Wisconsin Medicare Advantage Companies for 2021 (Full List of Plans)

There are a lot of Medicare Advantage companies in Wisconsin to choose from, and each has a different selection of plans available. Wisconsin Medicare Advantage plans vary by county and even sometimes by ZIP code. You may be able to get Medicare Advantage coverage in Wisconsin without paying anything more than your original Medicare Part B cost.

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D. Gilson is a writer and author of essays, poetry, and scholarship that explore the relationship between popular culture, literature, sexuality, and memoir. His latest book is Jesus Freak, with Will Stockton, part of Bloomsbury’s 33 1/3 Series. His other books include I Will Say This Exactly One Time and Crush. His first chapbook, Catch & Release, won the 2012 Robin Becker Prize from Seve...

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Leslie Kasperowicz holds a BA in Social Sciences from the University of Winnipeg. She spent several years as a Farmers Insurance CSR, gaining a solid understanding of insurance products including home, life, auto, and commercial and working directly with insurance customers to understand their needs. She has since used that knowledge in her more than ten years as a writer, largely in the insuranc...

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Reviewed by Leslie Kasperowicz
Farmers CSR for 4 Years

UPDATED: Sep 23, 2021

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The Highlights

  • You can choose from Wisconsin PPO and HMO Medicare Advantage plans
  • Standalone Medicare Part D Plans in Wisconsin can help cover prescription drugs
  • You’ll still need to pay your Wisconsin original Medicare premium if you choose Medicare Advantage

If you’re shopping for a Medicare Advantage plan in Wisconsin, there are a lot of options to choose from. 23 companies offer Medicare Advantage (Part C) coverage in Wisconsin. Plans vary by county and include HMO, PPO, and POS options.

Finding the best Medicare company can be a challenge. To choose the right WI Medicare company and plan for your needs, compare rates as well as out-of-pocket costs to find the best combination of cost and coverage.

Ready to compare Medicare plans from top companies in Wisconsin? Enter your ZIP code for fast, free Wisconsin Medicare quotes today.

The Complete List of Medicare Advantage Companies in Wisconsin

You have a lot of companies to choose from for Part C Medicare Advantage in WI. Take a look at the complete listing of health insurance companies that offer Medicare Advantage plans in Wisconsin, which counties the plans are offered in, and how many plans each company offers.

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Medicare Advantage Companies in Wisconsin

Company Number of Plans Counties
Aetna 2 Brown, Green, Manitowoc, Ozaukee, Washington, Walworth, Waukesha, Winnebago, Sheboygan, Green Lake, Kewaunee, Shawano, Kenosha, Rock, Racine, Milwaukee, Calumet, Outagamie, Waushara
Aetna Medicare 1 Brown, Green, Manitowoc, Ozaukee, Washington, Walworth, Waukesha, Winnebago, Sheboygan, Green Lake, Kewaunee, Shawano, Kenosha, Rock, Racine, Milwaukee, Calumet, Outagamie, Waushara
Allwell 1 Brown, Wood, Manitowoc, Lincoln, Ozaukee, Washington, Langlade, Jefferson, Walworth, Waukesha, Winnebago, Marathon, Marquette, Columbia, Sheboygan, Dane, Green Lake, Dodge, Fond du Lac, Kewaunee, Waupaca, Adams, Shawano, Kenosha, Marinette, Clark, Oconto, Racine, Milwaukee, Taylor, Menominee, Calumet, Outagamie, Waushara, Portage
Anthem 2 Brown, Forest, Green, Manitowoc, Lincoln, Ozaukee, Washington, Langlade, Jefferson, Douglas, Walworth, Waukesha, Winnebago, Marathon, Iowa, Ashland, Marquette, Bayfield, Sheboygan, Green Lake, Florence, Dodge, Fond du Lac, Price, Kewaunee, Waupaca, Adams, Shawano, Kenosha, Rock, Iron, Lafayette, Marinette, Clark, Oconto, Racine, Juneau, Milwaukee, Vilas, Taylor, Menominee, Calumet, Outagamie, Waushara, Portage, Oneida, Door
Anthem Blue Cross and Blue Shield 3 Brown, Forest, Green, Manitowoc, Lincoln, Ozaukee, Washington, Langlade, Jefferson, Douglas, Walworth, Waukesha, Winnebago, Marathon, Iowa, Ashland, Marquette, Bayfield, Sheboygan, Green Lake, Florence, Dodge, Fond du Lac, Price, Kewaunee, Waupaca, Adams, Shawano, Kenosha, Rock, Iron, Lafayette, Marinette, Clark, Oconto, Racine, Juneau, Milwaukee, Vilas, Taylor, Menominee, Calumet, Outagamie, Waushara, Portage, Oneida, Door
Aspirus Health Plan 3 Wood, Forest, Lincoln, Langlade, Marathon, Marquette, Columbia, Florence, Price, Adams, Shawano, Iron, Clark, Juneau, Taylor, Waushara, Portage, Oneida
Community Care 1 Ozaukee, Washington, Waukesha, Waupaca, Kenosha, Racine, Milwaukee, Calumet, Outagamie
Dean Advantage, Prevea360 Medicare Advantage 8 Brown, Sheboygan, Kewaunee, Oconto, Door, Green, Jefferson, Iowa, Columbia, Dane, Dodge, Fond du Lac, Rock, Sauk
Dean Health Plan, Inc 3 Jefferson, Iowa, Columbia, Dane, Dodge, Rock, Sauk, Grant
Group Health Cooperative of Eau Claire 1 Trempealeau, Chippewa, Eau Claire, Barron
HealthPartners 5 Burnett, Pierce, St. Croix, Douglas, Dunn, Washburn, Polk, Brown, Manitowoc, Winnebago, Marquette, Green Lake, Florence, Kewaunee, Waupaca, Shawano, Marinette, Oconto, Menominee, Calumet, Outagamie, Waushara
Humana 17 Burnett, Brown, Wood, Forest, Richland, Green, Manitowoc, Pierce, Lincoln, Ozaukee, St. Croix, Washington, Langlade, Jefferson, Trempealeau, Monroe, Chippewa, Douglas, Walworth, Waukesha, Winnebago, Marathon, Iowa, Ashland, Marquette, Columbia, Bayfield, Sheboygan, Dane, Eau Claire, Green Lake, Pepin, Florence, Dodge, Fond du Lac, Price, Kewaunee, Waupaca, Adams, Shawano, Buffalo, Dunn, Kenosha, Rock, Sawyer, Iron, Lafayette, Washburn, Marinette, Clark, Oconto, Sauk, La Crosse, Racine, Rusk, Barron, Juneau, Milwaukee, Vilas, Vernon, Taylor, Crawford, Menominee, Calumet, Outagamie, Waushara, Polk, Portage, Oneida, Grant, Door, Jackson
Medica 3 Burnett, Pierce, St. Croix, Chippewa, Douglas, Ashland, Bayfield, Eau Claire, Dunn, Sawyer, Washburn, Barron, Polk
Medical Associates Clinic Health Plan of Wisconsi 3 Iowa, Lafayette, Crawford, Grant
Molina Healthcare 1 Brown, Forest, Manitowoc, Ozaukee, Washington, Langlade, Jefferson, Walworth, Waukesha, Winnebago, Marquette, Sheboygan, Green Lake, Florence, Dodge, Fond du Lac, Kewaunee, Waupaca, Shawano, Kenosha, Marinette, Oconto, Racine, Milwaukee, Calumet, Outagamie, Waushara, Portage, Door
My Choice Wisconsin 2 Brown, Green, Ozaukee, Washington, Jefferson, Walworth, Waukesha, Winnebago, Iowa, Marquette, Columbia, Dane, Green Lake, Dodge, Fond du Lac, Kewaunee, Waupaca, Adams, Shawano, Rock, Lafayette, Oconto, Sauk, Juneau, Vernon, Crawford, Calumet, Outagamie, Waushara, Grant
Network Health 1 Brown, Manitowoc, Winnebago, Marquette, Sheboygan, Green Lake, Dodge, Fond du Lac, Kewaunee, Waupaca, Shawano, Oconto, Calumet, Outagamie, Waushara, Portage
Network Health Medicare Advantage Plans 10 Burnett, Brown, Wood, Forest, Richland, Green, Manitowoc, Pierce, Lincoln, Ozaukee, St. Croix, Washington, Langlade, Jefferson, Trempealeau, Monroe, Chippewa, Douglas, Walworth, Waukesha, Winnebago, Marathon, Iowa, Ashland, Marquette, Columbia, Bayfield, Sheboygan, Dane, Eau Claire, Green Lake, Pepin, Florence, Dodge, Fond du Lac, Price, Kewaunee, Waupaca, Adams, Shawano, Buffalo, Dunn, Kenosha, Rock, Sawyer, Iron, Lafayette, Washburn, Marinette, Clark, Oconto, Sauk, La Crosse, Racine, Rusk, Barron, Juneau, Milwaukee, Vilas, Vernon, Taylor, Crawford, Menominee, Calumet, Outagamie, Waushara, Polk, Portage, Oneida, Grant, Door, Jackson
Quartz Medicare Advantage 6 Brown, Manitowoc, Ozaukee, Washington, Walworth, Waukesha, Winnebago, Sheboygan, Kenosha, Racine, Milwaukee, Richland, Jefferson, Iowa, Marquette, Columbia, Dane, Adams, Sauk, Trempealeau, Monroe, Buffalo, La Crosse, Juneau, Vernon, Crawford, Jackson
Security Health 1 Wood, Lincoln, Chippewa, Marathon, Eau Claire, Price, Clark, Rusk, Barron, Taylor, Portage, Oneida
Security Health Plan of Wisconsin, Inc 10 Burnett, Brown, Wood, Forest, Richland, Green, Manitowoc, Pierce, Lincoln, Ozaukee, St. Croix, Washington, Langlade, Jefferson, Trempealeau, Monroe, Chippewa, Douglas, Walworth, Waukesha, Winnebago, Marathon, Iowa, Ashland, Marquette, Columbia, Bayfield, Sheboygan, Dane, Eau Claire, Green Lake, Pepin, Florence, Dodge, Fond du Lac, Price, Kewaunee, Waupaca, Adams, Shawano, Buffalo, Dunn, Kenosha, Rock, Sawyer, Iron, Lafayette, Washburn, Marinette, Clark, Oconto, Sauk, La Crosse, Racine, Rusk, Barron, Juneau, Milwaukee, Vilas, Vernon, Taylor, Crawford, Menominee, Calumet, Outagamie, Waushara, Polk, Portage, Oneida, Grant, Door, Jackson
UCare 3 Douglas, Bayfield, Washburn
UnitedHealthcare 17 Burnett, Brown, Wood, Forest, Richland, Green, Manitowoc, Pierce, Lincoln, Ozaukee, St. Croix, Washington, Langlade, Jefferson, Trempealeau, Monroe, Chippewa, Douglas, Walworth, Waukesha, Winnebago, Marathon, Iowa, Ashland, Marquette, Columbia, Bayfield, Sheboygan, Dane, Green Lake, Pepin, Florence, Dodge, Fond du Lac, Price, Kewaunee, Waupaca, Adams, Shawano, Buffalo, Dunn, Kenosha, Rock, Iron, Lafayette, Marinette, Clark, Oconto, Sauk, La Crosse, Racine, Rusk, Barron, Juneau, Milwaukee, Vilas, Vernon, Taylor, Crawford, Menominee, Calumet, Outagamie, Waushara, Polk, Portage, Oneida, Grant, Door, Jackson

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Medicare Advantage Plans by Company in Wisconsin

To compare Medicare Advantage plans by company in Wisconsin, we’ve gathered a list of all the plans available from each WI Medicare company.

Take a look at the WI Medicare plans by company here, and bear in mind that plan availability and details vary by county.

HealthPartners Medicare Plans in Wisconsin

Plan Name Base Plan ID Counties Plan Type Monthly Premium
HealthPartners Freedom Balance WI (Cost) H2462-028 Burnett, Pierce, St. Croix, Douglas, Dunn, Washburn, Polk Cost * $82.60
HealthPartners Freedom Basic WI (Cost) H2462-026 Burnett, Pierce, St. Croix, Douglas, Dunn, Washburn, Polk Cost * $33.60
HealthPartners Freedom Vital WI (Cost) H2462-027 Burnett, Pierce, St. Croix, Douglas, Dunn, Washburn, Polk Cost * $39.70
HealthPartners Robin Birch (PPO) H4882-004 Brown, Manitowoc, Winnebago, Marquette, Green Lake, Florence, Kewaunee, Waupaca, Shawano, Marinette, Oconto, Menominee, Calumet, Outagamie, Waushara Local PPO $0.00
HealthPartners Robin Maple (PPO) H4882-005 Brown, Manitowoc, Winnebago, Marquette, Green Lake, Florence, Kewaunee, Waupaca, Shawano, Marinette, Oconto, Menominee, Calumet, Outagamie, Waushara Local PPO $26.00

Medica Medicare Plans in Wisconsin

Plan Name Base Plan ID Counties Plan Type Monthly Premium
Medica Prime Solution Focus (Cost) H2450-038 Burnett, Pierce, St. Croix, Chippewa, Douglas, Ashland, Bayfield, Eau Claire, Dunn, Sawyer, Washburn, Barron, Polk Cost * $0.00
Medica Prime Solution Total (Cost) H2450-040 Burnett, Pierce, St. Croix, Chippewa, Douglas, Ashland, Bayfield, Eau Claire, Dunn, Sawyer, Washburn, Barron, Polk Cost * $0.00
Medica Prime Solution Thrift (Cost) H2450-030 Burnett, Pierce, St. Croix, Chippewa, Douglas, Ashland, Bayfield, Eau Claire, Dunn, Sawyer, Washburn, Barron, Polk Cost * $0.00

UnitedHealthcare Medicare Plans in Wisconsin

Plan Name Base Plan ID Counties Plan Type Monthly Premium
UnitedHealthcare Dual Complete LP1 (HMO D-SNP) H3794-002 Burnett, Brown, Wood, Forest, Richland, Green, Manitowoc, Pierce, Lincoln, Ozaukee, St. Croix, Washington, Langlade, Jefferson, Trempealeau, Monroe, Chippewa, Douglas, Walworth, Waukesha, Winnebago, Marathon, Iowa, Ashland, Marquette, Columbia, Bayfield, Sheboygan, Dane, Green Lake, Pepin, Florence, Dodge, Fond du Lac, Price, Kewaunee, Waupaca, Adams, Shawano, Buffalo, Dunn, Kenosha, Rock, Iron, Lafayette, Marinette, Clark, Oconto, Sauk, La Crosse, Racine, Rusk, Barron, Juneau, Milwaukee, Vilas, Vernon, Taylor, Crawford, Menominee, Calumet, Outagamie, Waushara, Polk, Portage, Oneida, Grant, Door, Jackson Local HMO $0.00 for people who qualify for both Medicare and Medicaid.
AARP Medicare Advantage Patriot Plan 2 (HMO-POS) H5253-021 Brown, Wood, Forest, Green, Manitowoc, Lincoln, Ozaukee, Washington, Langlade, Jefferson, Walworth, Waukesha, Winnebago, Marathon, Sheboygan, Green Lake, Florence, Dodge, Fond du Lac, Kewaunee, Waupaca, Shawano, Kenosha, Rock, Marinette, Oconto, Racine, Milwaukee, Menominee, Calumet, Outagamie, Waushara, Portage, Oneida, Grant, Door Local HMO * $0.00
AARP Medicare Advantage Walgreens (PPO) H0294-015 Brown, Manitowoc, Winnebago, Sheboygan, Fond du Lac, Kewaunee, Calumet, Outagamie Local PPO $0.00
AARP Medicare Advantage Open Plan 1 (PPO) H0294-004 Brown, Forest, Green, Manitowoc, Ozaukee, Washington, Langlade, Jefferson, Walworth, Waukesha, Winnebago, Iowa, Marquette, Columbia, Sheboygan, Dane, Green Lake, Florence, Dodge, Fond du Lac, Kewaunee, Waupaca, Adams, Shawano, Kenosha, Rock, Lafayette, Marinette, Oconto, Sauk, Racine, Milwaukee, Menominee, Calumet, Outagamie, Waushara, Grant, Door Local PPO $47.00
UnitedHealthcare Assisted Living Plan (HMO-POS I-SNP) H5253-064 Brown, Manitowoc, Ozaukee, Washington, Waukesha, Winnebago, Sheboygan, Dodge, Fond du Lac, Waupaca, Kenosha, Racine, Milwaukee, Outagamie Local HMO $40.70
UnitedHealthcare Medicare Advantage Assist (PPO C-SNP) H0294-002 Brown, Wood, Forest, Richland, Green, Manitowoc, Pierce, Lincoln, Ozaukee, Washington, Langlade, Jefferson, Trempealeau, Monroe, Walworth, Waukesha, Winnebago, Marathon, Iowa, Ashland, Marquette, Columbia, Sheboygan, Dane, Green Lake, Pepin, Florence, Dodge, Fond du Lac, Price, Kewaunee, Waupaca, Adams, Shawano, Buffalo, Kenosha, Rock, Iron, Lafayette, Marinette, Clark, Oconto, Sauk, La Crosse, Racine, Juneau, Milwaukee, Vilas, Vernon, Taylor, Crawford, Menominee, Calumet, Outagamie, Waushara, Portage, Oneida, Grant, Door, Jackson Local PPO $14.00
UnitedHealthcare Nursing Home Plan 2 (PPO I-SNP) H0710-043 Brown, Wood, Manitowoc, Lincoln, Ozaukee, Washington, Walworth, Waukesha, Winnebago, Marathon, Sheboygan, Dodge, Fond du Lac, Waupaca, Shawano, Kenosha, Marinette, Clark, Racine, Milwaukee, Outagamie, Oneida Local PPO $38.80
AARP Medicare Advantage Value (HMO-POS) H5253-034 Brown, Wood, Forest, Manitowoc, Lincoln, Ozaukee, Washington, Langlade, Waukesha, Winnebago, Marathon, Sheboygan, Green Lake, Florence, Dodge, Fond du Lac, Kewaunee, Waupaca, Shawano, Marinette, Oconto, Racine, Milwaukee, Menominee, Calumet, Outagamie, Waushara, Portage, Oneida, Door Local HMO $0.00
UnitedHealthcare Dual Complete LP (HMO D-SNP) H5253-024 Brown, Ozaukee, Washington, Trempealeau, Monroe, Waukesha, Winnebago, Sheboygan, Green Lake, Kewaunee, Waupaca, Shawano, Oconto, La Crosse, Racine, Milwaukee, Vernon, Calumet, Outagamie, Waushara Local HMO $0.00 for people who qualify for both Medicare and Medicaid.
UnitedHealthcare Nursing Home Plan 1 (HMO-POS I-SNP) H5253-007 Brown, Wood, Manitowoc, Ozaukee, Washington, Walworth, Waukesha, Winnebago, Sheboygan, Dodge, Fond du Lac, Waupaca, Shawano, Kenosha, Racine, Milwaukee, Outagamie Local HMO $38.10
AARP Medicare Advantage (HMO-POS) H5253-011 Brown, Wood, Forest, Green, Manitowoc, Lincoln, Ozaukee, Washington, Langlade, Jefferson, Walworth, Waukesha, Winnebago, Marathon, Sheboygan, Green Lake, Florence, Dodge, Fond du Lac, Kewaunee, Waupaca, Shawano, Kenosha, Rock, Marinette, Oconto, Racine, Milwaukee, Menominee, Calumet, Outagamie, Waushara, Portage, Oneida, Grant, Door Local HMO $27.00
AARP Medicare Advantage Patriot Plan 1 (PPO) H0294-014 Wood, Richland, Pierce, Lincoln, Trempealeau, Monroe, Marathon, Iowa, Ashland, Marquette, Columbia, Dane, Pepin, Price, Adams, Buffalo, Iron, Lafayette, Clark, Sauk, La Crosse, Juneau, Vilas, Vernon, Taylor, Crawford, Portage, Oneida, Jackson Local PPO * $0.00
AARP Medicare Advantage Open (PPO) H0294-011 Wood, Richland, Pierce, Lincoln, Trempealeau, Monroe, Marathon, Ashland, Pepin, Price, Buffalo, Iron, Clark, La Crosse, Juneau, Vilas, Vernon, Taylor, Crawford, Portage, Oneida, Jackson Local PPO $47.00
AARP Medicare Advantage Open Premier (PPO) H0294-012 Wood, Richland, Pierce, Lincoln, Trempealeau, Monroe, Marathon, Ashland, Pepin, Price, Buffalo, Iron, Clark, La Crosse, Juneau, Vilas, Vernon, Taylor, Crawford, Portage, Oneida, Jackson Local PPO $112.00
AARP Medicare Advantage Value (HMO) H5253-097 Green, Jefferson, Walworth, Kenosha, Rock, Grant Local HMO $0.00
AARP Medicare Advantage Open Plan 2 (PPO) H0294-016 Green, Jefferson, Iowa, Dane, Rock, Lafayette Local PPO $29.00
UnitedHealthcare Assisted Living Plan (PPO I-SNP) H0710-042 Kewaunee, Marinette, Oconto, Door Local PPO $40.70

Security Health Plan of Wisconsin, Inc Medicare Plans in Wisconsin

Plan Name Base Plan ID Counties Plan Type Monthly Premium
Secure Saver (MSA) H4388-001 Burnett, Brown, Wood, Forest, Richland, Green, Manitowoc, Pierce, Lincoln, Ozaukee, St. Croix, Washington, Langlade, Jefferson, Trempealeau, Monroe, Chippewa, Douglas, Walworth, Waukesha, Winnebago, Marathon, Iowa, Ashland, Marquette, Columbia, Bayfield, Sheboygan, Dane, Eau Claire, Green Lake, Pepin, Florence, Dodge, Fond du Lac, Price, Kewaunee, Waupaca, Adams, Shawano, Buffalo, Dunn, Kenosha, Rock, Sawyer, Iron, Lafayette, Washburn, Marinette, Clark, Oconto, Sauk, La Crosse, Racine, Rusk, Barron, Juneau, Milwaukee, Vilas, Vernon, Taylor, Crawford, Menominee, Calumet, Outagamie, Waushara, Polk, Portage, Oneida, Grant, Door, Jackson MSA * MSAs do not have a monthly premium.
Spirit Rx (HMO-POS) H5211-004 Burnett, Wood, Forest, Richland, Green, Pierce, Lincoln, Langlade, Jefferson, Trempealeau, Monroe, Chippewa, Douglas, Waukesha, Marathon, Iowa, Ashland, Marquette, Columbia, Bayfield, Dane, Eau Claire, Green Lake, Pepin, Florence, Price, Waupaca, Adams, Shawano, Buffalo, Dunn, Sawyer, Iron, Washburn, Clark, Sauk, La Crosse, Rusk, Barron, Juneau, Vilas, Vernon, Taylor, Crawford, Waushara, Polk, Portage, Oneida, Jackson Local HMO $226.00
Esteem Rx (HMO-POS) H5211-012 Burnett, Wood, Forest, Pierce, Lincoln, Langlade, Trempealeau, Monroe, Chippewa, Douglas, Marathon, Ashland, Bayfield, Eau Claire, Pepin, Florence, Price, Waupaca, Adams, Shawano, Buffalo, Dunn, Sawyer, Iron, Washburn, Clark, La Crosse, Rusk, Barron, Juneau, Vilas, Vernon, Taylor, Crawford, Waushara, Polk, Portage, Oneida, Jackson Local HMO $0.00
Essence (HMO-POS) H5211-003 Burnett, Wood, Forest, Richland, Green, Pierce, Lincoln, Langlade, Jefferson, Trempealeau, Monroe, Chippewa, Douglas, Waukesha, Marathon, Iowa, Ashland, Marquette, Columbia, Bayfield, Dane, Eau Claire, Green Lake, Pepin, Florence, Price, Waupaca, Adams, Shawano, Buffalo, Dunn, Sawyer, Iron, Washburn, Clark, Sauk, La Crosse, Rusk, Barron, Juneau, Vilas, Vernon, Taylor, Crawford, Waushara, Polk, Portage, Oneida, Jackson Local HMO * $0.00
Spirit (HMO-POS) H5211-001 Burnett, Wood, Forest, Richland, Green, Pierce, Lincoln, Langlade, Jefferson, Trempealeau, Monroe, Chippewa, Douglas, Waukesha, Marathon, Iowa, Ashland, Marquette, Columbia, Bayfield, Dane, Eau Claire, Green Lake, Pepin, Florence, Price, Waupaca, Adams, Shawano, Buffalo, Dunn, Sawyer, Iron, Washburn, Clark, Sauk, La Crosse, Rusk, Barron, Juneau, Vilas, Vernon, Taylor, Crawford, Waushara, Polk, Portage, Oneida, Jackson Local HMO * $0.00
Ascend Rx (HMO-POS) H5211-013 Burnett, Wood, Forest, Pierce, Lincoln, Langlade, Trempealeau, Monroe, Chippewa, Douglas, Marathon, Ashland, Bayfield, Eau Claire, Pepin, Florence, Price, Waupaca, Adams, Shawano, Buffalo, Dunn, Sawyer, Iron, Washburn, Clark, La Crosse, Rusk, Barron, Juneau, Vilas, Vernon, Taylor, Crawford, Waushara, Polk, Portage, Oneida, Jackson Local HMO $40.00
Essence Rx (HMO-POS) H5211-002 Burnett, Wood, Forest, Richland, Green, Pierce, Lincoln, Langlade, Jefferson, Trempealeau, Monroe, Chippewa, Douglas, Waukesha, Marathon, Iowa, Ashland, Marquette, Columbia, Bayfield, Dane, Eau Claire, Green Lake, Pepin, Florence, Price, Waupaca, Adams, Shawano, Buffalo, Dunn, Sawyer, Iron, Washburn, Clark, Sauk, La Crosse, Rusk, Barron, Juneau, Vilas, Vernon, Taylor, Crawford, Waushara, Polk, Portage, Oneida, Jackson Local HMO $85.00
Surety Rx (HMO-POS) H5211-008 Brown, Winnebago, Kewaunee, Marinette, Oconto, Outagamie Local HMO $0.00
Promise Rx (HMO-POS) H5211-009 Brown, Winnebago, Kewaunee, Marinette, Oconto, Outagamie Local HMO $73.00
Assurance Rx (HMO-POS) H5211-007 Richland, Green, Jefferson, Waukesha, Iowa, Marquette, Columbia, Dane, Green Lake, Sauk Local HMO $0.00

Network Health Medicare Advantage Plans Medicare Plans in Wisconsin

Plan Name Base Plan ID Counties Plan Type Monthly Premium
NetworkPrime (MSA) H1181-001 Burnett, Brown, Wood, Forest, Richland, Green, Manitowoc, Pierce, Lincoln, Ozaukee, St. Croix, Washington, Langlade, Jefferson, Trempealeau, Monroe, Chippewa, Douglas, Walworth, Waukesha, Winnebago, Marathon, Iowa, Ashland, Marquette, Columbia, Bayfield, Sheboygan, Dane, Eau Claire, Green Lake, Pepin, Florence, Dodge, Fond du Lac, Price, Kewaunee, Waupaca, Adams, Shawano, Buffalo, Dunn, Kenosha, Rock, Sawyer, Iron, Lafayette, Washburn, Marinette, Clark, Oconto, Sauk, La Crosse, Racine, Rusk, Barron, Juneau, Milwaukee, Vilas, Vernon, Taylor, Crawford, Menominee, Calumet, Outagamie, Waushara, Polk, Portage, Oneida, Grant, Door, Jackson MSA * MSAs do not have a monthly premium.
Network PlatinumSelect (PPO) H5215-008 Brown, Manitowoc, Winnebago, Marquette, Sheboygan, Green Lake, Dodge, Fond du Lac, Kewaunee, Waupaca, Shawano, Oconto, Calumet, Outagamie, Waushara, Portage Local PPO $0.00
Network PlatinumPlus (PPO) H5215-001 Brown, Manitowoc, Winnebago, Marquette, Sheboygan, Green Lake, Dodge, Fond du Lac, Kewaunee, Waupaca, Shawano, Oconto, Calumet, Outagamie, Waushara, Portage Local PPO * $0.00
Network PlatinumPremier (PPO) H5215-006 Brown, Manitowoc, Winnebago, Marquette, Sheboygan, Green Lake, Dodge, Fond du Lac, Kewaunee, Waupaca, Shawano, Oconto, Calumet, Outagamie, Waushara, Portage Local PPO * $0.00
Network PlatinumChoice (PPO) H5215-011 Brown, Manitowoc, Winnebago, Marquette, Sheboygan, Green Lake, Dodge, Fond du Lac, Kewaunee, Waupaca, Shawano, Oconto, Calumet, Outagamie, Waushara, Portage Local PPO $31.00
Network PlatinumPremier Pharmacy (PPO) H5215-005 Brown, Manitowoc, Winnebago, Marquette, Sheboygan, Green Lake, Dodge, Fond du Lac, Kewaunee, Waupaca, Shawano, Oconto, Calumet, Outagamie, Waushara, Portage Local PPO $297.00
Network PlatinumPlus Pharmacy (PPO) H5215-002 Brown, Manitowoc, Winnebago, Marquette, Sheboygan, Green Lake, Dodge, Fond du Lac, Kewaunee, Waupaca, Shawano, Oconto, Calumet, Outagamie, Waushara, Portage Local PPO $124.00
Network Health Medicare Anywhere (PPO) H5215-010 Ozaukee, Washington, Waukesha, Racine, Milwaukee Local PPO $35.00
Network Health Medicare Go (PPO) H5215-009 Ozaukee, Washington, Waukesha, Racine, Milwaukee Local PPO $0.00
Network Health Medicare Explore (HMO) H5644-002 Ozaukee, Washington, Waukesha, Kenosha, Racine, Milwaukee Local HMO $11.00

Humana Medicare Plans in Wisconsin

Plan Name Base Plan ID Counties Plan Type Monthly Premium
HumanaChoice R5361-002 (Regional PPO) R5361-002 Burnett, Brown, Wood, Forest, Richland, Green, Manitowoc, Pierce, Lincoln, Ozaukee, St. Croix, Washington, Langlade, Jefferson, Trempealeau, Monroe, Chippewa, Douglas, Walworth, Waukesha, Winnebago, Marathon, Iowa, Ashland, Marquette, Columbia, Bayfield, Sheboygan, Dane, Eau Claire, Green Lake, Pepin, Florence, Dodge, Fond du Lac, Price, Kewaunee, Waupaca, Adams, Shawano, Buffalo, Dunn, Kenosha, Rock, Sawyer, Iron, Lafayette, Washburn, Marinette, Clark, Oconto, Sauk, La Crosse, Racine, Rusk, Barron, Juneau, Milwaukee, Vilas, Vernon, Taylor, Crawford, Menominee, Calumet, Outagamie, Waushara, Polk, Portage, Oneida, Grant, Door, Jackson Regional PPO $120.00
HumanaChoice R5361-001 (Regional PPO) R5361-001 Burnett, Brown, Wood, Forest, Richland, Green, Manitowoc, Pierce, Lincoln, Ozaukee, St. Croix, Washington, Langlade, Jefferson, Trempealeau, Monroe, Chippewa, Douglas, Walworth, Waukesha, Winnebago, Marathon, Iowa, Ashland, Marquette, Columbia, Bayfield, Sheboygan, Dane, Eau Claire, Green Lake, Pepin, Florence, Dodge, Fond du Lac, Price, Kewaunee, Waupaca, Adams, Shawano, Buffalo, Dunn, Kenosha, Rock, Sawyer, Iron, Lafayette, Washburn, Marinette, Clark, Oconto, Sauk, La Crosse, Racine, Rusk, Barron, Juneau, Milwaukee, Vilas, Vernon, Taylor, Crawford, Menominee, Calumet, Outagamie, Waushara, Polk, Portage, Oneida, Grant, Door, Jackson Regional PPO * $0.00
HumanaChoice H5216-253 (PPO) H5216-253 Brown, Forest, Manitowoc, Ozaukee, Washington, Waukesha, Winnebago, Marathon, Marquette, Sheboygan, Green Lake, Dodge, Fond du Lac, Kewaunee, Waupaca, Kenosha, Marinette, Oconto, Racine, Milwaukee, Menominee, Calumet, Outagamie, Waushara, Portage, Door Local PPO $0.00
Humana Gold Choice H8145-006 (PFFS) H8145-006 Brown, Forest, Richland, Manitowoc, Lincoln, Ozaukee, Washington, Langlade, Jefferson, Trempealeau, Walworth, Waukesha, Winnebago, Marathon, Marquette, Sheboygan, Dane, Eau Claire, Green Lake, Dodge, Fond du Lac, Waupaca, Adams, Shawano, Kenosha, Lafayette, Clark, Sauk, Racine, Barron, Juneau, Milwaukee, Vilas, Outagamie, Oneida PFFS $81.00
HumanaChoice H5216-001 (PPO) H5216-001 Brown, Forest, Manitowoc, Ozaukee, Washington, Waukesha, Winnebago, Marathon, Marquette, Sheboygan, Green Lake, Dodge, Fond du Lac, Kewaunee, Waupaca, Kenosha, Marinette, Oconto, Racine, Milwaukee, Menominee, Calumet, Outagamie, Waushara, Portage, Door Local PPO $78.00
Humana Gold Plus H6622-001 (HMO) H6622-001 Brown, Manitowoc, Winnebago, Marathon, Marquette, Green Lake, Fond du Lac, Kewaunee, Waupaca, Shawano, Marinette, Oconto, Calumet, Outagamie, Waushara Local HMO $0.00
Humana Value Plus H5216-173 (PPO) H5216-173 Brown, Forest, Richland, Green, Manitowoc, Ozaukee, Washington, Jefferson, Douglas, Walworth, Waukesha, Winnebago, Marathon, Iowa, Marquette, Columbia, Sheboygan, Dane, Green Lake, Dodge, Fond du Lac, Kewaunee, Waupaca, Kenosha, Rock, Lafayette, Marinette, Oconto, Sauk, Racine, Milwaukee, Crawford, Menominee, Calumet, Outagamie, Waushara, Portage, Door Local PPO $33.00
HumanaChoice H5216-252 (PPO) H5216-252 Brown, Forest, Manitowoc, Ozaukee, Washington, Waukesha, Winnebago, Marathon, Marquette, Sheboygan, Green Lake, Dodge, Fond du Lac, Kewaunee, Waupaca, Kenosha, Marinette, Oconto, Racine, Milwaukee, Menominee, Calumet, Outagamie, Waushara, Portage, Door Local PPO $0.00
Humana Gold Plus H6622-040 (HMO) H6622-040 Brown, Ozaukee, Washington, Waukesha, Winnebago, Sheboygan, Kenosha, Racine, Milwaukee, Outagamie Local HMO $0.00
Humana Honor (PPO) H5216-258 Brown, Green, Ozaukee, St. Croix, Washington, Jefferson, Douglas, Walworth, Waukesha, Marathon, Iowa, Columbia, Sheboygan, Dane, Dodge, Kewaunee, Kenosha, Rock, Lafayette, Marinette, Oconto, Sauk, Racine, Milwaukee, Calumet, Outagamie, Door Local PPO * $0.00
HumanaChoice H5216-168 (PPO) H5216-168 Richland, Green, Jefferson, Walworth, Iowa, Columbia, Dane, Rock, Lafayette, Sauk, Crawford Local PPO $120.00
HumanaChoice H5216-006 (PPO) H5216-006 Richland, Green, Jefferson, Walworth, Iowa, Columbia, Dane, Rock, Lafayette, Sauk, Crawford Local PPO $48.00
Humana Gold Plus H6622-002 (HMO) H6622-002 Ozaukee, Washington, Waukesha, Sheboygan, Kenosha, Racine, Milwaukee Local HMO $38.00
Humana Gold Plus H6622-034 (HMO) H6622-034 Ozaukee, Washington, Waukesha, Sheboygan, Kenosha, Racine, Milwaukee Local HMO $0.00
HumanaChoice H5216-167 (PPO) H5216-167 St. Croix Local PPO $89.00
HumanaChoice H5216-063 (PPO) H5216-063 St. Croix Local PPO $106.00
HumanaChoice H5216-080 (PPO) H5216-080 Douglas Local PPO $109.00

Dean Advantage, Prevea360 Medicare Advantage Medicare Plans in Wisconsin

Plan Name Base Plan ID Counties Plan Type Monthly Premium
Prevea360 Complete (HMO-POS) H9096-009 Brown, Sheboygan, Kewaunee, Oconto, Door Local HMO $226.00
Prevea360 Essential (HMO-POS) H9096-006 Brown, Sheboygan, Kewaunee, Oconto, Door Local HMO $0.00
Prevea360 Harmony (HMO-POS) H9096-011 Brown, Sheboygan, Kewaunee, Oconto, Door Local HMO * $0.00
Dean Advantage Harmony (HMO-POS) H9096-010 Green, Jefferson, Iowa, Columbia, Dane, Dodge, Fond du Lac, Rock, Sauk Local HMO * $0.00
Dean Advantage Essential (HMO) H9096-004 Green, Jefferson, Iowa, Columbia, Dane, Dodge, Fond du Lac, Rock, Sauk Local HMO $0.00
Dean Advantage Balance (HMO-POS) H9096-002 Green, Jefferson, Iowa, Columbia, Dane, Dodge, Fond du Lac, Rock, Sauk Local HMO $82.00
Dean Advantage Complete (HMO) H9096-005 Green, Jefferson, Iowa, Columbia, Dane, Dodge, Fond du Lac, Rock, Sauk Local HMO $241.00
Dean Advantage Assurance (HMO-POS) H9096-001 Green, Jefferson, Iowa, Columbia, Dane, Dodge, Fond du Lac, Rock, Sauk Local HMO $40.00

Anthem Blue Cross and Blue Shield Medicare Plans in Wisconsin

Plan Name Base Plan ID Counties Plan Type Monthly Premium
Anthem MediBlue Access Core (PPO) H4036-016 Brown, Forest, Green, Manitowoc, Lincoln, Ozaukee, Washington, Langlade, Jefferson, Douglas, Walworth, Waukesha, Winnebago, Marathon, Iowa, Ashland, Marquette, Bayfield, Sheboygan, Green Lake, Florence, Dodge, Fond du Lac, Price, Kewaunee, Waupaca, Adams, Shawano, Kenosha, Rock, Iron, Lafayette, Marinette, Clark, Oconto, Racine, Juneau, Milwaukee, Vilas, Taylor, Menominee, Calumet, Outagamie, Waushara, Portage, Oneida, Door Local PPO * $0.00
Anthem MediBlue Plus (HMO) H9525-006 Brown, Forest, Green, Manitowoc, Lincoln, Ozaukee, Washington, Langlade, Jefferson, Douglas, Walworth, Waukesha, Winnebago, Marathon, Iowa, Ashland, Marquette, Bayfield, Sheboygan, Green Lake, Florence, Dodge, Fond du Lac, Price, Kewaunee, Waupaca, Adams, Shawano, Kenosha, Rock, Iron, Lafayette, Marinette, Clark, Oconto, Racine, Juneau, Milwaukee, Vilas, Taylor, Menominee, Calumet, Outagamie, Waushara, Portage, Oneida, Door Local HMO $0.00
Anthem MediBlue Access Plus (PPO) H4036-020 Brown, Manitowoc, Ozaukee, Washington, Waukesha, Winnebago, Marathon, Sheboygan, Dodge, Fond du Lac, Waupaca, Oconto, Racine, Milwaukee, Calumet, Outagamie Local PPO $0.00

Molina Healthcare Medicare Plans in Wisconsin

Plan Name Base Plan ID Counties Plan Type Monthly Premium
Molina Medicare Complete Care (HMO D-SNP) H2879-001 Brown, Forest, Manitowoc, Ozaukee, Washington, Langlade, Jefferson, Walworth, Waukesha, Winnebago, Marquette, Sheboygan, Green Lake, Florence, Dodge, Fond du Lac, Kewaunee, Waupaca, Shawano, Kenosha, Marinette, Oconto, Racine, Milwaukee, Calumet, Outagamie, Waushara, Portage, Door Local HMO $0.00 for people who qualify for both Medicare and Medicaid.

Quartz Medicare Advantage Medicare Plans in Wisconsin

Plan Name Base Plan ID Counties Plan Type Monthly Premium
Aurora Health Quartz Med Advantage Elite (HMO) H5262-025 Brown, Manitowoc, Ozaukee, Washington, Walworth, Waukesha, Winnebago, Sheboygan, Kenosha, Racine, Milwaukee Local HMO * $40.00
Aurora Health Quartz Med Advantage Value (HMO) H5262-013 Brown, Manitowoc, Ozaukee, Washington, Walworth, Waukesha, Winnebago, Sheboygan, Kenosha, Racine, Milwaukee Local HMO * $0.00
UW Health Quartz Med Advantage Value (HMO) H5262-009 Richland, Jefferson, Iowa, Marquette, Columbia, Dane, Adams, Sauk Local HMO * $0.00
UW Health Quartz Med Advantage Elite (HMO) H5262-010 Richland, Jefferson, Iowa, Marquette, Columbia, Dane, Adams, Sauk Local HMO * $0.00
Gundersen Quartz Med Advantage Elite (HMO) H5262-005 Trempealeau, Monroe, Buffalo, La Crosse, Juneau, Vernon, Crawford, Jackson Local HMO * $0.00
Gundersen Quartz Med Advantage Value (HMO) H5262-004 Trempealeau, Monroe, Buffalo, La Crosse, Juneau, Vernon, Crawford, Jackson Local HMO * $0.00

Allwell Medicare Plans in Wisconsin

Plan Name Base Plan ID Counties Plan Type Monthly Premium
Allwell Dual Medicare (HMO D-SNP) H8189-001 Brown, Wood, Manitowoc, Lincoln, Ozaukee, Washington, Langlade, Jefferson, Walworth, Waukesha, Winnebago, Marathon, Marquette, Columbia, Sheboygan, Dane, Green Lake, Dodge, Fond du Lac, Kewaunee, Waupaca, Adams, Shawano, Kenosha, Marinette, Clark, Oconto, Racine, Milwaukee, Taylor, Menominee, Calumet, Outagamie, Waushara, Portage Local HMO $0.00 for people who qualify for both Medicare and Medicaid.

My Choice Wisconsin 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 Brown, Green, Ozaukee, Washington, Jefferson, Walworth, Waukesha, Winnebago, Iowa, Marquette, Columbia, Dane, Green Lake, Dodge, Fond du Lac, Kewaunee, Waupaca, Adams, Shawano, Rock, Lafayette, Oconto, Sauk, Juneau, Vernon, Crawford, Calumet, Outagamie, Waushara, Grant Local HMO $0.00 for people who qualify for both Medicare and Medicaid.
My Choice Wisconsin Partnership Plan (HMO D-SNP) H5209-002 Ozaukee, Washington, Jefferson, Waukesha, Columbia, Dane, Dodge, Sauk Local HMO $0.00 for people who qualify for both Medicare and Medicaid.

Aetna Medicare Plans in Wisconsin

Plan Name Base Plan ID Counties Plan Type Monthly Premium
Aetna Medicare Value (PPO) H5521-283 Brown, Green, Manitowoc, Ozaukee, Washington, Walworth, Waukesha, Winnebago, Sheboygan, Green Lake, Kewaunee, Shawano, Kenosha, Rock, Racine, Milwaukee, Calumet, Outagamie, Waushara Local PPO $0.00
Aetna Medicare Premier (PPO) H5521-282 Brown, Manitowoc, Ozaukee, Washington, Walworth, Waukesha, Winnebago, Sheboygan, Green Lake, Kewaunee, Shawano, Kenosha, Racine, Milwaukee, Calumet, Outagamie, Waushara Local PPO $25.00

Aetna Medicare Medicare Plans in Wisconsin

Plan Name Base Plan ID Counties Plan Type Monthly Premium
Aetna Medicare Eagle (PPO) H5521-286 Brown, Green, Manitowoc, Ozaukee, Washington, Walworth, Waukesha, Winnebago, Sheboygan, Green Lake, Kewaunee, Shawano, Kenosha, Rock, Racine, Milwaukee, Calumet, Outagamie, Waushara Local PPO * $0.00

Anthem Medicare Plans in Wisconsin

Plan Name Base Plan ID Counties Plan Type Monthly Premium
Anthem MediBlue Access (PPO) H4036-008 Brown, Forest, Green, Manitowoc, Lincoln, Ozaukee, Washington, Langlade, Jefferson, Douglas, Walworth, Waukesha, Winnebago, Marathon, Iowa, Ashland, Marquette, Bayfield, Sheboygan, Green Lake, Florence, Dodge, Fond du Lac, Price, Kewaunee, Waupaca, Adams, Shawano, Kenosha, Rock, Iron, Lafayette, Marinette, Clark, Oconto, Racine, Juneau, Milwaukee, Vilas, Taylor, Menominee, Calumet, Outagamie, Waushara, Portage, Oneida, Door Local PPO $27.00
Anthem MediBlue Dual Advantage (HMO D-SNP) H9525-003 Brown, Forest, Green, Manitowoc, Lincoln, Ozaukee, Washington, Langlade, Jefferson, Douglas, Walworth, Waukesha, Winnebago, Marathon, Iowa, Ashland, Marquette, Bayfield, Sheboygan, Green Lake, Florence, Dodge, Fond du Lac, Price, Kewaunee, Waupaca, Adams, Shawano, Kenosha, Rock, Iron, Lafayette, Marinette, Clark, Oconto, Racine, Juneau, Milwaukee, Vilas, Taylor, Menominee, Calumet, Outagamie, Waushara, Portage, Oneida, Door Local HMO $0.00 for people who qualify for both Medicare and Medicaid.

Network Health Medicare Plans in Wisconsin

Plan Name Base Plan ID Counties Plan Type Monthly Premium
NetworkCares (PPO D-SNP) H5215-007 Brown, Manitowoc, Winnebago, Marquette, Sheboygan, Green Lake, Dodge, Fond du Lac, Kewaunee, Waupaca, Shawano, Oconto, Calumet, Outagamie, Waushara, Portage Local PPO $0.00 for people who qualify for both Medicare and Medicaid.

Security Health Medicare Plans in Wisconsin

Plan Name Base Plan ID Counties Plan Type Monthly Premium
Ally Rx (HMO D-SNP) H5211-010 Wood, Lincoln, Chippewa, Marathon, Eau Claire, Price, Clark, Rusk, Barron, Taylor, Portage, Oneida Local HMO $0.00 for people who qualify for both Medicare and Medicaid.

Aspirus Health Plan Medicare Plans in Wisconsin

Plan Name Base Plan ID Counties Plan Type Monthly Premium
Elite Rx (PPO) H6874-002 Wood, Forest, Lincoln, Langlade, Marathon, Marquette, Columbia, Florence, Price, Adams, Shawano, Iron, Clark, Juneau, Taylor, Waushara, Portage, Oneida Local PPO $79.00
Elite (PPO) H6874-003 Wood, Forest, Lincoln, Langlade, Marathon, Marquette, Columbia, Florence, Price, Adams, Shawano, Iron, Clark, Juneau, Taylor, Waushara, Portage, Oneida Local PPO * $0.00
Essential Rx (PPO) H6874-001 Wood, Forest, Lincoln, Langlade, Marathon, Marquette, Columbia, Florence, Price, Adams, Shawano, Iron, Clark, Juneau, Taylor, Waushara, Portage, Oneida Local PPO $0.00

Community Care Medicare Plans in Wisconsin

Plan Name Base Plan ID Counties Plan Type Monthly Premium
Community Care’s Partnership Program (HMO D-SNP) H2034-001 Ozaukee, Washington, Waukesha, Waupaca, Kenosha, Racine, Milwaukee, Calumet, Outagamie Local HMO $0.00 for people who qualify for both Medicare and Medicaid.

Dean Health Plan, Inc Medicare Plans in Wisconsin

Plan Name Base Plan ID Counties Plan Type Monthly Premium
DeanCare Gold Basic (Cost) H5264-003 Jefferson, Iowa, Columbia, Dane, Dodge, Rock, Sauk, Grant Cost * $0.00
DeanCare Gold Shared Value (Cost) H5264-005 Jefferson, Iowa, Columbia, Dane, Dodge, Rock, Sauk, Grant Cost * $0.00
DeanCare Gold Enhanced (Cost) H5264-002 Jefferson, Iowa, Columbia, Dane, Dodge, Rock, Sauk, Grant Cost * $0.00

Group Health Cooperative of Eau Claire Medicare Plans in Wisconsin

Plan Name Base Plan ID Counties Plan Type Monthly Premium
Cooperative Advantage (HMO I-SNP) H7598-002 Trempealeau, Chippewa, Eau Claire, Barron Local HMO $40.70

UCare Medicare Plans in Wisconsin

Plan Name Base Plan ID Counties Plan Type Monthly Premium
EssentiaCare Grand (PPO) H8783-002 Douglas, Bayfield, Washburn Local PPO $109.00
EssentiaCare Access (PPO) H8783-003 Douglas, Bayfield, Washburn Local PPO $0.00
EssentiaCare Secure (PPO) H8783-001 Douglas, Bayfield, Washburn Local PPO $35.00

Medical Associates Clinic Health Plan of Wisconsi Medicare Plans in Wisconsin

Plan Name Base Plan ID Counties Plan Type Monthly Premium
Medical Associates Freedom Plan (Cost) H5256-004 Iowa, Lafayette, Crawford, Grant Cost * $0.00
Medical Associates Community Plan (Cost) H5256-002 Iowa, Lafayette, Crawford, Grant Cost * $0.00
Medical Associates SmartPlan (Cost) H5256-001 Iowa, Lafayette, Crawford, Grant Cost * $0.00

Wisconsin Medicare Advantage Plans With No Additional Cost

If you choose to buy Medicare Advantage in Wisconsin, you will still have to pay your original Medicare Part B premium. Several WI Medicare companies offer Advantage plans that don’t have any additional cost beyond your original Medicare costs. Take a look at the options.

Wisconsin Medicare Advantage Plans With No Additional Cost

Plan Name County Preferred Pharmacy Copay/ Coinsurance 30-Day Supply MOOP for Part A & B Benefits
NetworkPrime (MSA) – H1181-001-0 Brown, Langlade, Lincoln, Ashland, Trempealeau, Crawford, Green Lake, Clark, Kenosha, Iron, Bayfield, Portage, Oconto, Calumet, Fond du Lac, Sauk, Kewaunee, Green, Menominee, Waushara, Rusk, Juneau, Walworth, Marquette, St. Croix, Eau Claire, Outagamie, Price, Florence, Ozaukee, Polk, Pierce, Columbia, Barron, Buffalo, Waukesha, Door, Sawyer, Pepin, Richland, Manitowoc, Sheboygan, Winnebago, Taylor, Racine, Forest, Monroe, Marinette, Oneida, Dodge, Lafayette, Dane, Washburn, Rock, La Crosse, Wood, Adams, Marathon, Jackson, Douglas, Milwaukee, Dunn, Waupaca, Chippewa, Jefferson, Burnett, Shawano, Vilas, Iowa, Washington, Grant, Vernon This Plan does NOT include Prescription Drug coverage. n/a
Secure Saver (MSA) – H4388-001-0 Brown, Langlade, Lincoln, Ashland, Trempealeau, Crawford, Green Lake, Clark, Kenosha, Iron, Bayfield, Portage, Oconto, Calumet, Fond du Lac, Sauk, Kewaunee, Green, Menominee, Waushara, Rusk, Juneau, Walworth, Marquette, St. Croix, Eau Claire, Outagamie, Price, Florence, Ozaukee, Polk, Pierce, Columbia, Barron, Buffalo, Waukesha, Door, Sawyer, Pepin, Richland, Manitowoc, Sheboygan, Winnebago, Taylor, Racine, Forest, Monroe, Marinette, Oneida, Dodge, Lafayette, Dane, Washburn, Rock, La Crosse, Wood, Adams, Marathon, Jackson, Douglas, Milwaukee, Dunn, Waupaca, Chippewa, Jefferson, Burnett, Shawano, Vilas, Iowa, Washington, Grant, Vernon This Plan does NOT include Prescription Drug coverage. n/a
AARP Medicare Advantage Patriot Plan 2 (HMO-POS) – H5253-021-0 Lincoln, Ashland, Trempealeau, Crawford, Clark, Iron, Portage, Sauk, Juneau, Marquette, Price, Pierce, Columbia, Buffalo, Pepin, Richland, Taylor, Monroe, Oneida, Lafayette, Dane, La Crosse, Wood, Adams, Marathon, Jackson, Vilas, Iowa, Vernon This Plan does NOT include Prescription Drug coverage. $4,900
AARP Medicare Advantage Value (HMO-POS) – H5253-034-0 Ozaukee, Waukesha, Racine, Milwaukee, Washington 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 St. Croix, Polk, Pierce, Washburn, Douglas, Dunn, Burnett 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 Green, Rock This Plan does NOT include Prescription Drug coverage. $5,900
Aetna Medicare Value (PPO) – H5521-283-0 Langlade, Lincoln, Clark, Iron, Portage, Waushara, Juneau, Marquette, Price, Florence, Columbia, Taylor, Forest, Oneida, Wood, Adams, Marathon, Shawano Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% $4,500
Anthem MediBlue Access Core (PPO) – H4036-016-0 St. Croix, Polk, Pierce, Washburn, Douglas, Dunn, Burnett This Plan does NOT include Prescription Drug coverage. $5,500
Anthem MediBlue Access Plus (PPO) – H4036-020-0 Sauk, Marquette, Columbia, Richland, Dane, Adams, Jefferson, Iowa 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 Plus (HMO) – H9525-006-0 St. Croix, Polk, Pierce, Washburn, Douglas, Dunn, Burnett 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
Aurora Health Quartz Med Advantage Core D (w/Rx) (HMO) – H5262-012-0 St. Croix 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 Langlade, Lincoln, Ashland, Trempealeau, Crawford, Green Lake, Clark, Iron, Bayfield, Portage, Sauk, Green, Waushara, Rusk, Juneau, Marquette, Eau Claire, Price, Florence, Polk, Pierce, Columbia, Barron, Buffalo, Waukesha, Sawyer, Pepin, Richland, Taylor, Forest, Monroe, Oneida, Dane, Washburn, La Crosse, Wood, Adams, Marathon, Jackson, Douglas, Dunn, Waupaca, Chippewa, Jefferson, Burnett, Shawano, Vilas, Iowa, Vernon This Plan does NOT include Prescription Drug coverage. $4,900
HealthPartners Robin Birch (PPO) – H4882-004-0 St. Croix 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 Sauk, Ozaukee, Columbia, Waukesha, Dodge, Dane, Jefferson, Washington 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 Lincoln, Portage, Oneida, Wood, Marathon 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 Ashland, Bayfield, St. Croix, Eau Claire, Polk, Pierce, Barron, Sawyer, Washburn, Douglas, Dunn, Chippewa, Burnett This Plan does NOT include Prescription Drug coverage. $6,700
HumanaChoice H5216-252 (PPO) – H5216-252-0 Kenosha, Ozaukee, Waukesha, Racine, Milwaukee, Washington 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 Ozaukee, Waukesha, Racine, Milwaukee, Washington 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 Green, Lafayette, Dane, Rock, Jefferson, Iowa This Plan does NOT include Prescription Drug coverage. $6,700
Network PlatinumSelect (PPO) – H5215-008-0 Trempealeau, Crawford, Juneau, Buffalo, Monroe, La Crosse, Jackson, Vernon Preferred Generic: $2.00, Generic: $8.00, Preferred Brand: $42.00, Non-Preferred Brand: $90.00, Specialty Tier: 25% $4,900
Prevea360 Essential (HMO-POS) – H9096-006-0 Kenosha, Green, Walworth, Rock, Jefferson, Grant 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 Sauk, Marquette, Columbia, Richland, Dane, Adams, Jefferson, Iowa This Plan does NOT include Prescription Drug coverage. $4,500
Surety Rx (HMO-POS) – H5211-008-0 Ozaukee, Waukesha, Racine, Milwaukee, Washington Preferred Generic: $8.00, Generic: $20.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 26%, Vaccines: $0.00 $6,500
My Choice Wisconsin Medicare Dual Advantage Plan (HMO D-SNP) – H5209-004-0 Douglas Tier 1: $0.00 n/a
Allwell Dual Medicare (HMO D-SNP) – H8189-001-0 Brown, Langlade, Lincoln, Green Lake, Clark, Kenosha, Portage, Oconto, Calumet, Fond du Lac, Kewaunee, Menominee, Waushara, Walworth, Marquette, Outagamie, Ozaukee, Columbia, Waukesha, Manitowoc, Sheboygan, Winnebago, Taylor, Racine, Marinette, Dodge, Dane, Wood, Adams, Marathon, Milwaukee, Waupaca, Jefferson, Shawano, Washington Preferred Generic: $0.00, Generic: $20.00, Preferred Brand: $47.00, Non-Preferred Drug: 50%, Specialty Tier: 29% n/a
UnitedHealthcare Dual Complete LP1 (HMO D-SNP) – H3794-002-0 Brown, Langlade, Lincoln, Ashland, Trempealeau, Crawford, Green Lake, Clark, Kenosha, Iron, Bayfield, Portage, Oconto, Calumet, Fond du Lac, Sauk, Kewaunee, Green, Menominee, Waushara, Rusk, Juneau, Walworth, Marquette, St. Croix, Outagamie, Price, Florence, Ozaukee, Polk, Pierce, Columbia, Barron, Buffalo, Waukesha, Door, Pepin, Richland, Manitowoc, Sheboygan, Winnebago, Taylor, Racine, Forest, Monroe, Marinette, Oneida, Dodge, Lafayette, Dane, Rock, La Crosse, Wood, Adams, Marathon, Jackson, Douglas, Milwaukee, Dunn, Waupaca, Chippewa, Jefferson, Burnett, Shawano, Vilas, Iowa, Washington, Grant, Vernon Tier 1: 15%, Tier 2: 15%, Tier 3: 15%, Tier 4: 15%, Tier 5: 15% n/a
UnitedHealthcare Dual Complete LP (HMO D-SNP) – H5253-024-0 Brown, Trempealeau, Green Lake, Oconto, Calumet, Kewaunee, Waushara, Outagamie, Ozaukee, Waukesha, Sheboygan, Winnebago, Racine, Monroe, La Crosse, Milwaukee, Waupaca, Shawano, Washington, Vernon Tier 1: 15%, Tier 2: 15%, Tier 3: 15%, Tier 4: 15%, Tier 5: 15% n/a
Anthem MediBlue Dual Advantage (HMO D-SNP) – H9525-003-0 Brown, Langlade, Lincoln, Ashland, Green Lake, Clark, Kenosha, Iron, Bayfield, Portage, Oconto, Calumet, Fond du Lac, Kewaunee, Green, Menominee, Waushara, Juneau, Walworth, Marquette, Outagamie, Price, Florence, Ozaukee, Waukesha, Door, Manitowoc, Sheboygan, Winnebago, Taylor, Racine, Forest, Marinette, Oneida, Dodge, Lafayette, Rock, Adams, Marathon, Douglas, Milwaukee, Waupaca, Jefferson, Shawano, Vilas, Iowa, Washington 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
iCare Medicare Plan (HMO D-SNP) – H2237-001-0 Fond du Lac, Sauk, Green, Columbia, Dodge, Dane, Rock, Jefferson, Iowa Generic: $15.00, Brand: $45.00, Specialty Tier: 25% n/a
Molina Medicare Complete Care (HMO D-SNP) – H2879-001-0 Brown, Langlade, Green Lake, Kenosha, Portage, Oconto, Calumet, Fond du Lac, Kewaunee, Waushara, Walworth, Marquette, Outagamie, Florence, Ozaukee, Waukesha, Door, Manitowoc, Sheboygan, Winnebago, Racine, Forest, Marinette, Dodge, Milwaukee, Waupaca, Jefferson, Shawano, Washington Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $47.00, Non-Preferred Drug: 34%, Specialty Tier: 25% n/a
NetworkCares (PPO D-SNP) – H5215-007-0 Brown, Green Lake, Portage, Oconto, Calumet, Fond du Lac, Kewaunee, Waushara, Marquette, Outagamie, Manitowoc, Sheboygan, Winnebago, Dodge, Waupaca, Shawano Preferred Generic: $4.00, Generic: $8.00, Preferred Brand: $42.00, Non-Preferred Brand: $90.00, Specialty Tier: 25% n/a
Anthem MediBlue Plus (HMO) – H9525-004-0 Green, Rock 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 Langlade, Lincoln, Clark, Iron, Portage, Waushara, Juneau, Marquette, Price, Florence, Columbia, Taylor, Forest, Oneida, Wood, Adams, Marathon, Shawano This Plan does NOT include Prescription Drug coverage. $4,000
Essential Rx (PPO) – H6874-001-0 St. Croix, Polk, Pierce, Washburn, Douglas, Dunn, Burnett Preferred Generic: $3.00, Generic: $12.00, Preferred Brand: $40.00, Non-Preferred Drug: 45%, Specialty Tier: 27% $5,900
Esteem Rx (HMO-POS) – H5211-012-0 Sauk, Marquette, Columbia, Richland, Dane, Adams, Jefferson, 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
AARP Medicare Advantage Patriot Plan 1 (PPO) – H0294-014-0 Lincoln, Ashland, Trempealeau, Crawford, Clark, Iron, Portage, Sauk, Juneau, Marquette, Price, Pierce, Columbia, Buffalo, Pepin, Richland, Taylor, Monroe, Oneida, Lafayette, Dane, La Crosse, Wood, Adams, Marathon, Jackson, Vilas, Iowa, Vernon This Plan does NOT include Prescription Drug coverage. $6,700
AARP Medicare Advantage Value (HMO-POS) – H5253-072-0 St. Croix, Polk, Pierce, Washburn, Douglas, Dunn, Burnett Preferred Generic: $4.00, Generic: $14.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 26% $6,400
Ally Rx (HMO D-SNP) – H5211-010-0 Kenosha, Green, Walworth, Rock, Jefferson, Grant Tier 1: 15% n/a
Gundersen Quartz Med Advantage Core D (w/Rx) (HMO) – H5262-021-0 St. Croix, Polk, Pierce, Washburn, Douglas, Dunn, Burnett Preferred Generic: $3.00, Generic: $15.00, Preferred Brand: $45.00, Non-Preferred Drug: 40%, Specialty Tier: 30% $5,900
Assurance Rx (HMO-POS) – H5211-007-0 Sauk, Marquette, Columbia, Richland, Dane, Adams, Jefferson, Iowa Preferred Generic: $7.00, Generic: $20.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 26%, Vaccines: $0.00 $6,500
AARP Medicare Advantage Value (HMO) – H5253-097-0 Ozaukee, Waukesha, Racine, Milwaukee, Washington Preferred Generic: $4.00, Generic: $14.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 25% $5,900
Aetna Medicare Value (PPO) – H5521-195-0 Green, Rock Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 29% $4,975
Humana Gold Plus H6622-034 (HMO) – H6622-034-0 St. Croix Preferred Generic: $6.00, Generic: $15.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 27% $4,500
Community Care’s Partnership Program (HMO D-SNP) – H2034-001-0 Sauk, Columbia, Dodge, Dane, Rock, Jefferson, Iowa, Grant Tier 1: $0.00 n/a
iCare Family Care Partnership (HMO D-SNP) – H2237-007-0 Sauk, Columbia, Dodge, Dane, Rock, Jefferson, Iowa, Grant Generic: $11.00, Brand: $46.00, Specialty Tier: 25% n/a
EssentiaCare Access (PPO) – H8783-003-0 St. Croix, Polk, Pierce, Washburn, Douglas, Dunn, Burnett Preferred Generic: $3.00, Generic: $10.00, Preferred Brand: 17%, Non-Preferred Drug: 45%, Specialty Tier: 25% $5,500
Dean Advantage Essential (HMO) – H9096-004-0 Sauk, Marquette, Columbia, Richland, Dane, Adams, Jefferson, Iowa 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 St. Croix, Polk, Pierce, Washburn, Douglas, Dunn, Burnett This Plan does NOT include Prescription Drug coverage. $4,500
UW Health Quartz Med Advantage Core D (w/Rx) (HMO) – H5262-023-0 Sauk, Marquette, Columbia, Richland, Dane, Adams, Jefferson, Iowa 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 St. Croix, Polk, Pierce, Washburn, Douglas, Dunn, Burnett This Plan does NOT include Prescription Drug coverage. $4,900
My Choice Wisconsin Partnership Plan (HMO D-SNP) – H5209-002-0 Sauk, Ozaukee, Columbia, Waukesha, Dodge, Dane, Jefferson, Washington Tier 1: $0.00 n/a
Aetna Medicare Value (PPO) – H5521-289-0 Green, Rock Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 29% $4,975
AARP Medicare Advantage Value (HMO-POS) – H5253-033-0 Ozaukee, Waukesha, Racine, Milwaukee, Washington 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 Ozaukee, Waukesha, Racine, Milwaukee, Washington 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

If you need to purchase Part D Medicare coverage in Wisconsin as a standalone policy, these plans are available. Remember that plans vary by county, and make sure to check that your WI Medicare Advantage plan doesn’t already include Part D prescription drug coverage.

Standalone Medicare Part D Plans in Wisconsin

Plan Details Tiers
SilverScript SmartRx (PDP)
S5601 – 191 – 0
by Aetna Medicare
Monthly Premium: $7.30
Annual Deductable: $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 Deductable: $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 Deductable: $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 Deductable: $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 Deductable: $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 Deductable: $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 Deductable: $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 Deductable: $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 Deductable: $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 Deductable: $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 Deductable: $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 Deductable: $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 Deductable: $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 Deductable: $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 Deductable: $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 Deductable: $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 Deductable: $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 Deductable: $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 Deductable: $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 Deductable: $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 Deductable: $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 Deductable: $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 Deductable: $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 Deductable: $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 Deductable: $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 Deductable: $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 Deductable: $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 Deductable: $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 Deductable: $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 Deductable: $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 Deductable: $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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Medicare Advantage in Wisconsin
Medicare Advantage in Wisconsin