Did you know that Medicare doesn’t cover all of

your medical costs? The IYC Medicare Plus plan

from WEA Trust is designed to supplement the

benefits available under Medicare for State and

Local Group Health Insurance Program retirees.

Rather than take over your Medicare coverage,

IYC Medicare Plus works hand-in-hand with your

Enroll in the IYC Medicare Plus plan today! Just submit your health

insurance application to the Department of Employee Trust Funds,

or log in to myETF.wi.gov (available for currently enrolled retirees only).

2021 PLAN YEAR

trusted Medicare service. WEA Trust coordinates

payment with Medicare and your medical providers.

WEA Trust pays your Medicare Part A and B

deductibles and coinsurance. If your service is

covered by Medicare, WEA Trust will cover the

portion that Medicare doesn’t pay, leaving you with

no out-of-pocket costs. And IYC Medicare Plus

includes pharmacy benefits from Navitus.

IYC MEDICARE PLUS

“Service has been excellent. The customer service has

been very helpful in answering questions and there has

been a seamless collaboration between charges going

to Medicare and then coming over to WEA Trust. My wife

and I have both been happy campers with WEA.”

-Jerry Rousseau, WEA Trust Member

From WEA Trust

SEE A DOCTOR ANYWHERE With IYC Medicare Plus, you can see any doctor in the

United States who accepts Medicare assignment. This

plan even includes worldwide coverage for Medicare-

covered services, beyond urgent or emergency

services.

ABOUT WEA TRUSTWith a well-known reputation for outstanding

customer service since 1970, WEA Trust is the only

health plan in the Group Health Insurance Program

devoted solely to state and local employees, retirees

and their families.

Instead of phone trees, being stuck on hold and

automated calls, at WEA Trust you talk to a real

person located here in Wisconsin every time—

with no waiting. We pride ourselves on our

high touch, personalized customer

service, and our members

love it too.

ENHANCED CARE SOLUTIONSAs a WEA Trust member, you also have access to

our Enhanced Care Solutions. These solutions make

getting care easier, more affordable and include:

VIRTUAL VISITS BY AMWELL—

When times are uncertain, Virtual Visits by Amwell

will serve you in the safe environment of your

choosing. All you need is a smartphone, tablet or

computer. Medical and therapy providers treat,

diagnose and can even prescribe to your local

pharmacy.

WEA TRUST LOW BACK PAIN PROGRAM

POWERED BY KIIO—

A free smartphone or tablet app designed to reduce

your low back pain and strengthen your back. This

personalized program provides a unique solution for

you and your specific type of back pain. Learn more

at WEAtrust.com/lowbackpain.

SILVERSNEAKERS® INCLUDED WITH YOUR IYC MEDICARE PLUS MEMBERSHIPSilverSneakers is a fitness program for seniors

that’s included with your WEA Trust IYC Medicare

Plus plan. SilverSneakers helps millions of people

on Medicare defy the odds, shatter stereotypes and

answer every challenge with, “I can do this!” And

where available, SilverSneakers also offers fitness

classes for all abilities led by SilverSneakers trained

instructors.

WEA Trust 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

866.485.0630.

LUS CEEV: Yog tias koj hais lus Hmoob, cov kev pab txog

lus, muaj kev pab dawb rau koj. Hu rau 866.485.0630

Unlimited access to more than

16,000 fitness locations*—just

show them your WEA Trust

Insurance ID card with the

SilverSneakers® logo.

Online membership—receive

healthy tips and tricks as well

as access to online fitness

classes.

Fitness designed for all levels

and abilities, led by certified

instructors trained in adult

fitness.

SILVERSNEAKERS OFFERS:

*Classes and amenities vary by location. Some classes

and services offered at SilverSneakers locations may

not be covered under the SilverSneakers benefit.

SilverSneakers is a registered trademarks of Tivity

Health, Inc. and/or its subsidiaries and/or affiliates

in the USA and/or other countries. © 2019. All rights

reserved.

Part A

: Ho

spital Services

1

SE

RV

ICE

SIY

C M

ED

ICA

RE

PLU

S PA

YS

YO

U PA

Y

Hospitalization

Semi-private room

and board, gen

eral nu

rsing, an

d m

iscellaneou

s hospital services an

d supplies.

Medicare dedu

ctible/coinsu

rance u

p to 90

days per benefit period. If

your 6

0 lifetim

e reserve days are exhau

sted, IYC

Medicare P

lus w

ill cover 10

0%

of days 91-120

.

$0

Skilled Nursing Facility Care

You

mu

st meet M

edicare’s requirem

ents, in

cludin

g havin

g been

in a h

ospital for at least three days an

d entered a M

edicareapproved facility w

ithin

30 days after leavin

g the h

ospital.

Medicare dedu

ctible/coinsu

rance u

p to 120 days per ben

efit period. If en

tering a n

on-M

edicare-approved facility with

in 24

hou

rs of disch

arge from an

approved hospital stay, th

e Plan

will pay ben

efits for approved ch

arges up to 30

days per confin

emen

t.

$0

Part B

: Med

ical Services1

SE

RV

ICE

SIY

C M

ED

ICA

RE

PLU

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YS

YO

U PA

Y

Hospice Care

Available as lon

g as your doctor certifies you

are termin

ally ill an

d you elect to receive th

ese services.

Medicare copaym

ent/coin

suran

ce$

0

Medical Expenses

Eligible expen

se for physician

’s services, inpatien

t and

outpatien

t medical services an

d supplies, ph

ysical and speech

th

erapy, diagnostic tests, du

rable medical equ

ipmen

t.

Medicare dedu

ctible/coinsu

rance

$0

Hom

e Health Care

(non

-custodial; refer to defin

ition in

Certificate of C

overage.)

Medicare dedu

ctible/coinsu

rance

$0

Foreig

n Travel M

edical C

are Ben

efits1

SE

RV

ICE

SIY

C M

ED

ICA

RE

PLU

S PA

YS

YO

U PA

Y

Foreign T

ravel Medical C

are10

0%

of eligible charges

$0

1 Th

is is not a com

plete description of coverage. P

lease consu

lt the IY

C M

edicare Plu

s Certificate of C

overage at etf.wi.gov or available on

paper by calling

ET

F at 877-533-5020

.

Co

verage Su

mm

aryA

vailable exclusively for State of W

isconsin

ann

uitan

ts and th

eir dependen

ts, the IY

C M

edicare Plu

s plan offers ou

tstandin

g

health

care coverage at an affordable price. Y

ou’ll en

joy top-notch

benefits an

d custom

er service from W

EA

Tru

st.

WE

A SH

P 0

09

7 0820