Seniors and Medicare

MercyCare’s Senior Supplement – For Wisconsin Residents of Rock, Walworth or Green Counties

Attend a free Seminar:

Mercyhealth Mall, Room 2
1010 N. Washington St., Janesville

All @ 1:30 pm

May- 13
June- 10
July- 8
August- 12
September- 9
October- 14, 28
November- 11, 25
December- 9, 23

Mercyhealth Hospital and Medical Center- Walworth
N2950 State Rd 67, Lake Geneva- Room G380A -lower level

All @ 10:00 am

May-6
June- 3
July- 1
August- 5
September- 2
October- 7, 21
November- 4, 18
December- 2, 16

How to apply:Application Process for Agents

Complete the following and return to MercyCare at the same time:

Supplement application submission form(for agents only)
MercyCare senior application
Auto withdrawal form
Acknowledgement of receipt form (required)
Agent statement (to be completed by agent if assisting in process)
2 months premium

*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.

2019 Plan documents:

2019 Senior Supplement Provider Directory
- The Senior Supplement 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
2019 Policy (Certificate of Coverage)(Rock, Walworth , Green and Jefferson County)
2019 Rock, Walworth & Green County- Outline of Coverage
- 2019 Rock, Walworth, & Green County- Supplement Pricing
2019 Jefferson County- Outline of Coverage
- 2019 Jefferson Premium Pricing

2018 Plan documents:

2018 Senior Supplement Provider Directory
- The Senior Supplement 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
2018 Policy (Certificate of Coverage) (Rock, Walworth , Green and Jefferson County)
2018 Rock, Walworth & Green County- Outline of Coverage
- 2018 Rock, Walworth, & Green County- Supplement Pricing
2018 Jefferson County- Outline of Coverage
- 2018 Jefferson Premium Pricing

2017 Plan documents:

2017 Senior Supplement Provider Directory
2017 Policy (Certificate of Coverage) (Rock, Walworth , Green and Jefferson County)
2017 RWG Supplement Outline of Coverage
- RWG Premium Pricing 2017

2017 Jefferson Supplement Outline of Coverage
- Jefferson Premium Pricing 2017

Plan benefits:

MercyCare’s Senior Supplement plan offers the security of knowing you’re covered when you need medical care without bills or paperwork.

100% coverage for routine office visits, physicals, eye and hearing exams
Wellness/Stay Healthy benefits
Quality health care from Mercyhealth and our other health care providers

Our supplement plans greatly enhance the benefits paid by Medicare Parts A and B.

For more information, please call (800) 895-2421.