Wisconsin Medicare Advantage Companies for 2024 (All Plans)
Wisconsin has a lot of Medicare Advantage companies, and each has a different selection of plans available with different premiums and benefits. Medicare Advantage plans in Wisconsin can differ depending on your county or city. You could even get Medicare Advantage coverage in Wisconsin without paying more than your original Medicare Part B rate.
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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.
On This Page
- There are 54 plans that cost the same as your original Medicare in WI
- There are 22 Medicare Avantage companies in Wisconsin
- If you choose Medicare Advantage, you’ll still need to pay your Wisconsin original Medicare premium
There are several options in Wisconsin for Medicare Advantage plans. Medicare Advantage (Medicare Part C) is offered by 22 companies in Wisconsin; and options such as HMO, PPO, and POS may be available depending on which county you live in.
To make sure you’re getting the best WI Medicare provider and plan for your needs, compare rates and out-of-pocket costs to find the ideal coverage and cost combination for you.
If you’re ready to compare Medicare plans from the top companies in your county or across Wisconsin, enter your ZIP code for fast, free WI Medicare quotes today.
The Complete List of Wisconsin Medicare Advantage Companies
There are many companies offering Part C Medicare Advantage in WI. Below, you’ll find a complete listing of health insurance companies that offer Medicare Advantage plans in Wisconsin, the counties those plans are offered in, and the number of plans each company offers.
Company | Number of Plans | Counties |
---|---|---|
Aetna Medicare | 3 | Walworth, Milwaukee, Green Lake, Kewaunee, Shawano, Manitowoc, Green, Waushara, Brown, Waukesha, Rock, Racine, Sheboygan, Calumet, Washington, Outagamie, Kenosha, Ozaukee, Winnebago |
Allwell | 1 | Waupaca, Walworth, Marquette, Milwaukee, Green Lake, Jefferson, Kewaunee, Taylor, Shawano, Fond du Lac, Manitowoc, Wood, Waushara, Marinette, Brown, Columbia, Waukesha, Oconto, Clark, Racine, Sheboygan, Calumet, Portage, Marathon, Menominee, Washington, Outagamie, Langlade, Kenosha, Lincoln, Ozaukee, Adams, Dodge, Dane, Winnebago |
Anthem | 1 | Waupaca, Iron, Walworth, Marquette, Milwaukee, Green Lake, Douglas, Jefferson, Kewaunee, Taylor, Ashland, Shawano, Fond du Lac, Manitowoc, Juneau, Green, Waushara, Oneida, Marinette, Brown, Waukesha, Rock, Lafayette, Oconto, Clark, Price, Racine, Sheboygan, Door, Florence, Calumet, Portage, Iowa, Vilas, Marathon, Menominee, Washington, Outagamie, Langlade, Kenosha, Lincoln, Bayfield, Ozaukee, Adams, Dodge, Forest, Winnebago |
Anthem Blue Cross and Blue Shield | 4 | Waupaca, Iron, Walworth, Marquette, Milwaukee, Green Lake, Douglas, Jefferson, Kewaunee, Taylor, Ashland, Shawano, Fond du Lac, Manitowoc, Juneau, Green, Waushara, Oneida, Marinette, Brown, Waukesha, Rock, Lafayette, Oconto, Clark, Price, Racine, Sheboygan, Door, Florence, Calumet, Portage, Iowa, Vilas, Marathon, Menominee, Washington, Outagamie, Langlade, Kenosha, Lincoln, Bayfield, Ozaukee, Adams, Dodge, Forest, Winnebago |
Aspirus Health Plan | 3 | Iron, Marquette, Taylor, Shawano, Juneau, Wood, Waushara, Oneida, Columbia, Clark, Price, Florence, Portage, Marathon, Langlade, Lincoln, Adams, Forest |
Community Care | 1 | Waupaca, Milwaukee, Waukesha, Racine, Calumet, Washington, Outagamie, Kenosha, Ozaukee |
Dean Advantage, Prevea360 Medicare Advantage | 8 | Jefferson, Sauk, Fond du Lac, Green, Columbia, Rock, Iowa, Dodge, Dane, Kewaunee, Brown, Oconto, Sheboygan, Door |
Dean Health Plan, Inc | 3 | Grant, Jefferson, Sauk, Columbia, Rock, Iowa, Dodge, Dane |
Group Health Cooperative of Eau Claire | 1 | Chippewa, Eau Claire, Trempealeau, Barron |
HealthPartners | 5 | Waupaca, Marquette, Green Lake, Kewaunee, Shawano, Manitowoc, Waushara, Marinette, Brown, Oconto, Florence, Calumet, Menominee, Outagamie, Winnebago, Douglas, Burnett, Pierce, Washburn, Polk, St. Croix, Dunn |
Humana | 17 | Waupaca, Marquette, Milwaukee, Green Lake, Kewaunee, Fond du Lac, Manitowoc, Waushara, Marinette, Brown, Waukesha, Oconto, Racine, Sheboygan, Door, Calumet, Portage, Marathon, Menominee, Washington, Outagamie, Kenosha, Ozaukee, Dodge, Forest, Winnebago, Shawano, Crawford, Walworth, Richland, Douglas, Jefferson, Sauk, Green, Columbia, Rock, Lafayette, Iowa, Dane, Grant, Iron, Sawyer, Chippewa, Jackson, Eau Claire, Burnett, Taylor, Ashland, Juneau, Wood, Oneida, Vernon, Pierce, Clark, Washburn, Price, Monroe, Florence, La Crosse, Buffalo, Vilas, Pepin, Langlade, Polk, Rusk, St. Croix, Lincoln, Dunn, Bayfield, Adams, Trempealeau, Barron |
Medica | 3 | Sawyer, Douglas, Chippewa, Eau Claire, Burnett, Ashland, Pierce, Washburn, Polk, St. Croix, Dunn, Bayfield, Barron |
Medical Associates Clinic Health Plan of Wisconsi | 3 | Grant, Crawford, Lafayette, Iowa |
Molina Healthcare | 1 | Waupaca, Walworth, Marquette, Milwaukee, Green Lake, Jefferson, Kewaunee, Shawano, Fond du Lac, Manitowoc, Waushara, Marinette, Brown, Waukesha, Oconto, Racine, Sheboygan, Door, Florence, Calumet, Portage, Washington, Outagamie, Langlade, Kenosha, Ozaukee, Dodge, Forest, Winnebago |
My Choice Wisconsin | 2 | Waupaca, Grant, Crawford, Walworth, Marquette, Green Lake, Jefferson, Sauk, Kewaunee, Shawano, Fond du Lac, Juneau, Green, Waushara, Vernon, Brown, Columbia, Waukesha, Rock, Lafayette, Oconto, Calumet, Iowa, Washington, Outagamie, Ozaukee, Adams, Dodge, Dane, Winnebago |
Network Health | 1 | Waupaca, Marquette, Green Lake, Kewaunee, Shawano, Fond du Lac, Manitowoc, Waushara, Brown, Oconto, Sheboygan, Calumet, Portage, Outagamie, Dodge, Winnebago |
Network Health Medicare Advantage Plans | 10 | Waupaca, Marquette, Green Lake, Kewaunee, Shawano, Fond du Lac, Manitowoc, Waushara, Brown, Oconto, Sheboygan, Calumet, Portage, Outagamie, Dodge, Winnebago, Grant, Iron, Crawford, Walworth, Sawyer, Richland, Milwaukee, Douglas, Jefferson, Chippewa, Sauk, Jackson, Eau Claire, Burnett, Taylor, Ashland, Juneau, Wood, Green, Oneida, Marinette, Vernon, Columbia, Waukesha, Rock, Lafayette, Pierce, Clark, Washburn, Price, Racine, Monroe, Door, Florence, La Crosse, Iowa, Buffalo, Vilas, Pepin, Marathon, Menominee, Washington, Langlade, Polk, Rusk, St. Croix, Kenosha, Lincoln, Dunn, Bayfield, Ozaukee, Adams, Trempealeau, Barron, Forest, Dane |
Quartz Medicare Advantage | 6 | Crawford, Jackson, Juneau, Vernon, Monroe, La Crosse, Buffalo, Trempealeau, Walworth, Milwaukee, Manitowoc, Brown, Waukesha, Racine, Sheboygan, Washington, Kenosha, Ozaukee, Winnebago, Richland, Marquette, Jefferson, Sauk, Columbia, Iowa, Adams, Dane |
Security Health | 1 | Chippewa, Eau Claire, Taylor, Wood, Oneida, Clark, Price, Portage, Marathon, Rusk, Lincoln, Barron |
Security Health Plan of Wisconsin, Inc | 10 | Waupaca, Iron, Crawford, Sawyer, Richland, Marquette, Green Lake, Douglas, Jefferson, Chippewa, Sauk, Jackson, Eau Claire, Burnett, Taylor, Ashland, Shawano, Juneau, Wood, Green, Waushara, Oneida, Vernon, Columbia, Waukesha, Pierce, Clark, Washburn, Price, Monroe, Florence, La Crosse, Portage, Iowa, Buffalo, Vilas, Pepin, Marathon, Langlade, Polk, Rusk, Lincoln, Dunn, Bayfield, Adams, Trempealeau, Barron, Forest, Dane, Grant, Walworth, Milwaukee, Kewaunee, Fond du Lac, Manitowoc, Marinette, Brown, Rock, Lafayette, Oconto, Racine, Sheboygan, Door, Calumet, Menominee, Washington, Outagamie, St. Croix, Kenosha, Ozaukee, Dodge, Winnebago |
UCare | 3 | Douglas, Washburn, Bayfield |
UnitedHealthcare | 17 | Waupaca, Milwaukee, Green Lake, Kewaunee, Shawano, Fond du Lac, Manitowoc, Wood, Waushara, Oneida, Marinette, Brown, Waukesha, Oconto, Racine, Sheboygan, Door, Florence, Calumet, Portage, Marathon, Menominee, Washington, Outagamie, Langlade, Lincoln, Ozaukee, Dodge, Forest, Winnebago, Walworth, Clark, Kenosha, Grant, Jefferson, Green, Rock, Marquette, Sauk, Columbia, Lafayette, Iowa, Adams, Dane, Iron, Crawford, Richland, Douglas, Chippewa, Jackson, Burnett, Taylor, Ashland, Juneau, Vernon, Pierce, Price, Monroe, La Crosse, Buffalo, Vilas, Pepin, Polk, Rusk, St. Croix, Dunn, Bayfield, Trempealeau, Barron |
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Wisconsin Medicare Advantage Plans by Company
We’ve put together a list of all of plans available from each WI Medicare company to help you compare Medicare Advantage plans by company in Wisconsin. Take a look at the plans here.
Medicare Plans in Wisconsin Offered by UnitedHealthcare
Though plans can vary from county to county, UnitedHealthcare offers these Medicare plans in Wisconsin.
Plan Name | Base Plan ID | Counties | Plan Type | Monthly Premium |
---|---|---|---|---|
AARP Medicare Advantage Value (HMO-POS) | H5253-034 | Waupaca, Milwaukee, Green Lake, Kewaunee, Shawano, Fond du Lac, Manitowoc, Wood, Waushara, Oneida, Marinette, Brown, Waukesha, Oconto, Racine, Sheboygan, Door, Florence, Calumet, Portage, Marathon, Menominee, Washington, Outagamie, Langlade, Lincoln, Ozaukee, Dodge, Forest, Winnebago | Local HMO | $0.00 |
UnitedHealthcare Nursing Home Plan 2 (PPO I-SNP) | H0710-043 | Waupaca, Walworth, Milwaukee, Shawano, Fond du Lac, Manitowoc, Wood, Oneida, Marinette, Brown, Waukesha, Clark, Racine, Sheboygan, Marathon, Washington, Outagamie, Kenosha, Lincoln, Ozaukee, Dodge, Winnebago | Local PPO | $38.80 |
AARP Medicare Advantage (HMO-POS) | H5253-011 | Waupaca, Grant, Walworth, Milwaukee, Green Lake, Jefferson, Kewaunee, Shawano, Fond du Lac, Manitowoc, Wood, Green, Waushara, Oneida, Marinette, Brown, Waukesha, Rock, Oconto, Racine, Sheboygan, Door, Florence, Calumet, Portage, Marathon, Menominee, Washington, Outagamie, Langlade, Kenosha, Lincoln, Ozaukee, Dodge, Forest, Winnebago | Local HMO | $27.00 |
AARP Medicare Advantage Open Plan 1 (PPO) | H0294-004 | Waupaca, Grant, Walworth, Marquette, Milwaukee, Green Lake, Jefferson, Sauk, Kewaunee, Shawano, Fond du Lac, Manitowoc, Green, Waushara, Marinette, Brown, Columbia, Waukesha, Rock, Lafayette, Oconto, Racine, Sheboygan, Door, Florence, Calumet, Iowa, Menominee, Washington, Outagamie, Langlade, Kenosha, Ozaukee, Adams, Dodge, Forest, Dane, Winnebago | Local PPO | $47.00 |
UnitedHealthcare Dual Complete LP1 (HMO D-SNP) | H3794-002 | Waupaca, Grant, Iron, Crawford, Walworth, Richland, Marquette, Milwaukee, Green Lake, Douglas, Jefferson, Chippewa, Sauk, Jackson, Burnett, Kewaunee, Taylor, Ashland, Shawano, Fond du Lac, Manitowoc, Juneau, Wood, Green, Waushara, Oneida, Marinette, Vernon, Brown, Columbia, Waukesha, Rock, Lafayette, Oconto, Pierce, Clark, Price, Racine, Monroe, Sheboygan, Door, Florence, La Crosse, Calumet, Portage, Iowa, Buffalo, Vilas, Pepin, Marathon, Menominee, Washington, Outagamie, Langlade, Polk, Rusk, St. Croix, Kenosha, Lincoln, Dunn, Bayfield, Ozaukee, Adams, Trempealeau, Dodge, Barron, Forest, Dane, Winnebago | Local HMO | $0.00 for people who qualify for both Medicare and Medicaid. |
UnitedHealthcare Assisted Living Plan (HMO-POS I-SNP) | H5253-064 | Waupaca, Milwaukee, Fond du Lac, Manitowoc, Brown, Waukesha, Racine, Sheboygan, Washington, Outagamie, Kenosha, Ozaukee, Dodge, Winnebago | Local HMO | $40.70 |
AARP Medicare Advantage Patriot Plan 2 (HMO-POS) | H5253-021 | Waupaca, Grant, Walworth, Milwaukee, Green Lake, Jefferson, Kewaunee, Shawano, Fond du Lac, Manitowoc, Wood, Green, Waushara, Oneida, Marinette, Brown, Waukesha, Rock, Oconto, Racine, Sheboygan, Door, Florence, Calumet, Portage, Marathon, Menominee, Washington, Outagamie, Langlade, Kenosha, Lincoln, Ozaukee, Dodge, Forest, Winnebago | Local HMO * | $0.00 |
UnitedHealthcare Nursing Home Plan 1 (HMO-POS I-SNP) | H5253-007 | Waupaca, Walworth, Milwaukee, Shawano, Fond du Lac, Manitowoc, Wood, Brown, Waukesha, Racine, Sheboygan, Washington, Outagamie, Kenosha, Ozaukee, Dodge, Winnebago | Local HMO | $38.10 |
UnitedHealthcare Dual Complete LP (HMO D-SNP) | H5253-024 | Waupaca, Milwaukee, Green Lake, Kewaunee, Shawano, Waushara, Vernon, Brown, Waukesha, Oconto, Racine, Monroe, Sheboygan, La Crosse, Calumet, Washington, Outagamie, Ozaukee, Trempealeau, Winnebago | Local HMO | $0.00 for people who qualify for both Medicare and Medicaid. |
UnitedHealthcare Medicare Advantage Assist (PPO C-SNP) | H0294-002 | Waupaca, Grant, Iron, Crawford, Walworth, Richland, Marquette, Milwaukee, Green Lake, Jefferson, Sauk, Jackson, Kewaunee, Taylor, Ashland, Shawano, Fond du Lac, Manitowoc, Juneau, Wood, Green, Waushara, Oneida, Marinette, Vernon, Brown, Columbia, Waukesha, Rock, Lafayette, Oconto, Pierce, Clark, Price, Racine, Monroe, Sheboygan, Door, Florence, La Crosse, Calumet, Portage, Iowa, Buffalo, Vilas, Pepin, Marathon, Menominee, Washington, Outagamie, Langlade, Kenosha, Lincoln, Ozaukee, Adams, Trempealeau, Dodge, Forest, Dane, Winnebago | Local PPO | $14.00 |
AARP Medicare Advantage Value (HMO) | H5253-097 | Grant, Walworth, Jefferson, Green, Rock, Kenosha | Local HMO | $0.00 |
AARP Medicare Advantage Open (PPO) | H0294-011 | Iron, Crawford, Richland, Jackson, Taylor, Ashland, Juneau, Wood, Oneida, Vernon, Pierce, Clark, Price, Monroe, La Crosse, Portage, Buffalo, Vilas, Pepin, Marathon, Lincoln, Trempealeau | Local PPO | $47.00 |
AARP Medicare Advantage Patriot Plan 1 (PPO) | H0294-014 | Iron, Crawford, Richland, Marquette, Sauk, Jackson, Taylor, Ashland, Juneau, Wood, Oneida, Vernon, Columbia, Lafayette, Pierce, Clark, Price, Monroe, La Crosse, Portage, Iowa, Buffalo, Vilas, Pepin, Marathon, Lincoln, Adams, Trempealeau, Dane | Local PPO* | $0.00 |
AARP Medicare Advantage Open Premier (PPO) | H0294-012 | Iron, Crawford, Richland, Jackson, Taylor, Ashland, Juneau, Wood, Oneida, Vernon, Pierce, Clark, Price, Monroe, La Crosse, Portage, Buffalo, Vilas, Pepin, Marathon, Lincoln, Trempealeau | Local PPO | $112.00 |
AARP Medicare Advantage Open Plan 2 (PPO) | H0294-016 | Jefferson, Green, Rock, Lafayette, Iowa, Dane | Local PPO | $29.00 |
UnitedHealthcare Assisted Living Plan (PPO I-SNP) | H0710-042 | Kewaunee, Marinette, Oconto, Door | Local PPO | $40.70 |
AARP Medicare Advantage Walgreens (PPO) | H0294-015 | Kewaunee, Fond du Lac, Manitowoc, Brown, Sheboygan, Calumet, Outagamie, Winnebago | Local PPO | $0.00 |
Medicare Plans in Wisconsin Offered by Security Health Plan of Wisconsin, Inc
Though plans can vary from county to county, Security Health Plan of Wisconsin, Inc offers these Medicare plans in Wisconsin.
Plan Name | Base Plan ID | Counties | Plan Type | Monthly Premium |
---|---|---|---|---|
Spirit Rx (HMO-POS) | H5211-004 | Waupaca, Iron, Crawford, Sawyer, Richland, Marquette, Green Lake, Douglas, Jefferson, Chippewa, Sauk, Jackson, Eau Claire, Burnett, Taylor, Ashland, Shawano, Juneau, Wood, Green, Waushara, Oneida, Vernon, Columbia, Waukesha, Pierce, Clark, Washburn, Price, Monroe, Florence, La Crosse, Portage, Iowa, Buffalo, Vilas, Pepin, Marathon, Langlade, Polk, Rusk, Lincoln, Dunn, Bayfield, Adams, Trempealeau, Barron, Forest, Dane | Local HMO | $226.00 |
Spirit (HMO-POS) | H5211-001 | Waupaca, Iron, Crawford, Sawyer, Richland, Marquette, Green Lake, Douglas, Jefferson, Chippewa, Sauk, Jackson, Eau Claire, Burnett, Taylor, Ashland, Shawano, Juneau, Wood, Green, Waushara, Oneida, Vernon, Columbia, Waukesha, Pierce, Clark, Washburn, Price, Monroe, Florence, La Crosse, Portage, Iowa, Buffalo, Vilas, Pepin, Marathon, Langlade, Polk, Rusk, Lincoln, Dunn, Bayfield, Adams, Trempealeau, Barron, Forest, Dane | Local HMO * | $0.00 |
Secure Saver (MSA) | H4388-001 | Waupaca, Grant, Iron, Crawford, Walworth, Sawyer, Richland, Marquette, Milwaukee, Green Lake, Douglas, Jefferson, Chippewa, Sauk, Jackson, Eau Claire, Burnett, Kewaunee, Taylor, Ashland, Shawano, Fond du Lac, Manitowoc, Juneau, Wood, Green, Waushara, Oneida, Marinette, Vernon, Brown, Columbia, Waukesha, Rock, Lafayette, Oconto, Pierce, Clark, Washburn, Price, Racine, Monroe, Sheboygan, Door, Florence, La Crosse, Calumet, Portage, Iowa, Buffalo, Vilas, Pepin, Marathon, Menominee, Washington, Outagamie, Langlade, Polk, Rusk, St. Croix, Kenosha, Lincoln, Dunn, Bayfield, Ozaukee, Adams, Trempealeau, Dodge, Barron, Forest, Dane, Winnebago | MSA* | MSAs do not have a monthly premium. |
Esteem Rx (HMO-POS) | H5211-012 | Waupaca, Iron, Crawford, Sawyer, Douglas, Chippewa, Jackson, Eau Claire, Burnett, Taylor, Ashland, Shawano, Juneau, Wood, Waushara, Oneida, Vernon, Pierce, Clark, Washburn, Price, Monroe, Florence, La Crosse, Portage, Buffalo, Vilas, Pepin, Marathon, Langlade, Polk, Rusk, Lincoln, Dunn, Bayfield, Adams, Trempealeau, Barron, Forest | Local HMO | $0.00 |
Essence Rx (HMO-POS) | H5211-002 | Waupaca, Iron, Crawford, Sawyer, Richland, Marquette, Green Lake, Douglas, Jefferson, Chippewa, Sauk, Jackson, Eau Claire, Burnett, Taylor, Ashland, Shawano, Juneau, Wood, Green, Waushara, Oneida, Vernon, Columbia, Waukesha, Pierce, Clark, Washburn, Price, Monroe, Florence, La Crosse, Portage, Iowa, Buffalo, Vilas, Pepin, Marathon, Langlade, Polk, Rusk, Lincoln, Dunn, Bayfield, Adams, Trempealeau, Barron, Forest, Dane | Local HMO | $85.00 |
Ascend Rx (HMO-POS) | H5211-013 | Waupaca, Iron, Crawford, Sawyer, Douglas, Chippewa, Jackson, Eau Claire, Burnett, Taylor, Ashland, Shawano, Juneau, Wood, Waushara, Oneida, Vernon, Pierce, Clark, Washburn, Price, Monroe, Florence, La Crosse, Portage, Buffalo, Vilas, Pepin, Marathon, Langlade, Polk, Rusk, Lincoln, Dunn, Bayfield, Adams, Trempealeau, Barron, Forest | Local HMO | $40.00 |
Essence (HMO-POS) | H5211-003 | Waupaca, Iron, Crawford, Sawyer, Richland, Marquette, Green Lake, Douglas, Jefferson, Chippewa, Sauk, Jackson, Eau Claire, Burnett, Taylor, Ashland, Shawano, Juneau, Wood, Green, Waushara, Oneida, Vernon, Columbia, Waukesha, Pierce, Clark, Washburn, Price, Monroe, Florence, La Crosse, Portage, Iowa, Buffalo, Vilas, Pepin, Marathon, Langlade, Polk, Rusk, Lincoln, Dunn, Bayfield, Adams, Trempealeau, Barron, Forest, Dane | Local HMO * | $0.00 |
Assurance Rx (HMO-POS) | H5211-007 | Richland, Marquette, Green Lake, Jefferson, Sauk, Green, Columbia, Waukesha, Iowa, Dane | Local HMO | $0.00 |
Promise Rx (HMO-POS) | H5211-009 | Kewaunee, Marinette, Brown, Oconto, Outagamie, Winnebago | Local HMO | $73.00 |
Surety Rx (HMO-POS) | H5211-008 | Kewaunee, Marinette, Brown, Oconto, Outagamie, Winnebago | Local HMO | $0.00 |
Medicare Plans in Wisconsin Offered by Network Health Medicare Advantage Plans
Though plans can vary from county to county, Network Health Medicare Advantage Plans offers these Medicare plans in Wisconsin.
Plan Name | Base Plan ID | Counties | Plan Type | Monthly Premium |
---|---|---|---|---|
Network PlatinumPremier Pharmacy (PPO) | H5215-005 | Waupaca, Marquette, Green Lake, Kewaunee, Shawano, Fond du Lac, Manitowoc, Waushara, Brown, Oconto, Sheboygan, Calumet, Portage, Outagamie, Dodge, Winnebago | Local PPO | $297.00 |
Network PlatinumPremier (PPO) | H5215-006 | Waupaca, Marquette, Green Lake, Kewaunee, Shawano, Fond du Lac, Manitowoc, Waushara, Brown, Oconto, Sheboygan, Calumet, Portage, Outagamie, Dodge, Winnebago | Local PPO* | $0.00 |
Network PlatinumChoice (PPO) | H5215-011 | Waupaca, Marquette, Green Lake, Kewaunee, Shawano, Fond du Lac, Manitowoc, Waushara, Brown, Oconto, Sheboygan, Calumet, Portage, Outagamie, Dodge, Winnebago | Local PPO | $31.00 |
Network PlatinumPlus Pharmacy (PPO) | H5215-002 | Waupaca, Marquette, Green Lake, Kewaunee, Shawano, Fond du Lac, Manitowoc, Waushara, Brown, Oconto, Sheboygan, Calumet, Portage, Outagamie, Dodge, Winnebago | Local PPO | $124.00 |
NetworkPrime (MSA) | H1181-001 | Waupaca, Grant, Iron, Crawford, Walworth, Sawyer, Richland, Marquette, Milwaukee, Green Lake, Douglas, Jefferson, Chippewa, Sauk, Jackson, Eau Claire, Burnett, Kewaunee, Taylor, Ashland, Shawano, Fond du Lac, Manitowoc, Juneau, Wood, Green, Waushara, Oneida, Marinette, Vernon, Brown, Columbia, Waukesha, Rock, Lafayette, Oconto, Pierce, Clark, Washburn, Price, Racine, Monroe, Sheboygan, Door, Florence, La Crosse, Calumet, Portage, Iowa, Buffalo, Vilas, Pepin, Marathon, Menominee, Washington, Outagamie, Langlade, Polk, Rusk, St. Croix, Kenosha, Lincoln, Dunn, Bayfield, Ozaukee, Adams, Trempealeau, Dodge, Barron, Forest, Dane, Winnebago | MSA* | MSAs do not have a monthly premium. |
Network PlatinumPlus (PPO) | H5215-001 | Waupaca, Marquette, Green Lake, Kewaunee, Shawano, Fond du Lac, Manitowoc, Waushara, Brown, Oconto, Sheboygan, Calumet, Portage, Outagamie, Dodge, Winnebago | Local PPO* | $0.00 |
Network PlatinumSelect (PPO) | H5215-008 | Waupaca, Marquette, Green Lake, Kewaunee, Shawano, Fond du Lac, Manitowoc, Waushara, Brown, Oconto, Sheboygan, Calumet, Portage, Outagamie, Dodge, Winnebago | Local PPO | $0.00 |
Network Health Medicare Anywhere (PPO) | H5215-010 | Milwaukee, Waukesha, Racine, Washington, Ozaukee | Local PPO | $35.00 |
Network Health Medicare Explore (HMO) | H5644-002 | Milwaukee, Waukesha, Racine, Washington, Kenosha, Ozaukee | Local HMO | $11.00 |
Network Health Medicare Go (PPO) | H5215-009 | Milwaukee, Waukesha, Racine, Washington, Ozaukee | Local PPO | $0.00 |
Medicare Plans in Wisconsin Offered by Anthem Blue Cross and Blue Shield
Though plans can vary from county to county, Anthem Blue Cross and Blue Shield offers these Medicare plans in Wisconsin.
Plan Name | Base Plan ID | Counties | Plan Type | Monthly Premium |
---|---|---|---|---|
Anthem MediBlue Plus (HMO) | H9525-006 | Waupaca, Iron, Walworth, Marquette, Milwaukee, Green Lake, Douglas, Jefferson, Kewaunee, Taylor, Ashland, Shawano, Fond du Lac, Manitowoc, Juneau, Green, Waushara, Oneida, Marinette, Brown, Waukesha, Rock, Lafayette, Oconto, Clark, Price, Racine, Sheboygan, Door, Florence, Calumet, Portage, Iowa, Vilas, Marathon, Menominee, Washington, Outagamie, Langlade, Kenosha, Lincoln, Bayfield, Ozaukee, Adams, Dodge, Forest, Winnebago | Local HMO | $0.00 |
Anthem MediBlue Access Core (PPO) | H4036-016 | Waupaca, Iron, Walworth, Marquette, Milwaukee, Green Lake, Douglas, Jefferson, Kewaunee, Taylor, Ashland, Shawano, Fond du Lac, Manitowoc, Juneau, Green, Waushara, Oneida, Marinette, Brown, Waukesha, Rock, Lafayette, Oconto, Clark, Price, Racine, Sheboygan, Door, Florence, Calumet, Portage, Iowa, Vilas, Marathon, Menominee, Washington, Outagamie, Langlade, Kenosha, Lincoln, Bayfield, Ozaukee, Adams, Dodge, Forest, Winnebago | Local PPO* | $0.00 |
Anthem MediBlue Access (PPO) | H4036-009 | Waupaca, Iron, Walworth, Marquette, Milwaukee, Green Lake, Douglas, Jefferson, Kewaunee, Taylor, Ashland, Shawano, Fond du Lac, Manitowoc, Juneau, Green, Waushara, Oneida, Marinette, Brown, Waukesha, Rock, Lafayette, Oconto, Clark, Price, Racine, Sheboygan, Door, Florence, Calumet, Portage, Iowa, Vilas, Marathon, Menominee, Washington, Outagamie, Langlade, Kenosha, Lincoln, Bayfield, Ozaukee, Adams, Dodge, Forest, Winnebago | Local PPO | $37.00 |
Anthem MediBlue Access Plus (PPO) | H4036-020 | Waupaca, Milwaukee, Fond du Lac, Manitowoc, Brown, Waukesha, Oconto, Racine, Sheboygan, Calumet, Marathon, Washington, Outagamie, Ozaukee, Dodge, Winnebago | Local PPO | $0.00 |
Medicare Plans in Wisconsin Offered by HealthPartners
Though plans can vary from county to county, HealthPartners offers these Medicare plans in Wisconsin.
Plan Name | Base Plan ID | Counties | Plan Type | Monthly Premium |
---|---|---|---|---|
HealthPartners Robin Maple (PPO) | H4882-005 | Waupaca, Marquette, Green Lake, Kewaunee, Shawano, Manitowoc, Waushara, Marinette, Brown, Oconto, Florence, Calumet, Menominee, Outagamie, Winnebago | Local PPO | $26.00 |
HealthPartners Robin Birch (PPO) | H4882-004 | Waupaca, Marquette, Green Lake, Kewaunee, Shawano, Manitowoc, Waushara, Marinette, Brown, Oconto, Florence, Calumet, Menominee, Outagamie, Winnebago | Local PPO | $0.00 |
HealthPartners Freedom Basic WI (Cost) | H2462-026 | Douglas, Burnett, Pierce, Washburn, Polk, St. Croix, Dunn | Cost * | $33.60 |
HealthPartners Freedom Balance WI (Cost) | H2462-028 | Douglas, Burnett, Pierce, Washburn, Polk, St. Croix, Dunn | Cost * | $82.60 |
HealthPartners Freedom Vital WI (Cost) | H2462-027 | Douglas, Burnett, Pierce, Washburn, Polk, St. Croix, Dunn | Cost * | $39.70 |
Medicare Plans in Wisconsin Offered by Humana
Though plans can vary from county to county, Humana offers these Medicare plans in Wisconsin.
Plan Name | Base Plan ID | Counties | Plan Type | Monthly Premium |
---|---|---|---|---|
HumanaChoice H5216-001 (PPO) | H5216-001 | Waupaca, Marquette, Milwaukee, Green Lake, Kewaunee, Fond du Lac, Manitowoc, Waushara, Marinette, Brown, Waukesha, Oconto, Racine, Sheboygan, Door, Calumet, Portage, Marathon, Menominee, Washington, Outagamie, Kenosha, Ozaukee, Dodge, Forest, Winnebago | Local PPO | $78.00 |
HumanaChoice H5216-253 (PPO) | H5216-253 | Waupaca, Marquette, Milwaukee, Green Lake, Kewaunee, Fond du Lac, Manitowoc, Waushara, Marinette, Brown, Waukesha, Oconto, Racine, Sheboygan, Door, Calumet, Portage, Marathon, Menominee, Washington, Outagamie, Kenosha, Ozaukee, Dodge, Forest, Winnebago | Local PPO | $0.00 |
Humana Gold Plus H6622-001 (HMO) | H6622-001 | Waupaca, Marquette, Green Lake, Kewaunee, Shawano, Fond du Lac, Manitowoc, Waushara, Marinette, Brown, Oconto, Calumet, Marathon, Outagamie, Winnebago | Local HMO | $0.00 |
Humana Value Plus H5216-173 (PPO) | H5216-173 | Waupaca, Crawford, Walworth, Richland, Marquette, Milwaukee, Green Lake, Douglas, Jefferson, Sauk, Kewaunee, Fond du Lac, Manitowoc, Green, Waushara, Marinette, Brown, Columbia, Waukesha, Rock, Lafayette, Oconto, Racine, Sheboygan, Door, Calumet, Portage, Iowa, Marathon, Menominee, Washington, Outagamie, Kenosha, Ozaukee, Dodge, Forest, Dane, Winnebago | Local PPO | $33.00 |
HumanaChoice R5361-001 (Regional PPO) | R5361-001 | Waupaca, Grant, Iron, Crawford, Walworth, Sawyer, Richland, Marquette, Milwaukee, Green Lake, Douglas, Jefferson, Chippewa, Sauk, Jackson, Eau Claire, Burnett, Kewaunee, Taylor, Ashland, Shawano, Fond du Lac, Manitowoc, Juneau, Wood, Green, Waushara, Oneida, Marinette, Vernon, Brown, Columbia, Waukesha, Rock, Lafayette, Oconto, Pierce, Clark, Washburn, Price, Racine, Monroe, Sheboygan, Door, Florence, La Crosse, Calumet, Portage, Iowa, Buffalo, Vilas, Pepin, Marathon, Menominee, Washington, Outagamie, Langlade, Polk, Rusk, St. Croix, Kenosha, Lincoln, Dunn, Bayfield, Ozaukee, Adams, Trempealeau, Dodge, Barron, Forest, Dane, Winnebago | Regional PPO* | $0.00 |
Humana Gold Choice H8145-006 (PFFS) | H8145-006 | Waupaca, Walworth, Richland, Marquette, Milwaukee, Green Lake, Jefferson, Sauk, Eau Claire, Shawano, Fond du Lac, Manitowoc, Juneau, Oneida, Brown, Waukesha, Lafayette, Clark, Racine, Sheboygan, Vilas, Marathon, Washington, Outagamie, Langlade, Kenosha, Lincoln, Ozaukee, Adams, Trempealeau, Dodge, Barron, Forest, Dane, Winnebago | PFFS | $81.00 |
HumanaChoice H5216-252 (PPO) | H5216-252 | Waupaca, Marquette, Milwaukee, Green Lake, Kewaunee, Fond du Lac, Manitowoc, Waushara, Marinette, Brown, Waukesha, Oconto, Racine, Sheboygan, Door, Calumet, Portage, Marathon, Menominee, Washington, Outagamie, Kenosha, Ozaukee, Dodge, Forest, Winnebago | Local PPO | $0.00 |
HumanaChoice R5361-002 (Regional PPO) | R5361-002 | Waupaca, Grant, Iron, Crawford, Walworth, Sawyer, Richland, Marquette, Milwaukee, Green Lake, Douglas, Jefferson, Chippewa, Sauk, Jackson, Eau Claire, Burnett, Kewaunee, Taylor, Ashland, Shawano, Fond du Lac, Manitowoc, Juneau, Wood, Green, Waushara, Oneida, Marinette, Vernon, Brown, Columbia, Waukesha, Rock, Lafayette, Oconto, Pierce, Clark, Washburn, Price, Racine, Monroe, Sheboygan, Door, Florence, La Crosse, Calumet, Portage, Iowa, Buffalo, Vilas, Pepin, Marathon, Menominee, Washington, Outagamie, Langlade, Polk, Rusk, St. Croix, Kenosha, Lincoln, Dunn, Bayfield, Ozaukee, Adams, Trempealeau, Dodge, Barron, Forest, Dane, Winnebago | Regional PPO | $120.00 |
HumanaChoice H5216-006 (PPO) | H5216-006 | Crawford, Walworth, Richland, Jefferson, Sauk, Green, Columbia, Rock, Lafayette, Iowa, Dane | Local PPO | $48.00 |
HumanaChoice H5216-168 (PPO) | H5216-168 | Crawford, Walworth, Richland, Jefferson, Sauk, Green, Columbia, Rock, Lafayette, Iowa, Dane | Local PPO | $120.00 |
Humana Honor (PPO) | H5216-258 | Walworth, Milwaukee, Douglas, Jefferson, Sauk, Kewaunee, Green, Marinette, Brown, Columbia, Waukesha, Rock, Lafayette, Oconto, Racine, Sheboygan, Door, Calumet, Iowa, Marathon, Washington, Outagamie, St. Croix, Kenosha, Ozaukee, Dodge, Dane | Local PPO* | $0.00 |
Humana Gold Plus H6622-040 (HMO) | H6622-040 | Milwaukee, Brown, Waukesha, Racine, Sheboygan, Washington, Outagamie, Kenosha, Ozaukee, Winnebago | Local HMO | $0.00 |
Humana Gold Plus H6622-002 (HMO) | H6622-002 | Milwaukee, Waukesha, Racine, Sheboygan, Washington, Kenosha, Ozaukee | Local HMO | $38.00 |
Humana Gold Plus H6622-034 (HMO) | H6622-034 | Milwaukee, Waukesha, Racine, Sheboygan, Washington, Kenosha, Ozaukee | Local HMO | $0.00 |
HumanaChoice H5216-080 (PPO) | H5216-080 | Douglas | Local PPO | $109.00 |
HumanaChoice H5216-063 (PPO) | H5216-063 | St. Croix | Local PPO | $106.00 |
HumanaChoice H5216-167 (PPO) | H5216-167 | St. Croix | Local PPO | $89.00 |
Medicare Plans in Wisconsin Offered by Network Health
Though plans can vary from county to county, Network Health offers these Medicare plans in Wisconsin.
Plan Name | Base Plan ID | Counties | Plan Type | Monthly Premium |
---|---|---|---|---|
NetworkCares (PPO D-SNP) | H5215-007 | Waupaca, Marquette, Green Lake, Kewaunee, Shawano, Fond du Lac, Manitowoc, Waushara, Brown, Oconto, Sheboygan, Calumet, Portage, Outagamie, Dodge, Winnebago | Local PPO | $0.00 for people who qualify for both Medicare and Medicaid. |
Medicare Plans in Wisconsin Offered by My Choice Wisconsin
Though plans can vary from county to county, My Choice Wisconsin offers these Medicare plans in Wisconsin.
Plan Name | Base Plan ID | Counties | Plan Type | Monthly Premium |
---|---|---|---|---|
My Choice Wisconsin Medicare Dual Advantage Plan (HMO D-SNP) | H5209-004 | Waupaca, Grant, Crawford, Walworth, Marquette, Green Lake, Jefferson, Sauk, Kewaunee, Shawano, Fond du Lac, Juneau, Green, Waushara, Vernon, Brown, Columbia, Waukesha, Rock, Lafayette, Oconto, Calumet, Iowa, Washington, Outagamie, Ozaukee, Adams, Dodge, Dane, Winnebago | Local HMO | $0.00 for people who qualify for both Medicare and Medicaid. |
My Choice Wisconsin Partnership Plan (HMO D-SNP) | H5209-002 | Jefferson, Sauk, Columbia, Waukesha, Washington, Ozaukee, Dodge, Dane | Local HMO | $0.00 for people who qualify for both Medicare and Medicaid. |
Medicare Plans in Wisconsin Offered by Anthem
Though plans can vary from county to county, Anthem offers these Medicare plans in Wisconsin.
Plan Name | Base Plan ID | Counties | Plan Type | Monthly Premium |
---|---|---|---|---|
Anthem MediBlue Dual Advantage (HMO D-SNP) | H9525-003 | Waupaca, Iron, Walworth, Marquette, Milwaukee, Green Lake, Douglas, Jefferson, Kewaunee, Taylor, Ashland, Shawano, Fond du Lac, Manitowoc, Juneau, Green, Waushara, Oneida, Marinette, Brown, Waukesha, Rock, Lafayette, Oconto, Clark, Price, Racine, Sheboygan, Door, Florence, Calumet, Portage, Iowa, Vilas, Marathon, Menominee, Washington, Outagamie, Langlade, Kenosha, Lincoln, Bayfield, Ozaukee, Adams, Dodge, Forest, Winnebago | Local HMO | $0.00 for people who qualify for both Medicare and Medicaid. |
Medicare Plans in Wisconsin Offered by Community Care
Though plans can vary from county to county, Community Care offers these Medicare plans in Wisconsin.
Plan Name | Base Plan ID | Counties | Plan Type | Monthly Premium |
---|---|---|---|---|
Community Care’s Partnership Program (HMO D-SNP) | H2034-001 | Waupaca, Milwaukee, Waukesha, Racine, Calumet, Washington, Outagamie, Kenosha, Ozaukee | Local HMO | $0.00 for people who qualify for both Medicare and Medicaid. |
Medicare Plans in Wisconsin Offered by Molina Healthcare
Though plans can vary from county to county, Molina Healthcare offers these Medicare plans in Wisconsin.
Plan Name | Base Plan ID | Counties | Plan Type | Monthly Premium |
---|---|---|---|---|
Molina Medicare Complete Care (HMO D-SNP) | H2879-001 | Waupaca, Walworth, Marquette, Milwaukee, Green Lake, Jefferson, Kewaunee, Shawano, Fond du Lac, Manitowoc, Waushara, Marinette, Brown, Waukesha, Oconto, Racine, Sheboygan, Door, Florence, Calumet, Portage, Washington, Outagamie, Langlade, Kenosha, Ozaukee, Dodge, Forest, Winnebago | Local HMO | $0.00 for people who qualify for both Medicare and Medicaid. |
Medicare Plans in Wisconsin Offered by Allwell
Though plans can vary from county to county, Allwell offers these Medicare plans in Wisconsin.
Plan Name | Base Plan ID | Counties | Plan Type | Monthly Premium |
---|---|---|---|---|
Allwell Dual Medicare (HMO D-SNP) | H8189-001 | Waupaca, Walworth, Marquette, Milwaukee, Green Lake, Jefferson, Kewaunee, Taylor, Shawano, Fond du Lac, Manitowoc, Wood, Waushara, Marinette, Brown, Columbia, Waukesha, Oconto, Clark, Racine, Sheboygan, Calumet, Portage, Marathon, Menominee, Washington, Outagamie, Langlade, Kenosha, Lincoln, Ozaukee, Adams, Dodge, Dane, Winnebago | Local HMO | $0.00 for people who qualify for both Medicare and Medicaid. |
Medicare Plans in Wisconsin Offered by Medical Associates Clinic Health Plan of Wisconsi
Though plans can vary from county to county, Medical Associates Clinic Health Plan of Wisconsi offers these Medicare plans in Wisconsin.
Plan Name | Base Plan ID | Counties | Plan Type | Monthly Premium |
---|---|---|---|---|
Medical Associates Freedom Plan (Cost) | H5256-004 | Grant, Crawford, Lafayette, Iowa | Cost * | $0.00 |
Medical Associates SmartPlan (Cost) | H5256-001 | Grant, Crawford, Lafayette, Iowa | Cost * | $0.00 |
Medical Associates Community Plan (Cost) | H5256-002 | Grant, Crawford, Lafayette, Iowa | Cost * | $0.00 |
Medicare Plans in Wisconsin Offered by Dean Health Plan, Inc
Though plans can vary from county to county, Dean Health Plan, Inc offers these Medicare plans in Wisconsin.
Plan Name | Base Plan ID | Counties | Plan Type | Monthly Premium |
---|---|---|---|---|
DeanCare Gold Basic (Cost) | H5264-003 | Grant, Jefferson, Sauk, Columbia, Rock, Iowa, Dodge, Dane | Cost * | $0.00 |
DeanCare Gold Shared Value (Cost) | H5264-005 | Grant, Jefferson, Sauk, Columbia, Rock, Iowa, Dodge, Dane | Cost * | $0.00 |
DeanCare Gold Enhanced (Cost) | H5264-002 | Grant, Jefferson, Sauk, Columbia, Rock, Iowa, Dodge, Dane | Cost * | $0.00 |
Medicare Plans in Wisconsin Offered by Aspirus Health Plan
Though plans can vary from county to county, Aspirus Health Plan offers these Medicare plans in Wisconsin.
Plan Name | Base Plan ID | Counties | Plan Type | Monthly Premium |
---|---|---|---|---|
Elite (PPO) | H6874-003 | Iron, Marquette, Taylor, Shawano, Juneau, Wood, Waushara, Oneida, Columbia, Clark, Price, Florence, Portage, Marathon, Langlade, Lincoln, Adams, Forest | Local PPO* | $0.00 |
Elite Rx (PPO) | H6874-002 | Iron, Marquette, Taylor, Shawano, Juneau, Wood, Waushara, Oneida, Columbia, Clark, Price, Florence, Portage, Marathon, Langlade, Lincoln, Adams, Forest | Local PPO | $79.00 |
Essential Rx (PPO) | H6874-001 | Iron, Marquette, Taylor, Shawano, Juneau, Wood, Waushara, Oneida, Columbia, Clark, Price, Florence, Portage, Marathon, Langlade, Lincoln, Adams, Forest | Local PPO | $0.00 |
Medicare Plans in Wisconsin Offered by Quartz Medicare Advantage
Though plans can vary from county to county, Quartz Medicare Advantage offers these Medicare plans in Wisconsin.
Plan Name | Base Plan ID | Counties | Plan Type | Monthly Premium |
---|---|---|---|---|
Gundersen Quartz Med Advantage Elite (HMO) | H5262-005 | Crawford, Jackson, Juneau, Vernon, Monroe, La Crosse, Buffalo, Trempealeau | Local HMO * | $0.00 |
Gundersen Quartz Med Advantage Value (HMO) | H5262-004 | Crawford, Jackson, Juneau, Vernon, Monroe, La Crosse, Buffalo, Trempealeau | Local HMO * | $0.00 |
Aurora Health Quartz Med Advantage Value (HMO) | H5262-013 | Walworth, Milwaukee, Manitowoc, Brown, Waukesha, Racine, Sheboygan, Washington, Kenosha, Ozaukee, Winnebago | Local HMO * | $0.00 |
Aurora Health Quartz Med Advantage Elite (HMO) | H5262-025 | Walworth, Milwaukee, Manitowoc, Brown, Waukesha, Racine, Sheboygan, Washington, Kenosha, Ozaukee, Winnebago | Local HMO * | $40.00 |
UW Health Quartz Med Advantage Value (HMO) | H5262-009 | Richland, Marquette, Jefferson, Sauk, Columbia, Iowa, Adams, Dane | Local HMO * | $0.00 |
UW Health Quartz Med Advantage Elite (HMO) | H5262-010 | Richland, Marquette, Jefferson, Sauk, Columbia, Iowa, Adams, Dane | Local HMO * | $0.00 |
Medicare Plans in Wisconsin Offered by Aetna Medicare
Though plans can vary from county to county, Aetna Medicare offers these Medicare plans in Wisconsin.
Plan Name | Base Plan ID | Counties | Plan Type | Monthly Premium |
---|---|---|---|---|
Aetna Medicare Value (PPO) | H5521-195 | Walworth, Milwaukee, Green Lake, Kewaunee, Shawano, Manitowoc, Green, Waushara, Brown, Waukesha, Rock, Racine, Sheboygan, Calumet, Washington, Outagamie, Kenosha, Ozaukee, Winnebago | Local PPO | $0.00 |
Aetna Medicare Premier (PPO) | H5521-150 | Walworth, Milwaukee, Green Lake, Kewaunee, Shawano, Manitowoc, Waushara, Brown, Waukesha, Racine, Sheboygan, Calumet, Washington, Outagamie, Kenosha, Ozaukee, Winnebago | Local PPO | $26.00 |
Aetna Medicare Eagle (PPO) | H5521-286 | Walworth, Milwaukee, Green Lake, Kewaunee, Shawano, Manitowoc, Green, Waushara, Brown, Waukesha, Rock, Racine, Sheboygan, Calumet, Washington, Outagamie, Kenosha, Ozaukee, Winnebago | Local PPO* | $0.00 |
Medicare Plans in Wisconsin Offered by Medica
Though plans can vary from county to county, Medica offers these Medicare plans in Wisconsin.
Plan Name | Base Plan ID | Counties | Plan Type | Monthly Premium |
---|---|---|---|---|
Medica Prime Solution Focus (Cost) | H2450-038 | Sawyer, Douglas, Chippewa, Eau Claire, Burnett, Ashland, Pierce, Washburn, Polk, St. Croix, Dunn, Bayfield, Barron | Cost * | $0.00 |
Medica Prime Solution Thrift (Cost) | H2450-030 | Sawyer, Douglas, Chippewa, Eau Claire, Burnett, Ashland, Pierce, Washburn, Polk, St. Croix, Dunn, Bayfield, Barron | Cost * | $0.00 |
Medica Prime Solution Total (Cost) | H2450-040 | Sawyer, Douglas, Chippewa, Eau Claire, Burnett, Ashland, Pierce, Washburn, Polk, St. Croix, Dunn, Bayfield, Barron | Cost * | $0.00 |
Medicare Plans in Wisconsin Offered by UCare
Though plans can vary from county to county, UCare offers these Medicare plans in Wisconsin.
Plan Name | Base Plan ID | Counties | Plan Type | Monthly Premium |
---|---|---|---|---|
EssentiaCare Secure (PPO) | H8783-001 | Douglas, Washburn, Bayfield | Local PPO | $35.00 |
EssentiaCare Grand (PPO) | H8783-002 | Douglas, Washburn, Bayfield | Local PPO | $109.00 |
EssentiaCare Access (PPO) | H8783-003 | Douglas, Washburn, Bayfield | Local PPO | $0.00 |
Medicare Plans in Wisconsin Offered by Dean Advantage, Prevea360 Medicare Advantage
Though plans can vary from county to county, Dean Advantage, Prevea360 Medicare Advantage offers these Medicare plans in Wisconsin.
Plan Name | Base Plan ID | Counties | Plan Type | Monthly Premium |
---|---|---|---|---|
Dean Advantage Assurance (HMO-POS) | H9096-001 | Jefferson, Sauk, Fond du Lac, Green, Columbia, Rock, Iowa, Dodge, Dane | Local HMO | $40.00 |
Dean Advantage Complete (HMO) | H9096-005 | Jefferson, Sauk, Fond du Lac, Green, Columbia, Rock, Iowa, Dodge, Dane | Local HMO | $241.00 |
Dean Advantage Balance (HMO-POS) | H9096-002 | Jefferson, Sauk, Fond du Lac, Green, Columbia, Rock, Iowa, Dodge, Dane | Local HMO | $82.00 |
Dean Advantage Essential (HMO) | H9096-004 | Jefferson, Sauk, Fond du Lac, Green, Columbia, Rock, Iowa, Dodge, Dane | Local HMO | $0.00 |
Dean Advantage Harmony (HMO-POS) | H9096-010 | Jefferson, Sauk, Fond du Lac, Green, Columbia, Rock, Iowa, Dodge, Dane | Local HMO * | $0.00 |
Prevea360 Harmony (HMO-POS) | H9096-011 | Kewaunee, Brown, Oconto, Sheboygan, Door | Local HMO * | $0.00 |
Prevea360 Complete (HMO-POS) | H9096-009 | Kewaunee, Brown, Oconto, Sheboygan, Door | Local HMO | $226.00 |
Prevea360 Essential (HMO-POS) | H9096-006 | Kewaunee, Brown, Oconto, Sheboygan, Door | Local HMO | $0.00 |
Medicare Plans in Wisconsin Offered by Security Health
Though plans can vary from county to county, Security Health offers these Medicare plans in Wisconsin.
Plan Name | Base Plan ID | Counties | Plan Type | Monthly Premium |
---|---|---|---|---|
Ally Rx (HMO D-SNP) | H5211-010 | Chippewa, Eau Claire, Taylor, Wood, Oneida, Clark, Price, Portage, Marathon, Rusk, Lincoln, Barron | Local HMO | $0.00 for people who qualify for both Medicare and Medicaid. |
Medicare Plans in Wisconsin Offered by Group Health Cooperative of Eau Claire
Though plans can vary from county to county, Group Health Cooperative of Eau Claire offers these Medicare plans in Wisconsin.
Plan Name | Base Plan ID | Counties | Plan Type | Monthly Premium |
---|---|---|---|---|
Cooperative Advantage (HMO I-SNP) | H7598-002 | Chippewa, Eau Claire, Trempealeau, Barron | Local HMO | $40.70 |
Wisconsin Medicare Advantage Plans With No Additional Cost
If you decide to get Medicare Advantage in Wisconsin, you still have to pay your original Medicare Part B premium. Many WI Medicare companies offer Advantage plans that don’t cost any more than your original Medicare premium. Take a look at your options.
Plan Name | County | Preferred Pharmacy Copay/ Coinsurance 30-Day Supply | MOOP for Part A & B Benefits |
---|---|---|---|
NetworkPrime (MSA) – H1181-001-0 | Burnett, Forest, Columbia, Green, Vilas, St. Croix, Door, Kewaunee, Shawano, Ashland, Menominee, Jackson, Kenosha, Rusk, Sheboygan, Lincoln, Douglas, Juneau, Fond du Lac, Clark, Lafayette, Green Lake, Washburn, Trempealeau, Brown, Marathon, Pepin, Langlade, Vernon, Buffalo, Richland, Dane, Wood, Waupaca, Manitowoc, Waukesha, La Crosse, Iron, Winnebago, Oconto, Dodge, Marquette, Portage, Oneida, Monroe, Racine, Bayfield, Jefferson, Crawford, Taylor, Calumet, Milwaukee, Rock, Pierce, Eau Claire, Walworth, Florence, Sauk, Chippewa, Adams, Dunn, Outagamie, Grant, Washington, Sawyer, Ozaukee, Waushara, Price, Iowa, Barron, Marinette, Polk | This Plan does NOT include prescription drug coverage. | N/A |
Secure Saver (MSA) – H4388-001-0 | Burnett, Forest, Columbia, Green, Vilas, St. Croix, Door, Kewaunee, Shawano, Ashland, Menominee, Jackson, Kenosha, Rusk, Sheboygan, Lincoln, Douglas, Juneau, Fond du Lac, Clark, Lafayette, Green Lake, Washburn, Trempealeau, Brown, Marathon, Pepin, Langlade, Vernon, Buffalo, Richland, Dane, Wood, Waupaca, Manitowoc, Waukesha, La Crosse, Iron, Winnebago, Oconto, Dodge, Marquette, Portage, Oneida, Monroe, Racine, Bayfield, Jefferson, Crawford, Taylor, Calumet, Milwaukee, Rock, Pierce, Eau Claire, Walworth, Florence, Sauk, Chippewa, Adams, Dunn, Outagamie, Grant, Washington, Sawyer, Ozaukee, Waushara, Price, Iowa, Barron, Marinette, Polk | This Plan does NOT include prescription drug coverage. | N/A |
Esteem Rx (HMO-POS) – H5211-012-0 | Columbia, Vilas, Ashland, Jackson, Lincoln, Juneau, Clark, Lafayette, Trempealeau, Marathon, Pepin, Vernon, Buffalo, Richland, Dane, Wood, La Crosse, Iron, Marquette, Portage, Oneida, Monroe, Crawford, Taylor, Pierce, Sauk, Adams, Price, Iowa | Preferred Generic: $6.00, Generic: $20.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 28%, Vaccines: $0.00 | $5,000 |
HumanaChoice R5361-001 (Regional PPO) – R5361-001-0 | Waukesha, Racine, Milwaukee, Washington, Ozaukee | This Plan does NOT include prescription drug coverage. | $6,700 |
UnitedHealthcare Dual Complete LP1 (HMO D-SNP) – H3794-002-0 | Rusk, Lincoln, Clark, Marathon, Wood, Portage, Oneida, Taylor, Eau Claire, Chippewa, Price, Barron | Tier 1: 15%, Tier 2: 15%, Tier 3: 15%, Tier 4: 15%, Tier 5: 15% | N/A |
AARP Medicare Advantage Patriot Plan 2 (HMO-POS) – H5253-021-0 | Columbia, Vilas, Ashland, Jackson, Lincoln, Juneau, Clark, Lafayette, Trempealeau, Marathon, Pepin, Vernon, Buffalo, Richland, Dane, Wood, La Crosse, Iron, Marquette, Portage, Oneida, Monroe, Crawford, Taylor, Pierce, Sauk, Adams, Price, Iowa | This Plan does NOT include prescription drug coverage. | $4,900 |
AARP Medicare Advantage Value (HMO-POS) – H5253-034-0 | Waukesha, Racine, Milwaukee, Washington, Ozaukee | Preferred Generic: $3.00, Generic: $14.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 26% | $4,900 |
Anthem MediBlue Access Core (PPO) – H4036-016-0 | Douglas, Washburn, Bayfield | This Plan does NOT include prescription drug coverage. | $5,500 |
Anthem MediBlue Plus (HMO) – H9525-004-0 | Kenosha, Sheboygan, Waukesha, Racine, Milwaukee, Walworth, Washington, Ozaukee | Preferred Generic: $2.00, Generic: $9.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 30%, Select Care Drugs: $0.00 | $4,900 |
Elite (PPO) – H6874-003-0 | Kewaunee, Shawano, Green Lake, Brown, Manitowoc, Winnebago, Calumet, Outagamie, Waushara | This Plan does NOT include prescription drug coverage. | $4,000 |
Essential Rx (PPO) – H6874-001-0 | Rusk, Lincoln, Clark, Marathon, Wood, Portage, Oneida, Taylor, Eau Claire, Chippewa, Price, Barron | Preferred Generic: $3.00, Generic: $12.00, Preferred Brand: $40.00, Non-Preferred Drug: 45%, Specialty Tier: 27% | $5,900 |
HumanaChoice H5216-252 (PPO) – H5216-252-0 | Kenosha, Sheboygan, Brown, Manitowoc, Waukesha, Winnebago, Racine, Milwaukee, Walworth, Washington, Ozaukee | 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 | Kenosha, Sheboygan, Waukesha, Racine, Milwaukee, Washington, Ozaukee | Preferred Generic: $6.00, Generic: $15.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 28% | $4,200 |
Anthem MediBlue Dual Advantage (HMO D-SNP) – H9525-003-0 | Waukesha, Racine, Milwaukee, Washington, Ozaukee | 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 |
Molina Medicare Complete Care (HMO D-SNP) – H2879-001-0 | Lafayette, Crawford, Grant, Iowa | Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $47.00, Non-Preferred Drug: 34%, Specialty Tier: 25% | N/A |
AARP Medicare Advantage Patriot Plan 1 (PPO) – H0294-014-0 | Columbia, Vilas, Ashland, Jackson, Lincoln, Juneau, Clark, Lafayette, Trempealeau, Marathon, Pepin, Vernon, Buffalo, Richland, Dane, Wood, La Crosse, Iron, Marquette, Portage, Oneida, Monroe, Crawford, Taylor, Pierce, Sauk, Adams, Price, Iowa | This Plan does NOT include prescription drug coverage. | $6,700 |
Assurance Rx (HMO-POS) – H5211-007-0 | Waukesha, Racine, Milwaukee, Washington, Ozaukee | Preferred Generic: $7.00, Generic: $20.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 26%, Vaccines: $0.00 | $6,500 |
Dean Advantage Essential (HMO) – H9096-004-0 | Douglas, Washburn, Bayfield | Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $40.00, Non-Preferred Brand: $90.00, Specialty Tier: 28%, Vaccines: $0.00 | $6,500 |
Dean Advantage Harmony (HMO-POS) – H9096-010-0 | Kenosha, Sheboygan, Waukesha, Racine, Milwaukee, Walworth, Washington, Ozaukee | This Plan does NOT include prescription drug coverage. | $4,500 |
Humana Honor (PPO) – H5216-258-0 | Sheboygan, Fond du Lac, Brown, Marathon, Waupaca, Manitowoc, Waukesha, Winnebago, Oconto, Dodge, Racine, Calumet, Milwaukee, Outagamie, Washington, Ozaukee | This Plan does NOT include prescription drug coverage. | $6,700 |
UW Health Quartz Med Advantage Core D (w/Rx) (HMO) – H5262-023-0 | Kenosha, Sheboygan, Waukesha, Racine, Milwaukee, Washington, Ozaukee | Preferred Generic: $3.00, Generic: $15.00, Preferred Brand: $45.00, Non-Preferred Drug: 40%, Specialty Tier: 30% | $5,600 |
UW Health Quartz Med Advantage Value (HMO) – H5262-009-0 | Kenosha, Sheboygan, Brown, Waukesha, Winnebago, Racine, Milwaukee, Outagamie, Washington, Ozaukee | This Plan does NOT include prescription drug coverage. | $4,900 |
My Choice Wisconsin Medicare Dual Advantage Plan (HMO D-SNP) – H5209-004-0 | Douglas, Washburn, Bayfield | Tier 1: $0.00 | N/A |
My Choice Wisconsin Partnership Plan (HMO D-SNP) – H5209-002-0 | Jackson, Juneau, Trempealeau, Vernon, Buffalo, La Crosse, Monroe, Crawford | Tier 1: $0.00 | N/A |
Allwell Dual Medicare (HMO D-SNP) – H8189-001-0 | Trempealeau, Eau Claire, Chippewa, Barron | Preferred Generic: $0.00, Generic: $20.00, Preferred Brand: $47.00, Non-Preferred Drug: 50%, Specialty Tier: 29% | N/A |
iCare Medicare Plan (HMO D-SNP) – H2237-001-0 | Lafayette, Crawford, Grant, Iowa | Generic: $15.00, Brand: $45.00, Specialty Tier: 25% | N/A |
AARP Medicare Advantage Value (HMO) – H5253-097-0 | Waukesha, Racine, Milwaukee, Washington, Ozaukee | Preferred Generic: $4.00, Generic: $14.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 25% | $5,900 |
Aetna Medicare Eagle (PPO) – H5521-286-0 | Douglas, Washburn, Bayfield | This Plan does NOT include prescription drug coverage. | $5,900 |
Aetna Medicare Value (PPO) – H5521-289-0 | Kenosha, Sheboygan, Waukesha, Racine, Milwaukee, Walworth, Washington, Ozaukee | Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 29% | $4,975 |
Anthem MediBlue Plus (HMO) – H9525-006-0 | Kenosha, Sheboygan, Waukesha, Racine, Milwaukee, Walworth, Washington, Ozaukee | 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 |
Prevea360 Essential (HMO-POS) – H9096-006-0 | Kenosha, Sheboygan, Waukesha, Racine, Milwaukee, Washington, Ozaukee | Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $40.00, Non-Preferred Brand: $90.00, Specialty Tier: 28%, Vaccines: $0.00 | $4,500 |
Prevea360 Harmony (HMO-POS) – H9096-011-0 | Kenosha, Sheboygan, Brown, Waukesha, Winnebago, Racine, Milwaukee, Outagamie, Washington, Ozaukee | This Plan does NOT include prescription drug coverage. | $4,500 |
AARP Medicare Advantage Walgreens (PPO) – H0294-015-0 | Douglas, Washburn, Bayfield | Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 28% | $4,700 |
Aetna Medicare Value (PPO) – H5521-283-0 | Kewaunee, Shawano, Green Lake, Brown, Manitowoc, Winnebago, Calumet, Outagamie, Waushara | Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $4,500 |
HealthPartners Robin Birch (PPO) – H4882-004-0 | Kenosha, Sheboygan, Brown, Manitowoc, Waukesha, Winnebago, Racine, Milwaukee, Walworth, Washington, Ozaukee | Preferred Generic: $2.00, Generic: $9.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 29% | $5,100 |
Humana Gold Plus H6622-001 (HMO) – H6622-001-0 | Kenosha, Sheboygan, Waukesha, Racine, Milwaukee, Washington, Ozaukee | Preferred Generic: $6.00, Generic: $15.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 28% | $4,500 |
Network PlatinumSelect (PPO) – H5215-008-0 | Jackson, Juneau, Trempealeau, Vernon, Buffalo, La Crosse, Monroe, Crawford | Preferred Generic: $2.00, Generic: $8.00, Preferred Brand: $42.00, Non-Preferred Brand: $90.00, Specialty Tier: 25% | $4,900 |
Surety Rx (HMO-POS) – H5211-008-0 | Waukesha, Racine, Milwaukee, Washington, Ozaukee | 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 Dual Complete LP (HMO D-SNP) – H5253-024-0 | Kenosha, Sheboygan, Brown, Manitowoc, Waukesha, Winnebago, Racine, Milwaukee, Walworth, Washington, Ozaukee | Tier 1: 15%, Tier 2: 15%, Tier 3: 15%, Tier 4: 15%, Tier 5: 15% | N/A |
NetworkCares (PPO D-SNP) – H5215-007-0 | Kewaunee, Shawano, Sheboygan, Fond du Lac, Green Lake, Brown, Waupaca, Manitowoc, Winnebago, Oconto, Dodge, Marquette, Portage, Calumet, Outagamie, Waushara | Preferred Generic: $4.00, Generic: $8.00, Preferred Brand: $42.00, Non-Preferred Brand: $90.00, Specialty Tier: 25% | N/A |
Gundersen Quartz Med Advantage Core D (w/Rx) (HMO) – H5262-021-0 | Douglas, Washburn, Bayfield | Preferred Generic: $3.00, Generic: $15.00, Preferred Brand: $45.00, Non-Preferred Drug: 40%, Specialty Tier: 30% | $5,900 |
Aetna Medicare Value (PPO) – H5521-195-0 | Kenosha, Sheboygan, Waukesha, Racine, Milwaukee, Walworth, Washington, Ozaukee | Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 29% | $4,975 |
Aurora Health Quartz Med Advantage Core D (w/Rx) (HMO) – H5262-012-0 | Sheboygan, Fond du Lac, Brown, Marathon, Waupaca, Manitowoc, Waukesha, Winnebago, Oconto, Dodge, Racine, Calumet, Milwaukee, Outagamie, Washington, Ozaukee | Preferred Generic: $0.00, Generic: $8.00, Preferred Brand: $47.00, Non-Preferred Drug: 30%, Specialty Tier: 30% | $5,900 |
Aurora Health Quartz Med Advantage Value (HMO) – H5262-013-0 | Kenosha, Sheboygan, Brown, Manitowoc, Waukesha, Winnebago, Racine, Milwaukee, Walworth, Washington, Ozaukee | This Plan does NOT include prescription drug coverage. | $4,900 |
Humana Gold Plus H6622-034 (HMO) – H6622-034-0 | Kenosha, Sheboygan, Waukesha, Racine, Milwaukee, Washington, Ozaukee | Preferred Generic: $6.00, Generic: $15.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 27% | $4,500 |
Humana Gold Plus H6622-040 (HMO) – H6622-040-0 | Kenosha, Sheboygan, Brown, Waukesha, Winnebago, Racine, Milwaukee, Outagamie, Washington, Ozaukee | Preferred Generic: $6.00, Generic: $15.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 27% | $6,700 |
Community Care’s Partnership Program (HMO D-SNP) – H2034-001-0 | Waukesha, Racine, Milwaukee, Washington, Ozaukee | Tier 1: $0.00 | N/A |
iCare Family Care Partnership (HMO D-SNP) – H2237-007-0 | Kenosha, Dane, Racine, Milwaukee, Sauk | Generic: $11.00, Brand: $46.00, Specialty Tier: 25% | N/A |
Ally Rx (HMO D-SNP) – H5211-010-0 | Rusk, Lincoln, Clark, Marathon, Wood, Portage, Oneida, Taylor, Eau Claire, Chippewa, Price, Barron | Tier 1: 15% | N/A |
Anthem MediBlue Access Plus (PPO) – H4036-020-0 | Sheboygan, Fond du Lac, Brown, Marathon, Waupaca, Manitowoc, Waukesha, Winnebago, Oconto, Dodge, Racine, Calumet, Milwaukee, Outagamie, Washington, Ozaukee | 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 |
AARP Medicare Advantage Value (HMO-POS) – H5253-072-0 | Douglas, Washburn, Bayfield | Preferred Generic: $4.00, Generic: $14.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 26% | $6,400 |
EssentiaCare Access (PPO) – H8783-003-0 | Douglas, Washburn, Bayfield | Preferred Generic: $3.00, Generic: $10.00, Preferred Brand: 17%, Non-Preferred Drug: 45%, Specialty Tier: 25% | $5,500 |
AARP Medicare Advantage Value (HMO-POS) – H5253-033-0 | Waukesha, Racine, Milwaukee, Washington, Ozaukee | Preferred Generic: $4.00, Generic: $14.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 28% | $4,900 |
Network Health Medicare Go (PPO) – H5215-009-0 | Waukesha, Racine, Milwaukee, Washington, Ozaukee | Preferred Generic: $2.00, Generic: $8.00, Preferred Brand: $42.00, Non-Preferred Brand: $90.00, Specialty Tier: 28% | $4,900 |
Standalone Medicare Part D Plans in Wisconsin
There is a wide variety of Medicare Part D plans available in every state, and Wisconsin is no exception. Keep in mind that plans vary by county, and don’t forget to check that your WI Medicare Advantage plan doesn’t already include Part D prescription drug coverage.
Plan | Details | Tiers |
---|---|---|
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% |
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% |
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% |
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% |
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% |
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% |
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% |
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% |
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% |
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% |
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% |
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% |
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% |
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% |
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% |
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% |
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% |
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% |
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% |
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% |
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% |
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% |
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% |
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% |
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% |
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% |
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% |
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% |
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% |
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% |
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% |
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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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