Guide to Jewish WI 2023-2024 FLIP C - Flipbook - Page 2
Caring starts here.
My Choice Wisconsin Medicare Dual Advantage is a
Medicare Advantage insurance plan for people with both
Medicare and Medicaid. This plan includes benefits for
total wellness like a $100 monthly allowance towards
OTC products and a dental benefit that expands
your access to care providers. To learn more,
call a Medicare Advisor at…
800-963-0035 TTY: 711
www.mychoicewi.org/JA
my choice
Medicare
Dual Advantage
$0 premium | $0 deductible
We Cover:
Extra benefits that save you money:
Part A: Hospital
Visits & Expenses
Part B: Doctor
Visits & Tests
Part D:
Prescription Drugs
Over-the- Dental
Counter Coverage
(OTC)
Catalog
Personal
Vision
Emergency Coverage
Response
Button
(PERS)
My Choice Wisconsin Health Plan, Inc. complies with applicable Federal Civil rights laws and does
not discriminate on the basis of race, color, national origin, age, disability, or sex. ATENCIÓN: Si habla
español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-800-963-0035
(TTY: 711). LUS CEEV: Yog tias koj hais lus Hmoob, cov kev pab txog lus, muaj kev pab dawb rau koj.
Hu rau 1-800-963-0035 (TTY: 711). My Choice Wisconsin Medicare Dual Advantage is an HMO SNP
(Special Needs Plan) with a Medicare contract and a contract with the Wisconsin Department of
Health Services for the Medicaid Program. Enrollment in My Choice Wisconsin Medicare Dual
Advantage depends on contract renewal. This is not a complete description of benefits and
services. Visit us online or call 800-963-0035 and ask to speak with a Medicare Advisor for
information on our 2021 Summary of Benefits.
H5209_4FullPgAd_M
DHS Approved 12/21/2020
