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Medicare in Milwaukee

Almost 142,000 of Milwaukee County’s residents are on Medicare, meaning that almost 15% of the total county population receives benefits from the program, and the majority are over the age of 65. While most seniors are familiar with Medicare, you still may find yourself with questions about how to apply for benefits, what is covered by the program, or what doctors, hospitals, and nursing homes in your area accept the insurance. Milwaukee has several resources that can help you find answers to your questions in person, over the phone, and online.

Medicare 101- The four parts

When an American turns age 65 they are eligible for the federal insurance program, Medicare. Some adults may eligible before that time if they meet the requirements due to factors like having a specific medical condition or extended disability. The program is administered in four parts: Parts A, B, C and D.

Part A: Covers a portion of hospital care, qualifying skilled nursing care, qualifying home health care, hospice care.

Part B: Covers a portion of visits to the doctor, qualifying rehabilitation services, qualifying outpatient care, x-rays, lab tests, medical equipment, and mental health care.

Part C: Private companies offer health plans approved by Medicare that are commonly called Medicare Advantage Plans. At a minimum, these plans offer all the same services as Parts A and B combined, and most will include additional coverage for prescription medication, vision, or dental.

Part D: Is an option addition to Parts A and B and covers prescription medications.

Milwaukee data on Medicare beneficiaries

141,092 beneficiaries in Milwaukee County participated in Medicare in 2014.

In 2014, in Milwaukee County, Medicare beneficiaries had an average age of 71 years old.

According to 2014 figures, inpatient care constituted 41% of the Medicare claims in Milwaukee County.

According to 2014 figures, home health care constituted four percent of the Medicare claims in Milwaukee County.

2014 reports also find that skilled nursing care made up nine percent of the total claims in the county for 2014.

Where to go in Milwaukee for face to face Medicare assistance

The Social Security Administration is the best place for seniors who have questions about Medicare in Milwaukee to get in-person assistance. You can apply for assistance, request a replacement card if yours was misplaced, or ask questions about the program. There are four locations in the area:

Address: 6300 W Fond Du Lac Ave, Milwaukee, WI 53218 Phone: (800) 772-1213

Address: 1710 S 7th St #200, Milwaukee, WI 53204 Phone:(800) 772-1213

Address: 5020 W North Ave, Milwaukee, WI 53208 Phone:(800) 772-1213

Address: 6300 W Fond Du Lac Ave, Milwaukee, WI 53218 Phone:(800) 772-1213

If you need help determining which location is most convenient for you, enter your zip code here to see the closest office nearby.

Tolls online to locate Milwaukee providers who accept Medicare

To easily find a doctor in Milwaukee who accepts your insurance, visit the Medicare website and use their user-friendly search tool to find providers in your area. Through the tool, you can search by zip code radius and see listings for doctors within a specific specialty like cardiac or family medicine. You can also navigate into the profile for each doctor to get detailed information on how to contact them, their location, hospitals where they have privileges, and if they accept Medicare appointment. The comparison feature on the site allows you to view more than one doctor in the same practice side-by-side to decide which is best for you.

The Medicare site has also prepared listings for nursing homes and other service providers like dialysis centers and home health care agencies who will accept your insurance in the Milwaukee area.

Learn more about Financial Assistance for Milwaukee Seniors here:

Medicaid in Milwaukee

Milwaukee Veterans Benefits

Social Security for Milwaukee Seniors

Top Milwaukee Senior Discounts

Milwaukee Family Caregiver Benefits

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