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Beneficiaries, Family Members, and Advocates

WPS Medicare knows it may be hard to figure out where to go to find information. We made this page to help you find what you are looking for with ease. Select this link for more details on Your Medicare Benefits pdf doc. You can also visit the CMS Medicare Website outside website.

  • Medicare Part A (Hospital Insurance)
    Medicare Part A helps cover your inpatient care in hospitals. It also helps cover hospice care and home health care. You must meet certain conditions to get Medicare Part A. Select this link for more details on Medicare Part A.
  • Medicare Advantage (Part C)
    Medicare Advantage Plans are health plans approved by Medicare and run by private companies. They are part of the Medicare Program, and sometimes called "Part C." Medicare Advantage Plans provide all of your Part A and Part B coverage. They must cover medically necessary care. They often offer extra benefits, and many include a Prescription Drug Plan (Part D). Select this link for more details about Medicare Advantage outside website.
  • Medigap
    Medigap is health insurance sold by private companies to fill "gaps" in your Medicare plan. Medigap helps pay your share of the costs of Medicare-covered care. Some Medigap plans cover certain costs not covered by Original Medicare. Select this link for more details about Medigap outside website.
  • Durable Medical Equipment (DME)

    The Durable Medical Equipment Medicare Administrative Contractor (DME MAC) processes Medicare covered DMEPOS services such as those described here. Anyone who has Medicare Part B under Original Medicare can get DMEPOS as long as the supplies are medically necessary. Select this link for more details on DMEPOS pdf doc.

    (1) Durable Medical Equipment ( DME) for use in the patient's home (e.g., wheelchair, walker, hospital bed, external infusion pump, home blood glucose monitor and related supplies, nebulizer)
    (2) Eye, Arm and Leg Prostheses
    (3) Prosthetic Devices (e.g., breast & facial prostheses, parenteral & enteral nutrition, ostomy & urological supplies, glasses or contact lenses in patients with aphakia or pseudophakia)
    (4) Arm, Leg, Neck and Back Braces (Orthoses)
    (5) Home Dialysis Supplies and Equipment
    (6) Surgical Dressings
    (7) Therapeutic Shoes and Inserts for Diabetics
    (8) Immunosuppressive Drugs
    (9) Erythropoietin for Home Dialysis Patients
    (10) Oral Anticancer drugs
    (11) Oral Antiemetic Drugs as Replacement for Intravenous Antiemetics
    (12) Intravenous Immune Globulin for Primary Immunodeficiency

For all questions about Medicare Claims and services, Beneficiaries should call 1-800-MEDICARE (1-800-633-4227) or visit http://www.medicare.gov outside website

If you are a hearing impaired beneficiary, please use the following contact number: 1-877-486-2048.