Plans for Wisconsin
| Company | Plan name | Total monthly premium | Maximum Annual Payment | Hearing Exam Coverage | Hearing Aid Coverage |
|---|---|---|---|---|---|
| UnitedHealthcare | AARP Medicare Advantage Open Plan 1 (PPO) | $47 | $5,900 In and Out-of-network $5,900 In-network | $0 copay $50 copay | $375-2,075 copay $375 copay |
| UnitedHealthcare | AARP Medicare Advantage Open (PPO) | $47 | $5,700 In and Out-of-network $5,700 In-network | $0 copay $45 copay | $375-2,075 copay $375 copay |
| UnitedHealthcare | AARP Medicare Advantage Open Premier (PPO) | $112 | $6,100 In and Out-of-network $4,200 In-network | $0 copay $30 copay | $375-2,075 copay $375 copay |
| UnitedHealthcare | AARP Medicare Advantage Patriot Plan 1 (PPO) | $0 | $6,700 In and Out-of-network $6,700 In-network | $0 copay $45 copay | $375-2,075 copay $375 copay |
| UnitedHealthcare | AARP Medicare Advantage Walgreens (PPO) | $0 | $6,700 In and Out-of-network $4,700 In-network | $0 copay $55 copay | |
| UnitedHealthcare | AARP Medicare Advantage Open Plan 2 (PPO) | $29 | $4,200 In and Out-of-network $4,200 In-network | $0 copay $55 copay | |
| Network Health Medicare Advantage Plans | NetworkPrime (MSA) | $0 | Not Applicable | $0 copay after you pay your deductible | |
| Medica | Medica Prime Solution Thrift w/Rx (Cost) | $73 | $6,700 In-network | 20% coinsurance | |
| Medica | Medica Prime Solution Thrift (Cost) | $34 | $6,700 In-network | 20% coinsurance | |
| Medica | Medica Prime Solution Focus (Cost) | $89 | $4,000 In-network | $0-20 copay | $0 copay |
| Medica | Medica Prime Solution Focus w/Rx (Cost) | $125 | $4,000 In-network | $0-20 copay | $0 copay |
| Medica | Medica Prime Solution Total (Cost) | $185 | $3,000 In-network | $0-10 copay | $0 copay |
| Medica | Medica Prime Solution Total w/Rx (Cost) | $241 | $3,000 In-network | $0-10 copay | $0 copay |
| HealthPartners | HealthPartners Freedom Basic WI (Cost) | $33 | Not Applicable | 20% coinsurance | |
| HealthPartners | HealthPartners Freedom Vital WI (Cost) | $39 | $3,400 In-network | $40 copay | $699-999 copay |
| HealthPartners | HealthPartners Freedom Balance WI (Cost) | $82 | $3,400 In-network | $15 copay | $699-999 copay |
| Security Health Plan of Wisconsin, Inc. | Spirit Rx (HMO-POS) | $226 | $1,200 In and Out-of-network $1,200 In-network $1,200 Out-of-network | $25 copay $25 copay | $500 copay |
| Humana | Humana Value Plus H5216-173 (PPO) | $33 | $10,000 In and Out-of-network $6,700 In-network | $50 copay 50% coinsurance | $0 copay $0 copay |
| Network Health Medicare Advantage Plans | Network PlatinumChoice (PPO) | $31 | $4,050 In and Out-of-network $4,050 In-network | $50 copay $50 copay | $795-2,370 copay $795-2,370 copay |
| Aetna Medicare | Aetna Medicare Value (PPO) | $0 | $8,500 In and Out-of-network $4,500 In-network | $35 copay $50 copay | $0 copay $0 copay |
| Humana | HumanaChoice H5216-063 (PPO) | $106 | $4,500 In and Out-of-network $3,200 In-network | $25 copay 20% coinsurance | $699-999 copay $699-999 copay |
| UnitedHealthcare | AARP Medicare Advantage Value (HMO-POS) | $0 | $4,900 In-network | $0 copay | $375-2,075 copay |
| Humana | HumanaChoice H5216-006 (PPO) | $48 | $9,000 In and Out-of-network $6,000 In-network | $45 copay 50% coinsurance | |
| Anthem Blue Cross and Blue Shield | Anthem MediBlue Access (PPO) | $37 | $10,000 In and Out-of-network $5,500 In-network | $30 copay $60 copay | $0 copay $0 copay |
| UCare | EssentiaCare Access (PPO) | $0 | $6,500 In and Out-of-network $5,500 In-network | $50 copay 40% coinsurance | |
| UnitedHealthcare | AARP Medicare Advantage Value (HMO-POS) | $0 | $6,400 In-network | $0 copay | $375-2,075 copay |
| Network Health Medicare Advantage Plans | Network PlatinumPremier (PPO) | $185 | $3,400 In and Out-of-network $3,400 In-network | $0 copay $0 copay | $795-2,370 copay $795-2,370 copay |
| Humana | Humana Gold Plus H6622-002 (HMO) | $38 | $4,000 In-network | $40 copay | $699-999 copay |
| Anthem Blue Cross and Blue Shield | Anthem MediBlue Access Plus (PPO) | $0 | $10,000 In and Out-of-network $4,500 In-network | $35 copay $55 copay | $0 copay $0 copay |
| Aspirus Health Plan | Elite Rx (PPO) | $79 | $4,500 In and Out-of-network $4,000 In-network | $40 copay 30% coinsurance | $599-899 copay $599-899 copay |
| UnitedHealthcare | AARP Medicare Advantage (HMO-POS) | $29 | $4,900 In-network | $0 copay | $375-2,075 copay |
| Dean Advantage, Prevea360 Medicare Advantage | Dean Advantage Harmony (HMO-POS) | $0 | $4,500 In and Out-of-network $4,500 In-network | $0 copay $75 copay | $0 copay |
| Quartz Medicare Advantage | Aurora Health Quartz Med Advantage Value D (w/Rx) (HMO) | $31 | $4,900 In-network | $35 copay | $700-1,200 copay |
| Security Health Plan of Wisconsin, Inc. | Secure Saver (MSA) | $0 | Not Applicable | $0 copay after you pay your deductible | |
| UCare | EssentiaCare Grand (PPO) | $109 | $7,000 In and Out-of-network $3,500 In-network | $35 copay 40% coinsurance | $0 copay 50% coinsurance |
| Quartz Medicare Advantage | Gundersen Quartz Med Advantage Core D (w/Rx) (HMO) | $0 | $5,900 In-network | $25 copay | $675-1,200 copay |
| UnitedHealthcare | AARP Medicare Advantage Value (HMO) | $0 | $5,900 In-network | $0 copay | $375-2,075 copay |
| UCare | EssentiaCare Secure (PPO) | $35 | $10,000 In and Out-of-network $4,500 In-network | $45 copay 40% coinsurance | |
| Quartz Medicare Advantage | UW Health Quartz Med Advantage Elite D (w/Rx) (HMO) | $100 | $3,450 In-network | $25 copay | $700-1,050 copay |
| Dean Advantage, Prevea360 Medicare Advantage | Dean Advantage Balance (HMO-POS) | $82 | $3,500 In and Out-of-network $3,500 In-network | $0 copay $60 copay | $0 copay |
| Security Health Plan of Wisconsin, Inc. | Assurance Rx (HMO-POS) | $0 | $6,500 In and Out-of-network $6,500 In-network $6,500 Out-of-network | $50 copay $50 copay | $500 copay |
| Dean Health Plan, Inc. | DeanCare Gold Basic (Cost) | $139 | Not Applicable | $0 copay | |
| Aetna Medicare | Aetna Medicare Value (PPO) | $0 | $8,500 In and Out-of-network $4,975 In-network | $40 copay $55 copay | $0 copay $0 copay |
| Security Health Plan of Wisconsin, Inc. | Promise Rx (HMO-POS) | $73 | $3,000 In and Out-of-network $3,000 In-network $3,000 Out-of-network | $15 copay $15 copay | $500 copay |
| Humana | HumanaChoice R5361-001 (Regional PPO) | $0 | $10,000 In and Out-of-network $6,700 In-network | $50 copay 50% coinsurance | |
| Anthem Blue Cross and Blue Shield | Anthem MediBlue Plus (HMO) | $0 | $4,300 In-network | $35 copay | $0 copay |
| Quartz Medicare Advantage | Aurora Health Quartz Med Advantage Elite (HMO) | $40 | $3,900 In-network | $25 copay | $700-1,200 copay |
| Quartz Medicare Advantage | UW Health Quartz Med Advantage Elite (HMO) | $50 | $3,450 In-network | $25 copay | $700-1,050 copay |
| Aetna Medicare | Aetna Medicare Eagle (PPO) | $0 | $9,000 In and Out-of-network $5,900 In-network | $35 copay $55 copay | $0 copay $0 copay |
| Humana | Humana Gold Choice H8145-006 (PFFS) | $81 | $6,700 In and Out-of-network | $50 copay $50-55 copay | $0 copay $0 copay |
| Security Health Plan of Wisconsin, Inc. | Essence (HMO-POS) | $16 | $3,400 In and Out-of-network $3,400 In-network $3,400 Out-of-network | $50 copay $50 copay | $500 copay |
| UnitedHealthcare | AARP Medicare Advantage (HMO-POS) | $29 | $4,500 In-network | $0 copay | $375-2,075 copay |
| Quartz Medicare Advantage | Aurora Health Quartz Med Advantage Elite D (w/Rx) (HMO) | $70 | $3,900 In-network | $25 copay | $700-1,200 copay |
| Aetna Medicare | Aetna Medicare Premier (PPO) | $26 | $8,500 In and Out-of-network $4,600 In-network | $35 copay $50 copay | $0 copay $0 copay |
| Aetna Medicare | Aetna Medicare Value (PPO) | $0 | $8,500 In and Out-of-network $4,975 In-network | $40 copay $55 copay | $0 copay $0 copay |
| Dean Health Plan, Inc. | DeanCare Gold Shared Value (Cost) | $88 | Not Applicable | $0 copay | $0 copay |
| Humana | HumanaChoice H5216-252 (PPO) | $0 | $6,700 In and Out-of-network $4,900 In-network | $45 copay 50% coinsurance | $699-999 copay $699-999 copay |
| Network Health Medicare Advantage Plans | Network PlatinumPlus Pharmacy (PPO) | $124 | $3,400 In and Out-of-network $3,400 In-network | $25 copay $25 copay | $795-2,370 copay $795-2,370 copay |
| Medical Associates Clinic Health Plan of Wisconsin | Medical Associates Community Plan (Cost) | $160 | Not Applicable | $0 copay | |
| Quartz Medicare Advantage | Gundersen Quartz Med Advantage Elite D (w/Rx) (HMO) | $143 | $3,000 In-network | $15 copay | $675-1,200 copay |
| Aspirus Health Plan | Essential Rx (PPO) | $0 | $6,500 In and Out-of-network $5,900 In-network | $45 copay 30% coinsurance | $699-999 copay $699-999 copay |
| Dean Advantage, Prevea360 Medicare Advantage | Prevea360 Complete (HMO-POS) | $226 | $5,000 In and Out-of-network $2,500 In-network | $0 copay $60 copay | $0 copay |
| Medical Associates Clinic Health Plan of Wisconsin | Medical Associates SmartPlan (Cost) | $130 | Not Applicable | $0 copay | |
| Network Health Medicare Advantage Plans | Network PlatinumPremier Pharmacy (PPO) | $297 | $3,400 In and Out-of-network $3,400 In-network | $0 copay $0 copay | $795-2,370 copay $795-2,370 copay |
| Security Health Plan of Wisconsin, Inc. | Ascend Rx (HMO-POS) | $40 | $4,500 In and Out-of-network $4,500 In-network $4,500 Out-of-network | $50 copay $50 copay | $500 copay |
| Medical Associates Clinic Health Plan of Wisconsin | Medical Associates Freedom Plan (Cost) | $160 | Not Applicable | $0 copay | |
| Quartz Medicare Advantage | Aurora Health Quartz Med Advantage Value (HMO) | $0 | $4,900 In-network | $35 copay | $700-1,200 copay |
| Dean Advantage, Prevea360 Medicare Advantage | Dean Advantage Complete (HMO) | $241 | $2,000 In-network | $0 copay | $0 copay |
| Dean Advantage, Prevea360 Medicare Advantage | Dean Advantage Assurance (HMO-POS) | $40 | $4,500 In and Out-of-network $4,500 In-network | $0 copay $60 copay | $0 copay |
| Humana | HumanaChoice H5216-167 (PPO) | $89 | $6,750 In and Out-of-network $4,500 In-network | $35 copay 20% coinsurance | $699-999 copay $699-999 copay |
| Humana | HumanaChoice H5216-080 (PPO) | $109 | $10,000 In and Out-of-network $6,700 In-network | $50 copay 50% coinsurance | $699-999 copay $699-999 copay |
| Humana | Humana Gold Plus H6622-001 (HMO) | $0 | $4,500 In-network | $40 copay | $699-999 copay |
| Humana | HumanaChoice H5216-001 (PPO) | $78 | $5,900 In and Out-of-network $3,900 In-network | $40 copay 50% coinsurance | $699-999 copay $699-999 copay |
| Quartz Medicare Advantage | UW Health Quartz Med Advantage Value (HMO) | $0 | $4,900 In-network | $25 copay | $700-1,050 copay |
| Security Health Plan of Wisconsin, Inc. | Esteem Rx (HMO-POS) | $0 | $5,000 In and Out-of-network $5,000 In-network $5,000 Out-of-network | $15 copay $15 copay | $500 copay |
| Anthem Blue Cross and Blue Shield | Anthem MediBlue Plus (HMO) | $0 | $4,900 In-network | $35 copay | $0 copay |
| Dean Advantage, Prevea360 Medicare Advantage | Dean Advantage Essential (HMO) | $0 | $6,500 In-network | $0 copay | $0 copay |
| Humana | HumanaChoice H5216-168 (PPO) | $120 | $5,500 In and Out-of-network $3,900 In-network | $35 copay $35 copay | $699-999 copay $699-999 copay |
| UnitedHealthcare | AARP Medicare Advantage (HMO-POS) | $27 | $4,500 In-network | $0 copay | $375-2,075 copay |
| HealthPartners | HealthPartners Robin Birch (PPO) | $0 | $8,000 In and Out-of-network $5,100 In-network | $40 copay 20% coinsurance | $699-999 copay $0-999 copay |
| Quartz Medicare Advantage | Gundersen Quartz Med Advantage Value D (w/Rx) (HMO) | $40 | $3,450 In-network | $15 copay | $675-1,200 copay |
| UnitedHealthcare | AARP Medicare Advantage (HMO-POS) | $27 | $4,200 In-network | $0 copay | $375-2,075 copay |
| Anthem Blue Cross and Blue Shield | Anthem MediBlue Access Core (PPO) | $0 | $10,000 In and Out-of-network $5,500 In-network | $40 copay $60 copay | $0 copay 50% coinsurance |
| Quartz Medicare Advantage | Gundersen Quartz Med Advantage Value (HMO) | $20 | $3,450 In-network | $15 copay | $675-1,200 copay |
| UnitedHealthcare | AARP Medicare Advantage Patriot Plan 2 (HMO-POS) | $0 | $4,900 In-network | $0 copay | $375-2,075 copay |
| Quartz Medicare Advantage | UW Health Quartz Med Advantage Core D (w/Rx) (HMO) | $0 | $5,600 In-network | $25 copay | $700-1,050 copay |
| Network Health Medicare Advantage Plans | Network Health Medicare Go (PPO) | $0 | $5,900 In and Out-of-network $4,900 In-network | $35 copay $75 copay | $795-2,370 copay $795-2,370 copay |
| Quartz Medicare Advantage | Gundersen Quartz Med Advantage Elite (HMO) | $110 | $3,000 In-network | $15 copay | $675-1,200 copay |
| Dean Advantage, Prevea360 Medicare Advantage | Prevea360 Harmony (HMO-POS) | $0 | $6,000 In and Out-of-network $4,500 In-network | $0 copay $60 copay | $0 copay |
| Dean Advantage, Prevea360 Medicare Advantage | Prevea360 Essential (HMO-POS) | $0 | $6,000 In and Out-of-network $4,500 In-network | $0 copay $60 copay | $0 copay |
| Network Health Medicare Advantage Plans | Network PlatinumSelect (PPO) | $0 | $4,900 In and Out-of-network $4,900 In-network | $50 copay $50 copay | $795-2,370 copay $795-2,370 copay |
| Humana | Humana Honor (PPO) | $0 | $10,000 In and Out-of-network $6,700 In-network | $45 copay 50% coinsurance | $699-999 copay $699-999 copay |
| Quartz Medicare Advantage | Aurora Health Quartz Med Advantage Core D (w/Rx) (HMO) | $0 | $5,900 In-network | $50 copay | $700-1,200 copay |
| Humana | Humana Gold Plus H6622-034 (HMO) | $0 | $4,500 In-network | $40 copay | $699-999 copay |
| Humana | Humana Gold Plus H6622-040 (HMO) | $0 | $6,700 In-network | $50 copay | |
| Humana | HumanaChoice H5216-253 (PPO) | $0 | $6,300 In and Out-of-network $4,200 In-network | $35 copay 50% coinsurance | $199-499 copay $199-499 copay |
| UnitedHealthcare | AARP Medicare Advantage Value (HMO-POS) | $0 | $4,900 In-network | $0 copay | $375-2,075 copay |
| Anthem Blue Cross and Blue Shield | Anthem MediBlue Access (PPO) | $27 | $9,000 In and Out-of-network $4,500 In-network | $40 copay $60 copay | $0 copay $0 copay |
| Humana | HumanaChoice R5361-002 (Regional PPO) | $120 | $10,000 In and Out-of-network $6,700 In-network | 20% coinsurance 20% coinsurance | $0 copay $0 copay |
| Dean Health Plan, Inc. | DeanCare Gold Enhanced (Cost) | $146 | Not Applicable | $0 copay | $0 copay |
| Network Health Medicare Advantage Plans | Network Health Medicare Explore (HMO) | $11 | $4,100 In-network | $30 copay | $795-2,370 copay |
| Network Health Medicare Advantage Plans | Network Health Medicare Anywhere (PPO) | $35 | $6,900 In and Out-of-network $4,500 In-network | $35 copay $75 copay | $795-2,370 copay $795-2,370 copay |
| HealthPartners | HealthPartners Robin Maple (PPO) | $26 | $8,000 In and Out-of-network $4,500 In-network | $35 copay 20% coinsurance | $699-999 copay $0-999 copay |
| Security Health Plan of Wisconsin, Inc. | Spirit (HMO-POS) | $150 | $1,200 In and Out-of-network $1,200 In-network $1,200 Out-of-network | $25 copay $25 copay | $500 copay |
| Aetna Medicare | Aetna Medicare Premier (PPO) | $25 | $8,500 In and Out-of-network $4,200 In-network | $30 copay $45 copay | $0 copay $0 copay |
| Quartz Medicare Advantage | UW Health Quartz Med Advantage Value D (w/Rx) (HMO) | $50 | $4,900 In-network | $25 copay | $700-1,050 copay |
| Aspirus Health Plan | Elite (PPO) | $0 | $4,500 In and Out-of-network $4,000 In-network | $40 copay 30% coinsurance | $599-899 copay $599-899 copay |
| Security Health Plan of Wisconsin, Inc. | Essence Rx (HMO-POS) | $85 | $3,400 In and Out-of-network $3,400 In-network $3,400 Out-of-network | $50 copay $50 copay | $500 copay |
| Security Health Plan of Wisconsin, Inc. | Surety Rx (HMO-POS) | $0 | $6,500 In and Out-of-network $6,500 In-network $6,500 Out-of-network | $15 copay $15 copay | $500 copay |
| Network Health Medicare Advantage Plans | Network PlatinumPlus (PPO) | $51 | $3,400 In and Out-of-network $3,400 In-network | $25 copay $25 copay | $795-2,370 copay $795-2,370 copay |