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If you have questions about Senior Preferred, we invite you to attend a seminar, or you can reach a representative by calling (800) 394-5566 in Wisconsin or Iowa and (888) 888-3798 in Minnesota.

 2014 Plan Comparison Guide

To qualify for Senior Preferred, you need to have Medicare Part A and B and be a resident of our service area. 

 2014 Plan Options

Elite D Plan

Click here to learn more.

Elite Plan

Click here to learn more.

Value D Plan

Click here to learn more.

Value Plan

Click here to learn more.

Monthly Premium

Wisconsin &
Iowa residents:
$154.30

Minnesota residents:
$150.50

Wisconsin &
Iowa residents:
$100

Minnesota residents:
$100  

Wisconsin &
Iowa residents:
$38.00

Minnesota residents:
$34.90

Wisconsin &
Iowa residents:
$0

Minnesota residents:
$0
Office visit copayment (for doctor & specialist visits)
$20 per visit
$20 per visit
$35 per visit
$35 per visit
Annual out-of-pocket maximum
$3,400
$3,400
$3,400
$3,400
Co-insurance
You pay 10% for some items
You pay 10% for some items
You pay 20% for some items
You pay 20% for some items
Lab and X-ray
Covered at 100%
Covered at 100%
You pay up to 10%
You pay up to 10%
Urgent care (worldwide coverage)
$20 per visit
$20 per visit
$35 per visit
$35 per visit
Emergency care (worldwide coverage)
$50 copayment
$50 copayment
$50 copayment
$50 copayment
Vision

$20 copayment for exam

$300 
for eyewear 
(glasses + lenses)

$20 copayment for
exam

$300 
for eyewear 
(glasses + lenses)

$35 copayment
for exam     

$100 
for eyewear 
(glasses + lenses) 
$35 copayment
for exam        

$100 
for eyewear 
(glasses + lenses) 
Hospital copayment
$500 per admission
$500 per admission

$200 per day for days 1-17

$0 copay days 18-90

$200 per day for days 1-17

$0 copay days 18-90

Preventive exams and services
Many preventive services are covered in full
Many preventive services are covered in full
Many preventive services are covered in full
Many preventive services are covered in full
Part D Prescription Drug Coverage 
Includes Part D coverage
Does not include Part D coverage
Includes Part D coverage
Does not include Part D coverage
 
Evidence of Coverage (EOC) 
This document provides a detailed description of each plan.
Elite D Plan
Wisconsin & Iowa residents

Minnesota residents

Elite Plan
Wisconsin & Iowa residents

Minnesota residents

Value D Plan
Wisconsin & Iowa residents

Minnesota residents

Value Plan
Wisconsin & Iowa residents

Minnesota residents

Our network Senior Preferred is an HMO Medicare Advantage product. Our members receive medical care through Gundersen Health Plan Senior Preferred's network of healthcare providers and facilities (except in urgent or emergency care situations when a member is out of the service area).
Summary of Benefits
This document compares all four plan options.

Interpreter Services Information

How to get care from out of network providers

In most cases, care you receive from an out-of-network provider (a provider who is not part of our plan’s network) will not be covered. These are three exceptions:

  1. The plan covers emergency care or urgently needed care that you get from an out-of-network provider. For more information about this, and to see what emergency or urgently needed care means, see Section 3 in the Evidence of Coverage (links to the Evidence of Coverage documents can be found above).
  2. If you need medical care that Medicare requires our plan to cover and the providers in our network cannot provide this care, you can get this care from an out-of-network provider. If your network provider suggests or recommends care out-of-network, a referral must be obtained in writing, and signed by the plan’s medical director prior to seeking care. In this situation, you will pay the same as you would pay if you got the care from a network provider.
  3. Kidney dialysis services that you get at a Medicare-certified dialysis facility when you are temporarily outside the plan’s service area.

Contact Information

If you have questions or require language assistance, please call Customer Service at (800) 394-5566 in Wisconsin or Iowa, and (888) 888-3798 in Minnesota. For people who are deaf, hard of hearing, or speech impaired please call TTY 711 or toll free (800) 877-8973, or you may call through a video relay service company of your choice.  Interpreter services are provided free of charge to you. A customer service representative is available to assist you Monday through Friday from 8 a.m. to 8 p.m. From October 1 through February 14 we are also available to assist you on Saturdays and Sundays from 8 a.m. to 8 p.m. If you would like to meet with a customer service representative in person, you can visit us during our office hours, Monday through Friday. Our office locations and hours are:

  • 3190 Gundersen Drive, Onalaska, Wisconsin from 8 a.m. to 5 p.m. and 
  • 1836 South Avenue, La Crosse, Wisconsin, (located on the first floor in the lobby of the Gundersen Clinic Resource Center) from 8 a.m. to 4:30 p.m.
Disclaimers

Senior Preferred is an HMO plan with a Medicare contract. Enrollment in Senior Preferred depends on contract renewal. Medicare Advantage & Part D contracts are reviewed annually by The Centers for Medicare and Medicaid Services to determine renewal status of the plan. You must continue to pay your Medicare Part B premium. The benefit information provided herein is a brief summary, not a comprehensive description of benefits.  Members must use plan providers except in emergency or urgent care situations or for out-of-area renal dialysis. For more information contact the plan. *Plan performance summary star ratings are assessed each year and may change from one year to the next.

This web page was last updated on January 2, 2014.

Y0092_13 184 CMS Approved