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 25th of each month for the upcoming month.
2022
2021
The Provider Directory (hard copy) is updated annually. For an up to date list of providers, please use our “Find a Doctor” search tool, which is updated monthly: Click here
Forms & documents:
- Application FILLABLE VERSION
- Voluntary Discontinuation of Coverage FILLABLE VERSION
- Stay Healthy Form
- Auto withdrawal form FILLABLE VERSION
- Agent statement FILLABLE VERSION (to be completed by agent if assisting in process)
- Guide to Health Insurance for People with Medicare in Wisconsin
MCSUPP3_MERCYCAREHEALTHPLANS.COM
UPDATED 3/22/22