Appleton, Wisconsin Medicare Companies and Plans (2024)
Appleton, Wisconsin Medicare plans include Advantage plans from private health insurance companies, as well as standalone Part D prescription drug coverage. For those that prefer original Medicare coverage, Appleton, WI supplemental plans are also available.
UPDATED: Jan 8, 2024Fact Checked
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UPDATED: Jan 8, 2024
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UPDATED: Jan 8, 2024
It’s all about you. We want to help you make the right coverage choices.
Advertiser Disclosure: We strive to help you make confident insurance decisions. Comparison shopping should be easy. We are not affiliated with any one insurance provider and cannot guarantee quotes from any single provider. Our insurance industry partnerships don’t influence our content. Our opinions are our own. To compare quotes from many different companies please enter your ZIP code on this page to use the free quote tool. The more quotes you compare, the more chances to save.
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UPDATED: Jan 8, 2024Fact Checked
The Highlights
- Medicare Advantage plans may include Appleton, Wisconsin prescription drug coverage, or you may need to buy Part D coverage separately
- You can buy Medicare Supplement coverage in Appleton, Wisconsin if you have original Medicare and want coverage for out-of-pocket costs
- Options for Medicare Supplement in Appleton, Wisconsin include Medigap 25% Cost Sharing Plan and Medigap High Deductible Plan
If you’re eligible for Medicare in Appleton, Wisconsin, you have a lot of choices. Major health insurance companies provide Appleton, Wisconsin Medicare Advantage plans with a variety of coverage options to choose from. You can choose a plan that includes Appleton, WI Part D coverage, or buy prescription coverage as a standalone policy.
Read More: Best Wisconsin Medicare Companies and Plans
Appleton, Wisconsin Medicare Supplement plans are available from a number of companies if you choose to stick with original Medicare. These plans can pay for the out-of-pocket costs that Appleton original Medicare plans don’t cover, like coinsurance and deductibles.
Ready to buy Appleton, Wisconsin Medicare coverage? Enter your ZIP code to compare Appleton, WI Medicare options available to you right now.
Medicare Advantage Companies in Appleton, Wisconsin
Medicare Advantage in Appleton, Wisconsin is offered by some of the same local health insurance companies you may have been covered by before. Take a look at which companies in Appleton, WI offer Medicare Advantage as well as which plans they offer to find the coverage and provider network that’s best for you.
Medicare Advantage Companies in Appleton, Wisconsin
| Plan Name | Monthly Prem. (Parts C & D) | Deductible | Additional Gap Coverage | Preferred Pharmacy Copay/ Coinsurance 30-Day Supply | MOOP for Part A & B Benefits |
|---|---|---|---|---|---|
| AARP Medicare Advantage (HMO-POS) – H5253-011-0 | $27.00 | $245 . Tier 1, 2 and 3 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $3.00, Generic: $12.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 28% | $4,200 |
| AARP Medicare Advantage Open Plan 1 (PPO) – H0294-004-0 | $47.00 | $325 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $4.00, Generic: $12.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 27% | $5,900 |
| AARP Medicare Advantage Patriot Plan 2 (HMO-POS) – H5253-021-0 | $0.00 | No Rx Coverage | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 |
| AARP Medicare Advantage Value (HMO-POS) – H5253-034-0 | $0.00 | $355 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $3.00, Generic: $14.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 26% | $4,900 |
| AARP Medicare Advantage Walgreens (PPO) – H0294-015-0 | $0.00 | $245 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 28% | $4,700 |
| Aetna Medicare Eagle (PPO) – H5521-286-0 | $0.00 | No Rx Coverage | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,900 |
| Aetna Medicare Premier (PPO) – H5521-282-0 | $25.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $42.00, Non-Preferred Drug: $99.00, Specialty Tier: 33% | $4,200 |
| Aetna Medicare Value (PPO) – H5521-283-0 | $0.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $4,500 |
| Allwell Dual Medicare (HMO D-SNP) – H8189-001-0 | $0.00 for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $20.00, Preferred Brand: $47.00, Non-Preferred Drug: 50%, Specialty Tier: 29% | N/A |
| Anthem MediBlue Access (PPO) – H4036-008-0 | $27.00 | $95 . Tier 1 and 2 exempt | Yes, some additional gap coverage. | Preferred Generic: $5.00, Generic: $15.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 31%, Select Care Drugs: $0.00 | $4,500 |
| Anthem MediBlue Access Core (PPO) – H4036-016-0 | $0.00 | No Rx Coverage | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,500 |
| Anthem MediBlue Access Plus (PPO) – H4036-020-0 | $0.00 | $195 . Tier 1 and 2 exempt | Yes, some additional gap coverage. | Preferred Generic: $5.00, Generic: $15.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 29%, Select Care Drugs: $0.00 | $4,500 |
| Anthem MediBlue Dual Advantage (HMO D-SNP) – H9525-003-0 | $0.00 for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $4.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 25%, Select Care Drugs: $0.00 | N/A |
| Anthem MediBlue Plus (HMO) – H9525-006-0 | $0.00 | $150 . Tier 1 and 2 exempt | Yes, some additional gap coverage. | Preferred Generic: $2.00, Generic: $9.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 30%, Select Care Drugs: $0.00 | $4,300 |
| Community Care’s Partnership Program (HMO D-SNP) – H2034-001-0 | $0.00 for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No additional gap coverage, only the Donut Hole Discount | Tier 1: $0.00 | N/A |
| HealthPartners Robin Birch (PPO) – H4882-004-0 | $0.00 | $200 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $2.00, Generic: $9.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 29% | $5,100 |
| HealthPartners Robin Maple (PPO) – H4882-005-0 | $26.00 | $200 . Tier 1 and 2 exempt | Yes, some additional gap coverage. | Preferred Generic: $2.00, Generic: $9.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 29% | $4,500 |
| Humana Gold Choice H8145-006 (PFFS) – H8145-006-0 | $81.00 | $445 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $6.00, Generic: $15.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 25% | N/A |
| Humana Gold Plus H6622-001 (HMO) – H6622-001-0 | $0.00 | $250 . Tier 1, 2 and 3 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $6.00, Generic: $15.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 28% | $4,500 |
| Humana Gold Plus H6622-040 (HMO) – H6622-040-0 | $0.00 | $315 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $6.00, Generic: $15.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 27% | $6,700 |
| Humana Honor (PPO) – H5216-258-0 | $0.00 | No Rx Coverage | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $6,700 |
| Humana Value Plus H5216-173 (PPO) – H5216-173-0 | $33.00 | $230 . Tier 1 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $8.00, Generic: $18.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 29% | $6,700 |
| HumanaChoice H5216-001 (PPO) – H5216-001-0 | $78.00 | $200 . Tier 1, 2 and 3 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $6.00, Generic: $15.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 29% | $3,900 |
| HumanaChoice H5216-252 (PPO) – H5216-252-0 | $0.00 | $300 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $6.00, Generic: $15.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 27% | $4,900 |
| HumanaChoice H5216-253 (PPO) – H5216-253-0 | $0.00 | $275 . Tier 1, 2 and 3 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $6.00, Generic: $15.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 28% | $4,200 |
| HumanaChoice R5361-001 (Regional PPO) – R5361-001-0 | $0.00 | No Rx Coverage | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $6,700 |
| HumanaChoice R5361-002 (Regional PPO) – R5361-002-0 | $120.00 | $420 . Tier 1 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $3.00, Generic: $9.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 25% | $6,700 |
| Molina Medicare Complete Care (HMO D-SNP) – H2879-001-0 | $0.00 for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $47.00, Non-Preferred Drug: 34%, Specialty Tier: 25% | N/A |
| My Choice Wisconsin Medicare Dual Advantage Plan (HMO D-SNP) – H5209-004-0 | $0.00 for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No additional gap coverage, only the Donut Hole Discount | Tier 1: $0.00 | N/A |
| Network PlatinumChoice (PPO) – H5215-011-0 | $31.00 | $260 . Tier 1, 2 and 3 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $2.00, Generic: $8.00, Preferred Brand: $42.00, Non-Preferred Brand: $90.00, Specialty Tier: 28% | $4,050 |
| Network PlatinumPlus (PPO) – H5215-001-0 | $51.00 | No Rx Coverage | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
| Network PlatinumPlus Pharmacy (PPO) – H5215-002-0 | $124.00 | $260 . Tier 1, 2 and 3 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $2.00, Generic: $8.00, Preferred Brand: $42.00, Non-Preferred Brand: $90.00, Specialty Tier: 28% | $3,400 |
| Network PlatinumPremier (PPO) – H5215-006-0 | $185.00 | No Rx Coverage | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
| Network PlatinumPremier Pharmacy (PPO) – H5215-005-0 | $297.00 | $260 . Tier 1, 2 and 3 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $2.00, Generic: $8.00, Preferred Brand: $42.00, Non-Preferred Brand: $90.00, Specialty Tier: 28% | $3,400 |
| Network PlatinumSelect (PPO) – H5215-008-0 | $0.00 | $395 . Tier 1, 2 and 3 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $2.00, Generic: $8.00, Preferred Brand: $42.00, Non-Preferred Brand: $90.00, Specialty Tier: 25% | $4,900 |
| NetworkCares (PPO D-SNP) – H5215-007-0 | $0.00 for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $4.00, Generic: $8.00, Preferred Brand: $42.00, Non-Preferred Brand: $90.00, Specialty Tier: 25% | N/A |
| NetworkPrime (MSA) – H1181-001-0 | $0.00 | No Rx Coverage | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | N/A |
| Promise Rx (HMO-POS) – H5211-009-0 | $73.00 | $270 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $6.00, Generic: $20.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 28%, Vaccines: $0.00 | $3,000 |
| Secure Saver (MSA) – H4388-001-0 | $0.00 | No Rx Coverage | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | N/A |
| Surety Rx (HMO-POS) – H5211-008-0 | $0.00 | $330 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $8.00, Generic: $20.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 26%, Vaccines: $0.00 | $6,500 |
| UnitedHealthcare Assisted Living Plan (HMO-POS I-SNP) – H5253-064-0 | $40.70 | $200 . Tier 1, 2 and 3 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $2.00, Generic: $12.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 29% | N/A |
| UnitedHealthcare Dual Complete LP (HMO D-SNP) – H5253-024-0 | $0.00 for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No additional gap coverage, only the Donut Hole Discount | Tier 1: 15%, Tier 2: 15%, Tier 3: 15%, Tier 4: 15%, Tier 5: 15% | N/A |
| UnitedHealthcare Dual Complete LP1 (HMO D-SNP) – H3794-002-0 | $0.00 for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No additional gap coverage, only the Donut Hole Discount | Tier 1: 15%, Tier 2: 15%, Tier 3: 15%, Tier 4: 15%, Tier 5: 15% | N/A |
| UnitedHealthcare Medicare Advantage Assist (PPO C-SNP) – H0294-002-0 | $14.00 | $300 . Tier 1, 2 and 3 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $4.00, Generic: $12.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 27% | N/A |
| UnitedHealthcare Nursing Home Plan 1 (HMO-POS I-SNP) – H5253-007-0 | $38.10 | $445 | No additional gap coverage, only the Donut Hole Discount | Tier 1: 25%, Tier 2: 25%, Tier 3: 25%, Tier 4: 25%, Tier 5: 25% | N/A |
| UnitedHealthcare Nursing Home Plan 2 (PPO I-SNP) – H0710-043-0 | $38.80 | $445 | No additional gap coverage, only the Donut Hole Discount | Tier 1: 25%, Tier 2: 25%, Tier 3: 25%, Tier 4: 25%, Tier 5: 25% | N/A |
| iCare Medicare Plan (HMO D-SNP) – H2237-001-0 | $0.00 for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No additional gap coverage, only the Donut Hole Discount | Generic: $15.00, Brand: $45.00, Specialty Tier: 25% | N/A |
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Medicare Supplement Companies in Appleton, Wisconsin
Original Medicare leaves you with some out-of-pocket costs such as deductibles and coinsurance. With Appleton, Wisconsin Medicare Supplement plan, you can get coverage for some or all of those costs. Medicare Supplement plans in Wisconsin are standardized, but companies can choose which plans they will sell. Take a look at which companies sell Medicare Supplement (Medigap) insurance and which plans they offer.
Medicare Supplement Companies in Appleton, Wisconsin
| Company | Plans |
|---|---|
| Humana (Humana Insurance Company) | Medigap 25% Cost Sharing Plan, Medigap 50% Cost Sharing Plan, Medigap Basic Plan, Medigap High Deductible Plan |
| Humana (Humana Insurance Company) (Household) | Medigap 25% Cost Sharing Plan, Medigap 50% Cost Sharing Plan, Medigap Basic Plan, Medigap High Deductible Plan |
| Humana Healthy Living (Humana Insurance Company) | Medigap 25% Cost Sharing Plan, Medigap 50% Cost Sharing Plan, Medigap Basic Plan |
| Humana Healthy Living (Humana Insurance Company) (Household) | Medigap 25% Cost Sharing Plan, Medigap 50% Cost Sharing Plan, Medigap Basic Plan |
| Humana Value (HumanaDental Insurance Company) | Medigap 25% Cost Sharing Plan, Medigap 50% Cost Sharing Plan, Medigap Basic Plan |
| Humana Value (HumanaDental Insurance Company) (Household) | Medigap 25% Cost Sharing Plan, Medigap 50% Cost Sharing Plan, Medigap Basic Plan |
| Wisconsin Physicians Service Insurance Corporation | Medigap 25% Cost Sharing Plan, Medigap 50% Cost Sharing Plan, Medigap Basic Plan |
| AARP – UnitedHealthcare Insurance Company (Level 1) | Medigap Basic Plan |
| AARP – UnitedHealthcare Insurance Company (Level 1/Household) | Medigap Basic Plan |
| AARP – UnitedHealthcare Insurance Company (Level 2) | Medigap Basic Plan |
| AARP – UnitedHealthcare Insurance Company (Level 2/Household) | Medigap Basic Plan |
| AARP – UnitedHealthcare Insurance Company (Standard) | Medigap Basic Plan |
| AARP – UnitedHealthcare Insurance Company (Standard/Household) | Medigap Basic Plan |
| Accendo Insurance Company | Medigap Basic Plan |
| Aetna Health and Life Insurance Company | Medigap Basic Plan |
| American Benefit Life Insurance Company | Medigap Basic Plan |
| Americo Financial Life and Annuity Insurance Company | Medigap Basic Plan |
| Americo Financial Life and Annuity Insurance Company (Class 1) | Medigap Basic Plan |
| Anthem Blue Cross and Blue Shield – Wisconsin | Medigap Basic Plan |
| Capitol Life Insurance Company | Medigap Basic Plan |
| Catholic United Financial | Medigap Basic Plan |
| Cigna Health & Life Insurance Company | Medigap Basic Plan |
| Colonial Penn Life Insurance Company | Medigap Basic Plan |
| Colonial Penn Life Insurance Company (Substandard) | Medigap Basic Plan |
| Garden State Life Insurance Company | Medigap Basic Plan, Medigap High Deductible Plan |
| Globe Life and Accident Insurance Company (Direct to Consumer) | Medigap Basic Plan |
| Guarantee Trust Life Insurance Company | Medigap Basic Plan |
| Humana Achieve (Emphesys Insurance Company) | Medigap Basic Plan |
| Humana Achieve (Emphesys Insurance Company) (Household) | Medigap Basic Plan |
| Independence American Insurance Company | Medigap Basic Plan |
| Lumico Life Insurance Company | Medigap Basic Plan |
| Manhattan Life Assurance Company | Medigap Basic Plan |
| Medico Insurance Company | Medigap Basic Plan |
| National Guardian Life Insurance Company | Medigap Basic Plan |
| National Health Insurance Company | Medigap Basic Plan |
| National Health Insurance Company (Household) | Medigap Basic Plan |
| Pan-American Life Insurance Company | Medigap Basic Plan |
| Pekin Life Insurance Company | Medigap Basic Plan |
| Philadelphia American Life Insurance Company | Medigap Basic Plan |
| Physicians Life Insurance Company (Attained Age) | Medigap Basic Plan, Medigap High Deductible Plan |
| Physicians Life Insurance Company (Issue Age) | Medigap Basic Plan, Medigap High Deductible Plan |
| Prosperity Life Group | Medigap Basic Plan |
| Puritan Life Insurance Company of America | Medigap Basic Plan |
| Security Health Plan of Wisconsin, Inc. | Medigap Basic Plan |
| Southern Guaranty Insurance Company | Medigap Basic Plan |
| State Farm Mutual Automobile Insurance Company | Medigap Basic Plan |
| Union Security Insurance Company | Medigap Basic Plan |
| United American Insurance Company | Medigap Basic Plan |
| United Commercial Travelers of America | Medigap Basic Plan |
| United World Life Insurance Company | Medigap Basic Plan, Medigap High Deductible Plan |
Appleton, Wisconsin Standard Medicare Plan Coverage
Wondering what’s covered by each of the standard Wisconsin Medicare Supplement plans? Take a look at all of the Appleton, Wisconsin Medicare Supplement plans with coverage details.
Appleton, Wisconsin Standard Medicare Plan Coverage
| Plan Name | Monthly Cost | Copays Coinsurance | Deductibles | Plan Benefits |
|---|---|---|---|---|
| Medigap 25% Cost Sharing Plan | Premiums range from $105-$569 depending on your age, sex, health status, and when you buy. | 5% is generally your cost for approved Part B services up to $3,110. Then, you’ll pay $0 for the rest of the year. | $371 (25% of Part A deductible) Hospital (Part A) deductible, $203 Medical (Part B) deductible |
Skilled nursing facility: Yes
Part A deductible: Yes Part B deductible: No Part B excess charges: No Foreign travel emergency: No |
| Medigap 50% Cost Sharing Plan | Premiums range from $78-$448 depending on your age, sex, health status, and when you buy. | 10% is generally your cost for approved Part B services up to $6,220. Then, you’ll pay $0 for the rest of the year. | $742 (50% of Part A deductible) Hospital (Part A) deductible, $203 Medical (Part B) deductible |
Skilled nursing facility: Yes
Part A deductible: Yes Part B deductible: No Part B excess charges: No Foreign travel emergency: No |
| Medigap Basic Plan | Premiums range from $98-$912 depending on your age, sex, health status, and when you buy. | $0 is generally your cost for approved Part B services. | $1,484 Hospital (Part A) deductible, $203 Medical (Part B) deductible |
Skilled nursing facility: Yes
Part A deductible: No Part B deductible: No Part B excess charges: No Foreign travel emergency: No |
| Medigap High Deductible Plan | Premiums range from $52-$366 depending on your age, sex, health status, and when you buy. | $0 is generally your cost for approved Part B services. | $2,370 total plan deductible. After, you pay: $0 Hospital (Part A) deductible, $0 (or $203 if not eligible for this benefit)** Medical (Part B) deductible |
Skilled nursing facility: Yes
Part A deductible: Yes Part B deductible: Yes Part B excess charges: Yes Foreign travel emergency: Yes |
Standalone Medicare Part D Plans in Appleton, Wisconsin
Prescription drug coverage for Medicare in Appleton, Wisconsin is covered by a Part D plan. You can purchase Part D coverage in Appleton, Wisconsin as a standalone plan if it’s not included in your Medicare Advantage coverage. Take a look at the options for standalone Part D plans here.
Standalone Medicare Part D Plans in Appleton, Wisconsin
| Plan | Details | Tiers |
|---|---|---|
| SilverScript SmartRx (PDP) S5601 – 191 – 0 by Aetna Medicare |
Monthly Premium: $7.30 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $19.00 Tier 3: $46.00 Tier 4: 46% Tier 5: 25% |
| Clear Spring Health Premier Rx (PDP) S6946 – 042 – 0 by Clear Spring Health |
Monthly Premium: $13.60 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $3.00 Tier 3: $40.00 Tier 4: 44% Tier 5: 25% |
| WellCare Wellness Rx (PDP) S4802 – 185 – 0 by WellCare |
Monthly Premium: $14.60 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $7.00 Tier 3: $43.00 Tier 4: 47% Tier 5: 25% |
| WellCare Value Script (PDP) S4802 – 132 – 0 by WellCare |
Monthly Premium: $14.80 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $8.00 Tier 3: $43.00 Tier 4: 47% Tier 5: 25% |
| Humana Walmart Value Rx Plan (PDP) S5884 – 195 – 0 by Humana |
Monthly Premium: $17.20 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $4.00 Tier 3: 19% Tier 4: 35% Tier 5: 25% |
| Cigna Secure-Essential Rx (PDP) S5617 – 295 – 0 by Cigna |
Monthly Premium: $24.00 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $2.00 Tier 3: 18% Tier 4: 46% Tier 5: 25% |
| Mutual of Omaha Rx Premier (PDP) S7126 – 085 – 0 by Mutual of Omaha Rx |
Monthly Premium: $24.00 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $2.00 Tier 3: 23% Tier 4: 46% Tier 5: 25% |
| Anthem MediBlue Rx Enhanced (PDP) S5596 – 080 – 0 by Anthem MediBlue Rx (PDP) |
Monthly Premium: $24.60 Annual Deductible: $290 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: Yes |
Tier 1: $0.00 Tier 2: $2.00 Tier 3: 20% Tier 4: 37% Tier 5: 26% |
| WellCare Medicare Rx Select (PDP) S5810 – 290 – 0 by WellCare |
Monthly Premium: $26.80 Annual Deductible: $300 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $3.00 Tier 3: $47.00 Tier 4: 42% Tier 5: 27% |
| Express Scripts Medicare – Saver (PDP) S5660 – 232 – 0 by Express Scripts Medicare |
Monthly Premium: $27.50 Annual Deductible: $285 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $2.00 Tier 2: $7.00 Tier 3: $35.00 Tier 4: 50% Tier 5: 28% |
| Clear Spring Health Value Rx (PDP) S6946 – 013 – 0 by Clear Spring Health |
Monthly Premium: $29.30 Annual Deductible: $445 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $3.00 Tier 3: $42.00 Tier 4: 34% Tier 5: 25% |
| Express Scripts Medicare – Value (PDP) S5660 – 118 – 0 by Express Scripts Medicare |
Monthly Premium: $31.60 Annual Deductible: $445 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $3.00 Tier 3: $30.00 Tier 4: 50% Tier 5: 25% |
| AARP MedicareRx Walgreens (PDP) S5921 – 397 – 0 by UnitedHealthcare |
Monthly Premium: $32.00 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $6.00 Tier 3: $40.00 Tier 4: 40% Tier 5: 25% |
| Cigna Secure Rx (PDP) S5617 – 223 – 0 by Cigna |
Monthly Premium: $32.10 Annual Deductible: $445 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $2.00 Tier 3: $30.00 Tier 4: 50% Tier 5: 25% |
| WellCare Classic (PDP) S4802 – 097 – 0 by WellCare |
Monthly Premium: $33.90 Annual Deductible: $445 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $2.00 Tier 3: $30.00 Tier 4: 33% Tier 5: 25% |
| SilverScript Choice (PDP) S5601 – 032 – 0 by Aetna Medicare |
Monthly Premium: $36.00 Annual Deductible: $205 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $5.00 Tier 3: $35.00 Tier 4: 42% Tier 5: 29% |
| Humana Basic Rx Plan (PDP) S5884 – 139 – 0 by Humana |
Monthly Premium: $37.90 Annual Deductible: $445 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $1.00 Tier 3: 20% Tier 4: 35% Tier 5: 25% |
| Elixir RxPlus (PDP) S7694 – 016 – 0 by Elixir Insurance |
Monthly Premium: $39.10 Annual Deductible: $445 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $6.00 Tier 3: 15% Tier 4: 25% Tier 5: 25% |
| WellCare Medicare Rx Saver (PDP) S5810 – 050 – 0 by WellCare |
Monthly Premium: $39.50 Annual Deductible: $445 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $2.00 Tier 3: $35.00 Tier 4: 37% Tier 5: 25% |
| AARP MedicareRx Saver Plus (PDP) S5921 – 361 – 0 by UnitedHealthcare |
Monthly Premium: $40.00 Annual Deductible: $445 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $7.00 Tier 3: $31.00 Tier 4: 40% Tier 5: 25% |
| SilverScript Plus (PDP) S5601 – 033 – 0 by Aetna Medicare |
Monthly Premium: $52.20 Annual Deductible: $0 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: Yes |
Tier 1: $0.00 Tier 2: $2.00 Tier 3: $47.00 Tier 4: 50% Tier 5: 33% |
| Anthem MediBlue Rx Plus (PDP) S5596 – 057 – 0 by Anthem MediBlue Rx (PDP) |
Monthly Premium: $54.30 Annual Deductible: $0 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $3.00 Tier 3: $43.00 Tier 4: 45% Tier 5: 33% |
| Cigna Secure-Extra Rx (PDP) S5617 – 261 – 0 by Cigna |
Monthly Premium: $54.60 Annual Deductible: $100 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: Yes |
Tier 1: $4.00 Tier 2: $10.00 Tier 3: $42.00 Tier 4: 50% Tier 5: 31% |
| Anthem MediBlue Rx Standard (PDP) S5596 – 056 – 0 by Anthem MediBlue Rx (PDP) |
Monthly Premium: $54.90 Annual Deductible: $320 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $2.00 Tier 3: $30.00 Tier 4: 35% Tier 5: 25% |
| Humana Premier Rx Plan (PDP) S5884 – 162 – 0 by Humana |
Monthly Premium: $63.30 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $4.00 Tier 3: $45.00 Tier 4: 49% Tier 5: 25% |
| WellCare Medicare Rx Value Plus (PDP) S5768 – 139 – 0 by WellCare |
Monthly Premium: $76.10 Annual Deductible: $0 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $4.00 Tier 3: $47.00 Tier 4: 45% Tier 5: 33% |
| WPS MedicareRx Plan 1 (PDP) S5753 – 006 – 0 by WPS Health Insurance |
Monthly Premium: $79.30 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $3.00 Tier 2: $15.00 Tier 3: $42.00 Tier 4: 49% Tier 5: 25% |
| Express Scripts Medicare – Choice (PDP) S5660 – 186 – 0 by Express Scripts Medicare |
Monthly Premium: $80.80 Annual Deductible: $100 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: Yes |
Tier 1: $2.00 Tier 2: $7.00 Tier 3: $42.00 Tier 4: 50% Tier 5: 31% |
| Mutual of Omaha Rx Plus (PDP) S7126 – 015 – 0 by Mutual of Omaha Rx |
Monthly Premium: $86.60 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $2.00 Tier 3: 20% Tier 4: 37% Tier 5: 25% |
| AARP MedicareRx Preferred (PDP) S5820 – 015 – 0 by UnitedHealthcare |
Monthly Premium: $92.80 Annual Deductible: $0 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $5.00 Tier 2: $10.00 Tier 3: $45.00 Tier 4: 40% Tier 5: 33% |
| WPS MedicareRx Plan 2 (PDP) S5753 – 007 – 0 by WPS Health Insurance |
Monthly Premium: $132.30 Annual Deductible: $0 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: Yes |
Tier 1: $0.00 Tier 2: $11.00 Tier 3: $42.00 Tier 4: 45% Tier 5: 33% |
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Jeff Root
Licensed Insurance Agent
Jeff is a well-known speaker and expert in life insurance and financial planning. He has spoken at top insurance conferences around the U.S., including the InsuranceNewsNet Super Conference, the 8% Nation Insurance Wealth Conference, and the Digital Life Insurance Agent Mastermind. He has been featured and quoted in Nerdwallet, Bloomberg, Forbes, U.S. News & Money, USA Today, and other leading...
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