WPS Medicare supplement insurance plans · 2020. 10. 2. · WPS Medicare supplement insurance customers who stay with WPS year after year.¹ ¹Internal persistency report, 2019. 95%

Rates effective January 1, 2021

Underwritten by:

The EPIC Life Insurance CompanyA WPS CompanyPlans A, G, K, L, and N

WPS Medicare supplement insurance plans

Choose coverage with compassionate customer support!1-800-236-8809 • mywpsmedicare.com

This is an advertisement for insurance. Neither Wisconsin Physicians Service Insurance Corporation, nor The EPIC Life Insurance Company, nor their products, nor agents are connected with or endorsed by the United States government or the federal Medicare program. WPS Health Insurance Medicare supplement insurance plans are underwritten by The EPIC Life Insurance Company.

AZ_MSS_2006

AZ

Contact us today to apply! 1-800-236-8809 • mywpsmedicare.com

WPS Health Insurance by the numbers

55+years serving Medicare beneficiaries

years in business as a not-for-profit company70+

“It doesn’t matter what doctor that we’re sent to, it’s always taken care of.”

—Tom | Customer since 2009

WPS Medicare supplement insurance customers who stay with WPS year after year.¹

¹Internal persistency report, 2019.

95%

Providing Medicare supplement products in more than a dozen states

7 million beneficiaries2

Serviced through WPS Government Health Administrators’ Medicare administrative contracts

10 million beneficiaries3

Serviced through WPS Military and Veterans Health

Over 46,000 policies Issued for WPS Medicare supplement insurance

2 | mywpsmedicare.com • 1-800-236-8809

2Centers for Medicare & Medicaid Services/CMS Program Statistics, 2019. 3Humana Government Business, Inc. PMPM Reporting; health.mil reporting; and Wisconsin Physicians Service Insurance Corporation member IDs reports, 2019.

1-800-236-8809 • mywpsmedicare.com | 3

“We take the time to help seniors understand Medicare, the products, and their choices.”

—Tracey | WPS Sales

Contact us today to apply! 1-800-236-8809 • mywpsmedicare.com

Get to know usThe EPIC Life Insurance Company is a wholly owned subsidiary of Wisconsin Physicians Service Insurance Corporation, which is the plan administrator for our Medicare supplement insurance plans. Wisconsin Physicians Service Insurance Corporation was founded in 1946 by Wisconsin’s State Medical Society. The EPIC Life Insurance Company is based in Madison, Wis., and has been doing business across the country for more than 30 years.

Choose freedomWith WPS, you can visit any doctor in the United States who accepts Medicare. There are no networks, no worries, and no hassles.

Get more with WPSWPS customers get special programs and services included at no additional cost and can add riders for additional coverage.

• Optional dental coverage

• Fitness center membership program1

• Wellness program discounts1

• Identity theft resolution services1

• Fraud service1

• Vision care discount program1

• Hearing care discount program1

• 2% discount when you use automatic bank withdrawal

• 7% household discount2

1Fitness, wellness, identity theft, fraud, vision, and hearing programs are not part of the insurance policy and are offered at no additional charge for membership. Enrollment in these programs is subject to contract renewal. 2Household: Two or more individuals who reside together in the same dwelling. Dwelling is defined as a single home, condominium unit, or apartment unit within an apartment complex. 3WPS customer support survey, 2019.

Note: Fitness and wellness programs are not available with Medicare supplement Plan K and Plan L.


Customers who describe WPS Customer Support as helpful and knowledgeable.3

95%See pages 14–18 for details.


Part A Inpatient/

hospital insurance

Part BOutpatient/medical

insurance

Part C Medicare Advantage plans replace Parts A

and B and may include prescription drug

coverage

Part DPrescription drug

plans can be used with Medicare supplement

insurance

Medicare supplement plans work with Part A and Part B to enhance coverage.

With Original Medicare Part A and Part B, you can also add any

stand-alone Medicare prescription drug plan you choose.

Coverage of Plan A Plan G Plan K Plan L Plan N

Part A coinsurance √ √ √ √ √

Part A hospice care coinsurance or copayment

√ √ 50% 75% √

Blood (first three pints) √ √ 50% 75% √

Part B coinsurance √ √ 50% 75% √ 1

Part A deductible √ 50% 75% √

Skilled nursing facility coinsurance √ 50% 75% √

Foreign travel emergency2 √ √

Part B excess charges √

1Plan N pays 100% of the Medicare Part B coinsurance, except for copayments of up to $20 for some office visits and up to $50 copayments for emergency room visits that do not result in inpatient admissions. 2Foreign travel coverage for emergency care that is not covered by Medicare is subject to a $250 calendar year deductible. Benefits are payable at 80% up to a lifetime maximum of $50,000 for services beginning during the first 60 days of each trip outside of the USA. The level of benefits under the plan directly corresponds to the premium amount.

Quick look at your plan options

Medicare has four main parts

Customers who say WPS Customer Support treated them with courtesy and respect.3

Contact us today for information!1-800-236-8809 • mywpsmedicare.com3WPS customer support survey, 2019.

98%


If you were eligible for Medicare prior to Jan. 1, 2020, please call us for more plan options


WPS Medicare supplement insurance plan overviewMedicare supplement insurance plans are designed to work with Original Medicare to pay some of the out-of-pocket costs that Original Medicare (Part A and Part B) doesn’t pay, such as coinsurance, copayments, and deductibles. This overview will get you started. Take a moment to learn about the coverage available through our plans. The plan you choose may include the options below. See the chart on the previous page.

Part A coinsurance: Plan pays Part A coinsurance for hospitalization plus 365 days after Medicare ends.

Part A hospice care coinsurance or copayment: Plan pays Part A coinsurance for hospice.

Blood: Plan pays first three pints each year.

Part B coinsurance: Plan pays medical expenses—Part B coinsurance (generally 20% of Medicare-approved expenses) for hospital outpatient services. When selecting Plan N, individual copayments may apply up to a $20 office visit copayment or $50 ER visit copayment.

Part A deductible: Plan pays Medicare Part A hospital deductible.

Skilled nursing facility coinsurance: Plan pays Medicare copayments for 21st through 100th day of stay in a Medicare-approved facility.

Foreign travel emergency: After a $250 calendar year deductible, plan covers 80% of expenses for emergency medical care received outside the United States, beginning during the first 60 consecutive days of a trip, up to a lifetime maximum of $50,000.

Part B excess charges: Plan pays the difference between the Medicare-eligible charge and the amount charged by the provider (no greater than the limiting charge allowed by Medicare), whichever is less.

Determine your rate areaWPS Medicare supplement insurance plan rate areas

Effective Jan. 1, 2021

Determine your rate area using your ZIP code:

Area 1 —Phoenix, Mesa, and surrounding area850__: All ZIPs that begin with these 3 numbers852__: All ZIPs that begin with these 3 numbers

Area 2 —All other Arizona ZIP codes

RelocationIf, in the future, you permanently relocate to another state, Area 1 rates will apply. If you relocate to another Arizona ZIP code, you will pay the rates for the area to which you move.


Quick look at your plan options

Medicare has four main parts

Area 1 Area 2


“They were there to answer questions. I didn’t feel any pressure to buy a particular product. It was more like, ‘What else do you need to know?’ ”

—Rick | Customer since 2018

Choose your plan1. Determine your rate area (see previous page)

Area 1See rates on pages 8-9

Area 2See rates on pages 10-11

2. Select your plan (choose one)


Plan A Basic benefits: Hospitalization–Part A coinsurance plus 365 days after Medicare ends; Hospice–Part A coinsurance; and Blood–first three pints each year

Part B coinsurance: Medical Expenses—Part B coinsurance (generally 20% of Medicare- approved expenses) for hospital outpatient services

Plan G Basic benefits: Hospitalization–Part A coinsurance plus 365 days after Medicare ends; Hospice–Part A coinsurance; and Blood–first three pints each year

Part B coinsurance: Medical Expenses—Part B coinsurance (generally 20% of Medicare- approved expenses) for hospital outpatient services Part A deductible: Plan pays 100% of Medicare

Part A hospital deductible Skilled nursing facility coinsurance: Plan pays

Medicare copayments for 21st through 100th day of stay in a Medicare-approved facility

Foreign travel emergency: After a $250 calendar year deductible, plan covers 80% of expenses for emergency medical care received outside the United States, beginning during the first 60 consecutive days of a trip, up to a lifetime maximum of $50,000

Part B excess charges: Plan pays the difference between the Medicare eligible charge and the amount charged by the provider (no greater than the limiting charge allowed by Medicare, and whichever is less)

Plan K Plan pays hospitalization and preventive care at 100% and pays 50% of the following (up to an annual out-of-pocket maximum) for:• Part A deductible• Skilled nursing facility coinsurance• Hospice Part A coinsurance• Blood: first three pints each year• Part B Medical Expense coinsurance/

copayments

1-800-236-8809 • mywpsmedicare.com | 71-800-236-8809 • mywpsmedicare.com | 7

Choose your plan1. Determine your rate area (see previous page)

2% Automatic Bank Withdrawal Discount—Receive a 2% discount when you pay your premium by automatic bank withdrawal each month.

3. Apply discounts for which you qualify

7% Household Discount—Receive a 7% discount when you and another member of your household enroll in a WPS Medicare supplement insurance plan. Household is defined as two or more individuals who reside together in the same dwelling. Dwelling is defined as a single home, condominium unit, or apartment unit within an apartment complex.

Plan L Plan pays hospitalization and preventive care at 100% and pays 75% of the following (up to an annual out-of-pocket maximum) for:

• Part A deductible• Skilled nursing facility coinsurance• Hospice Part A coinsurance• Blood: first three pints each year• Part B Medical Expense coinsurance/copayments

Plan N Basic benefits: Hospitalization–Part A coinsurance plus 365 days after Medicare ends; Hospice–Part A coinsurance; and Blood–first three pints each year

Part A deductible: Plan pays 100% of Medicare Part A hospital deductiblePart B coinsurance: Plan pays medical expenses—Part B coinsurance (generally 20% of Medicare-approved expenses) for hospital outpatient services. Individual copayments may apply up to a $20 office visit copayment or $50 ER visit copayment

Skilled nursing facility coinsurance: Plan pays Medicare copayments for 21st through 100th day of stay in a Medicare-approved facility

Foreign travel emergency: After a $250 calendar year deductible, plan covers 80% of expenses for emergency medical care received outside the United States, beginning during the first 60 consecutive days of a trip, up to a lifetime maximum of $50,000


Area 1 Monthly Rates—Male

Age at Time of Enrollment

Plan A Plan G Plan K Plan L Plan N

65 153.14 185.50 107.82 143.41 164.55

66 155.70 188.60 109.63 145.81 167.31

67 158.26 191.70 111.43 148.21 170.06

68 162.13 196.39 114.16 151.84 174.22

69 166.00 201.08 116.88 155.46 178.38

70 169.87 205.76 119.60 159.08 182.53

71 173.74 210.45 122.33 162.71 186.69

72 177.61 215.13 125.05 166.33 190.85

73 181.11 219.38 127.52 169.61 194.61

74 184.62 223.63 129.99 172.90 198.38

75 188.12 227.88 132.46 176.18 202.15

76 191.63 232.12 134.93 179.46 205.92

77 195.14 236.37 137.40 182.75 209.69

78 197.99 239.83 139.41 185.42 212.75

79 200.85 243.29 141.42 188.10 215.82

80 203.71 246.75 143.43 190.77 218.89

81 206.56 250.21 145.44 193.45 221.96

82 209.42 253.67 147.45 196.12 225.03

83 213.14 258.18 150.07 199.61 229.03

84 216.88 262.71 152.70 203.11 233.05

85+ 220.60 267.22 155.33 206.60 237.05

under 65 N/A N/A N/A N/A N/A

Calculate your plan cost—Area 1Please refer to page 6 for descriptions of benefit options.

1. Select your plan (choose one) and add the premium from the chart above to the line labeled Total at right. Plan A Plan G Plan K Plan L Plan N

Your total per month. Total = $____________

2. Apply discounts for which you qualify.1

2% Automatic Bank Withdrawal Discount Total x 0.98 = $____________ OR, 7% Household Discount Total x 0.93 = $____________ OR, BOTH Discounts Total x 0.9114 = $____________

1Discounts are approximate; actual discount amount will be determined when your application is approved.


Area 1 Monthly Rates—Female



65 139.22 168.63 98.02 130.38 149.59

66 141.55 171.45 99.66 132.56 152.10

67 143.87 174.28 101.30 134.74 154.60

68 147.39 178.54 103.78 138.03 158.38

69 150.91 182.80 106.25 141.33 162.16

70 154.43 187.06 108.73 144.62 165.94

71 157.94 191.32 111.21 147.91 169.72

72 161.46 195.58 113.68 151.21 173.50

73 164.65 199.44 115.93 154.19 176.92

74 167.83 203.30 118.17 157.18 180.35

75 171.02 207.16 120.42 160.16 183.77

76 174.21 211.02 122.66 163.15 187.20

77 177.40 214.88 124.90 166.13 190.62

78 179.99 218.03 126.73 168.57 193.41

79 182.59 221.17 128.56 171.00 196.20

80 185.19 224.32 130.39 173.43 198.99

81 187.78 227.46 132.22 175.86 201.78

82 190.38 230.61 134.05 178.29 204.57

83 193.77 234.71 136.43 181.46 208.21

84 197.16 238.82 138.82 184.64 211.86

85+ 200.55 242.93 141.21 187.82 215.50









Area 2 Monthly Rates—Male



65 145.48 176.23 102.43 136.24 156.32

66 147.92 179.17 104.15 138.52 158.94

67 150.35 182.12 105.86 140.80 161.56

68 154.02 186.57 108.45 144.25 165.51

69 157.70 191.03 111.04 147.69 169.46

70 161.38 195.47 113.62 151.13 173.40

71 165.05 199.93 116.21 154.57 177.36

72 168.73 204.37 118.80 158.01 181.31

73 172.05 208.41 121.14 161.13 184.88

74 175.39 212.45 123.49 164.26 188.46

75 178.71 216.49 125.84 167.37 192.04

76 182.05 220.51 128.18 170.49 195.62

77 185.38 224.55 130.53 173.61 199.21

78 188.09 227.84 132.44 176.15 202.11

79 190.81 231.13 134.35 178.70 205.03

80 193.52 234.41 136.26 181.23 207.95

81 196.23 237.70 138.17 183.78 210.86

82 198.95 240.99 140.08 186.31 213.78

83 202.48 245.27 142.57 189.63 217.58

84 206.04 249.57 145.07 192.95 221.40

85+ 209.57 253.86 147.56 196.27 225.20









Area 2 Monthly Rates—Female



65 132.26 160.20 93.12 123.86 142.11

66 134.47 162.88 94.68 125.93 144.50

67 136.68 165.57 96.24 128.00 146.87

68 140.02 169.61 98.59 131.13 150.46

69 143.36 173.66 100.94 134.26 154.05

70 146.71 177.71 103.29 137.39 157.64

71 150.04 181.75 105.65 140.51 161.23

72 153.39 185.80 108.00 143.65 164.83

73 156.42 189.47 110.13 146.48 168.07

74 159.44 193.14 112.26 149.32 171.33

75 162.47 196.80 114.40 152.15 174.58

76 165.50 200.47 116.53 154.99 177.84

77 168.53 204.14 118.66 157.82 181.09

78 170.99 207.13 120.39 160.14 183.74

79 173.46 210.11 122.13 162.45 186.39

80 175.93 213.10 123.87 164.76 189.04

81 178.39 216.09 125.61 167.07 191.69

82 180.86 219.08 127.35 169.38 194.34

83 184.08 222.97 129.61 172.39 197.80

84 187.30 226.88 131.88 175.41 201.27

85+ 190.52 230.78 134.15 178.43 204.73









Ameritas Life Insurance Corp. optional dental coverage Research shows that good dental health is essential to your overall health. Protecting your smile starts with regular visits to the dentist and a good dental plan.

When you take advantage of Ameritas dental coverage, you can choose a plan from one of the largest nationwide networks with more than 483,000 access points and 115,000 providers. Or, choose a plan that allows you and your family members to receive care from any licensed dental provider, regardless of whether they are in or out of network.

If you would like to find out more about these affordable plans, please call 1-800-236-8809. We can walk you through all your options and give you an immediate quote.

Call 1-800-236-8809 today!

Underwritten by Ameritas Life Insurance Corp. | P.O. Box 82520 | Lincoln, NE 68501-2520

This information is provided by Ameritas Life Insurance Corp. (Ameritas Life). Group dental, vision, and hearing care products 9000 Rev. 03-16, (may vary by state) and individual dental and vision products Indiv. 9000 Rev. 07-16, (may vary by state) are issued by Ameritas Life. Some plan designs are not available in all areas. Some states require that producers be appointed with Ameritas Life before soliciting its products.

Ameritas, the bison design, “fulfilling life,” and product names designated with SM or ® are service marks or registered service marks of Ameritas Life, affiliate Ameritas Holding Company, or Ameritas Mutual Holding Company. All other brands are property of their respective owners. ©2019 Ameritas Mutual Holding Company.



¹The Silver&Fit® program is provided by American Specialty Health Fitness, Inc. The ChooseHealthy® program is provided by ChooseHealthy, Inc. Both are subsidiaries of American Specialty Health Incorporated (ASH), a national provider of fitness, health education, musculoskeletal provider networks, and health management programs. Silver&Fit and ChooseHealthy are registered trademarks of ASH and used with permission herein. Services that require an additional cost are not included in the Silver&Fit program. Please note that these programs are not insurance. You should check any insurance benefits you have before using this discount program, as those benefits may result in lower costs to you than using this discount program. The ChooseHealthy program provides for discounts from participating specialty health care providers. You are obligated to pay for all services, but you will receive a discount from those providers who have contracted with the program. The program does not make any payments directly to the participating providers. The ChooseHealthy program has no liability for providing or guaranteeing services and assumes no liability for the quality of services rendered. Discounts on products available through the ChooseHealthy program are subject to change; please consult the website for current availability. Fitness programs are not part of the insurance policy and are offered at no additional charge. Enrollment in these programs is subject to contract renewal and can be changed or discontinued at any time. The Silver&Fit and ChooseHealthy programs are not included with Medicare supplement Plan K and Plan L. ²The fitness centers listed are participating in the Silver&Fit network as of July 2020. For the most current fitness center locations, please check the searchable online directory on the Silver&Fit website.

The ChooseHealthy® Program¹WPS Medicare supplement insurance plan options (not available with Plan K or L) include access to the ChooseHealthy program at no additional cost for membership. You can save 25% on services from more than 80,000 participating specialty health care providers, and enjoy expanded discounts of up to 55%—plus free shipping—on popular health and fitness brands. You can also learn from evidence-based, online health classes and articles.

“I do feel that there really is a caring aspect to WPS that takes that worry away.”

—Barbara | Customer since 2013

For a complete list of participating facilities visit silverandfit.com or call 1-800-236-8809 for more information!

The Silver&Fit® Healthy Aging and Exercise Program¹When you choose our Medicare supplement insurance plans (not available with Plan K or L), you also get this great perk! At no extra cost, the Silver&Fit program gives you a fitness center or exercise center membership.

The Silver&Fit network includes Arizona locations of national fitness chains as well as dozens of regional and local gyms.²

Fitness centers include:

• YMCAs

• Anytime Fitness

• EoS Fitness

• Planet Fitness

• Curves

• Snap Fitness

• LA Fitness

• Crunch

• YouFit

• and many others

The Silver&Fit network is continually growing, including new fitness centers nominated by WPS customers.

The Silver&Fit program also offers:

• Fitness centers with group exercise classes where available

• If you prefer to work out at home, you have access to the Home Fitness program and will be able to receive up to two home fitness kits per benefit year; there are 35 unique options available that may include a DVD, guide, and/or other products

• Healthy Aging Coaching sessions and a tracking tool to earn points and rewards


Following the traumatic events of World War II, Wisconsinites had a need for medical care, but many could not afford it. In response, the State Medical Society of Wisconsin created Wisconsin Physicians Service in 1946 to help individuals and families afford the health insurance and health care they needed.

In the 1950s, WPS became the original administrative contractor for the military’s new health insurance program, Civilian Health and Medical Program of the Uniformed Services (CHAMPUS).

In 1959, WPS developed the Century Plan for people age 65 and older to help retirees afford health care.

In 1966, after the Medicare law was passed, WPS was there to process claims for the new Medicare program and to offer Medicare-PLUS, our first Medicare supplement insurance plan.

Fast forward 54 years.

Today, WPS still helps tens of thousands of customers afford health care, still processes claims for the U.S. Military and Medicare, and still offers Medicare supplement insurance plans in select states across the country. With a rich heritage of caring, compassionate service, why choose anyone else? Choose WPS Health Insurance. Because we care.

1-800-236-8809 • mywpsmedicare.com | 1414 | mywpsmedicare.com • 1-800-236-8809

New services for 2021!To make our Medicare supplement insurance plans even better for you, we’ve added new services you can use at no additional cost. These services are not a part of the insurance policy and enrollment is subject to contract renewal. They are provided directly to customers as an extension of our efforts to help fight medical identity theft and fraud related to medical services and payments. Identity theft and fraud do not have boundaries or geographical limits. These crimes can happen to almost anyone. We want you to have help within easy reach if you become a victim, so that you can get hands-on assistance. Because we care.

Iris® Identity Theft Resolution Services

Each year, millions of Americans are victims of identity fraud. This protection program offers 24/7 customer assistance and full-service resolution if you should become a victim of identity theft. The list of services includes:

• Affidavit submission

• Creditor notification and follow up

• Emergency cash advance and travel arrangements

• Three bureau credit freeze assistance

• Communication with law enforcement

• Lost wallet assistance

• Three bureau credit fraud alert placement assistance

ScamAssist™ Fraud Review ServiceDon’t be a victim. This service reviews received offers for fraud, researches organizations for legitimacy, compares offers to known scams and phishing schemes, and provides a report of the assessment.

1Javelin, 2020 Identity Fraud Study2aging.senate.gov/imo/media/doc/Fraud%20Book%20%202020.pdf


Hear In America® Discount ProgramThe Hear In America discount program, available to all WPS Medicare supplement insurance plan customers, makes you eligible to receive:

• Free annual hearing screening

• A three-year warranty on new hearing aids

• Free office services (including retests, cleanings, and adjustments) for three years

• A 45-day trial period for your hearing aid

• Discounts from 35% to 70% off of manufacturer’s suggested retail price (MSRP) for hearing aids from major manufacturers.

• 12-month financing (to those who qualify)

Sample SavingsMSRP or

Average PriceYou Pay1

Three-year repair warranty, three-year loss and damage warranty

$500 $0

Three years of hearing aid batteries

$315 $0

Three years of office service

$600 $0

Basic digital hearing aid

$1,450 $995

Mid-level hearing aid $3,995 $1,475

Premium digital hearing aid

$5,996 $2,540

Examples of how you can save “All we have to do is take care of ourselves and do what the doctor tells us. Everything is taken care of. We couldn’t be happier.”

—Kathy | Customer since 2010

Find out more about this programCall 1-800-236-8809 today!

Contact us today for information!

1-800-236-8809 mywpsmedicare.com

May be used in conjunction with your existing insurance coverage. Hearing discount programs are not part of the insurance policy and are offered at no additional charge. Enrollment in these programs is subject to contract renewal. 1These are savings examples only. 1-800-236-8809 • mywpsmedicare.com | 15

1Javelin, 2020 Identity Fraud Study2aging.senate.gov/imo/media/doc/Fraud%20Book%20%202020.pdf


EyeMed Vision Care Discount ProgramAll WPS Medicare supplement insurance plan customers receive access to the EyeMed Vision Care discount program at no additional cost.1 EyeMed offers substantial savings on eye care and eyewear at thousands of provider locations nationwide.

EyeMed’s provider network includes many familiar optical retailers, including:

• America’s Best Contacts & Eyeglasses

• LensCrafters

• Nationwide Vision Center

• Pearle Vision

• Target Optical

• Visionworks

• And many more!

Visit mywpsmedicare.com for a link to the EyeMed website for more information.

1Vision discount program is not insurance, nor is it part of the insurance policy, and is offered at no additional charge. Enrollment in this program is subject to contract renewal. 2Frame, lens, and lens option discounts apply only when purchasing a complete pair of eyeglasses. If purchased separately, customers receive 20% off the retail price. Benefits may not be combined with any discount, promotional offering, or other group benefit plans, except as indicated. Dis-count plan is effective Oct. 1, 2019, through Sept. 3, 2021.

Contact your local agent or call WPS today at 1-800-236-8809.

Does your vision provider accept EyeMed?

We would be happy to explain how this valuable coverage works and help you find a provider.

Vision Care Services Customer Benefits

Eye exam (with dilation, as necessary)$5 off routine exam $5 off contact lens exam

Complete Pair Eyeglass Purchase2

Frames

Any available frame at provider location

35% off retail price

Standard Plastic Lenses

Single vision $50 patient responsibility

Bifocal $70 patient responsibility

Trifocal $105 patient responsibility

Lens Options

UV coating $15 patient responsibility

Tint (solid and gradient) $15 patient responsibility

Standard scratch-resistant coating $15 patient responsibility

Standard polycarbonate $40 patient responsibility

Standard anti-reflective coating $45 patient responsibility

Standard progressive (add-on to bifocal)

$65 patient responsibility

Other add-ons and services 20% off retail price

Contact Lenses (discount applies to materials only)

Conventional 15% off retail price

Laser Vision Correction

LASIK or PRK from U.S. Laser Network

15% off retail price 5% off promotional price

Frequency of use for examination, frames, lenses, or contact lenses unlimited



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Ready to take the next step?Contact your local agent or call WPS today at 1-800-236-8809. 8 a.m.–5 p.m. CT weekdays (year-round) and 8 a.m.–8 p.m. CT seven days a week (Oct. 1–March 31).

Current WPS customers,please call 1-888-915-5108.

©2021 All rights reserved. JO20071 31314-100-2103

Medicare supplement insurance plans give you peace of mindOriginal Medicare covers a lot—about 80% of your approved health care costs. But covering even just the 20% that Medicare leaves behind can be a real burden and hassle. WPS Medicare supplement insurance plans help reduce these out-of-pocket costs when you need medical care.

Join our WPS Medicare supplement insurance plan family today and get worry-free peace of mind you’ll enjoy for years to come!

IMPORTANT INFORMATIONIn some states, all Medicare supplement plans are offered to qualified individuals under the age of 65 and/or to Medicare-qualified individuals due to disability or end-stage renal disease. The intent of this advertisement is solicitation of insurance, and contact may be made by the insurer or a licensed agent. Neither Wisconsin Physicians Service Insurance Corporation, nor The EPIC Life Insurance Company, nor their products, nor agents are connected with or endorsed by the United States government or the federal Medicare program. In Arizona, WPS Health Insurance Medicare supplement insurance plans are underwritten by The EPIC Life Insurance Company, a wholly owned subsidiary of Wisconsin Physicians Service Insurance Corporation, the plan administrator. These policies have exclusions, reductions of benefits or terms under which the policies may be continued in force or discontinued. For costs and complete details of the coverage, call or write your insurance agent or the insurer. The EPIC Life Insurance Company and Wisconsin Physicians Service Insurance Corporation comply with applicable federal civil rights laws and do not discriminate on the basis of race, color, national origin, age, disability, or sex.

Documents

WPS Medicare supplement insurance plans · 2020. 10. 2. · WPS Medicare supplement insurance customers who stay with WPS year after year.¹ ¹Internal persistency report, 2019. 95%