., 7 days a week.

Benefits, formulary, pharmacy network, premiums, and/or copayments may change on January 1, 2009. Please contact WPS Health Insurance for details.

Explore Our 2008 Plans

For Current Members Receiving Extra Help
If you continue to qualify for the same amount of help next year, the table below tells you how your prescription costs will change.

If you pay up to this much this year (2007)	You will pay up to this much next year (2008)
$0 deductible	$0 deductible
$53 deductible	$56 deductible
$1 for generics and brands that are treated as generics $3 for brand name drugs	$1.05 for generics and brands that are treated as generics $3.10 for brand name drugs
$2.15 for generics and brands that are treated as generics $5.35 for brand name drugs	$2.25 for generics and brands that are treated as generics $5.60 for brand name drugs
No more than 15% coinsurance for all drugs	No more than 15% coinsurance for all drugs

If you qualify for extra help, you pay $0 or a reduced monthly premium. If you continue to qualify for the same amount of extra help in 2008, the tables below tells how much you will pay for a monthly premium. (This doesn’t include any Medicare Part B premium you may have to pay.) If you don’t know your level of extra help, call us.

Your level of extra help	Monthly Premium per WPS MedicareRx Plan:
Your level of extra help	Standard Plan	Enhanced Plan 1	Enhanced Plan 2
100%	$10.60	$14.30	$40.30
75%	$18.40	$22.10	$48.10
50%	$26.10	$29.80	$55.80
25%	$33.90	$37.60	$63.60

You may receive (or may have already received) a letter from Medicare or Social Security about your 2008 eligibility for extra help. Read this important information carefully. If you don’t know what level of extra help you qualify for, you can call 1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048. Customer service representatives are available 24 hours a day, including weekends.

Wisconsin Physicians Service Insurance Corporation (WPS Health Insurance) contracts
with the Federal government to provide this Medicare Prescription Drug Plan.
©2008 Wisconsin Physicians Service Insurance Corporation. All Rights Reserved.

S5753_23259_021_0801

CMS Approved: 1/2008

Last Updated on 11/15/2007