Medicare Advantage Plans for Wisconsin

Prescription Hearing Aid Coverage
Company Plan name Plan type Annual OTC Supplement Coverage? Covered Amount In Network Required? Coinsurance? Copay? Prior Authorization? Need Referral? Wisconsin Enrollees
UnitedHealthcare AARP Medicare Advantage (HMO-POS)
H5253-004-0 		HMOPOS $160 Yes No No Yes Yes No 64,839
Network Health Medicare Advantage Plans Network PlatinumSelect (PPO)
H5215-008-0 		Local PPO $0 Yes No No Yes No No 35,032
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO $0 No 27,924
UnitedHealthcare AARP Medicare Advantage (HMO-POS)
H5253-011-0 		HMOPOS $160 Yes No No Yes Yes No 25,605
UnitedHealthcare UnitedHealthcare Dual Complete LP1 (HMO D-SNP)
H3794-002-0 		HMO $1,800 Yes $2,000 No No Yes Yes No 21,778
Security Health Plan of Wisconsin, Inc. Essence Rx (HMO-POS)
H5211-002-0 		HMOPOS $120 Yes No No Yes No No 19,535
Security Health Plan of Wisconsin, Inc. Essence (HMO-POS)
H5211-003-0 		HMOPOS $120 Yes No No Yes No No 19,422
UnitedHealthcare AARP Medicare Advantage Value (HMO-POS)
H5253-033-0 		HMOPOS $0 Yes No No Yes Yes No 18,686
UnitedHealthcare AARP Medicare Advantage Walgreens (PPO)
H0294-015-0 		Local PPO $160 Yes No No Yes Yes No 18,505
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO $0 No 14,588
Humana Humana Gold Plus H6622-001 (HMO)
H6622-001-0 		HMO $300 Yes No No Yes No No 14,579
Network Health Medicare Advantage Plans Network PlatinumChoice (PPO)
H5215-011-0 		Local PPO $100 Yes No No Yes No No 14,071
Medica Medica Prime Solution Focus (Cost)
H2450-038-0 		1876 Cost $300 Yes $0 No No No No No 13,273
Dean Health Plan, Inc. DeanCare Gold Enhanced (Cost)
H5264-002-0 		1876 Cost $0 Yes $500 No No No No No 12,685
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO $0 No 12,151
Anthem Blue Cross and Blue Shield Anthem MediBlue Plus (HMO)
H9525-004-0 		HMO $260 Yes $3,000 No No Yes Yes No 11,142
UnitedHealthcare AARP Medicare Advantage Value (HMO-POS)
H5253-034-0 		HMOPOS $0 Yes No No Yes Yes No 10,653
UnitedHealthcare UnitedHealthcare Dual Complete LP (HMO D-SNP)
H5253-024-0 		HMO $1,800 Yes $2,000 No No Yes Yes No 10,476
iCare iCare Medicare Plan (HMO D-SNP)
H2237-001-0 		HMO $1,200 No 8,226
UnitedHealthcare AARP Medicare Advantage Open Plan 1 (PPO)
H0294-004-0 		Local PPO $0 Yes No No Yes Yes No 7,890
Humana Humana Gold Plus H6622-034 (HMO)
H6622-034-0 		HMO $180 Yes No No Yes No No 7,866
Humana HumanaChoice R5361-001 (Regional PPO)
R5361-001-0 		Regional PPO $200 No 7,211
Security Health Plan of Wisconsin, Inc. Spirit Rx (HMO-POS)
H5211-004-0 		HMOPOS $120 Yes No No Yes No No 7,147
Quartz Medicare Advantage Gundersen Quartz Med Advantage Value D (w/Rx) (HMO)
H5262-003-0 		HMO $100 Yes $900 No No No No No 7,127
Medica Medica Prime Solution Focus w/Rx (Cost)
H2450-039-0 		1876 Cost $300 Yes $0 No No No No No 6,937
Anthem Blue Cross and Blue Shield Anthem MediBlue Dual Advantage (HMO D-SNP)
H9525-003-0 		HMO $1,000 Yes $3,000 No No Yes Yes No 6,689
Anthem Blue Cross and Blue Shield Anthem MediBlue Plus (HMO)
H9525-006-0 		HMO $260 Yes $3,000 No No Yes Yes No 6,602
UnitedHealthcare AARP Medicare Advantage Patriot Plan 2 (HMO-POS)
H5253-021-0 		HMOPOS $480 Yes No No Yes Yes No 6,367
UnitedHealthcare AARP Medicare Advantage (HMO-POS)
H5253-030-0 		HMOPOS $160 Yes No No Yes Yes No 5,817
Quartz Medicare Advantage Gundersen Quartz Med Advantage Elite D (w/Rx) (HMO)
H5262-001-0 		HMO $100 Yes $900 No No No No No 5,537
Humana HumanaChoice H5216-001 (PPO)
H5216-001-0 		Local PPO $200 Yes No No Yes No No 5,459
Humana Humana Medicare Employer (PPO)
H5216-805-0 		Local PPO $0 No 5,204
Aetna Medicare Aetna Medicare Value (PPO)
H5521-195-0 		Local PPO $300 Yes $1,500 No No Yes No No 5,199
Humana HumanaChoice H5216-253 (PPO)
H5216-253-0 		Local PPO $360 Yes No No Yes No No 5,045
Network Health Medicare Advantage Plans Network Health Medicare Go (PPO)
H5215-009-0 		Local PPO $0 Yes No No Yes No No 4,984
Security Health Plan of Wisconsin, Inc. Esteem Rx (HMO-POS)
H5211-012-0 		HMOPOS $120 Yes No No Yes No No 4,835
Humana HumanaChoice H5216-006 (PPO)
H5216-006-0 		Local PPO $200 No 4,726
UnitedHealthcare UnitedHealthcare Medicare Advantage Assist (PPO C-SNP)
H0294-002-0 		Local PPO $240 Yes No No Yes Yes No 4,716
Network Health Medicare Advantage Plans Network PlatinumPlus Pharmacy (PPO)
H5215-002-0 		Local PPO $200 Yes No No Yes No No 4,524
Humana Humana Gold Choice H8145-006 (PFFS)
H8145-006-0 		PFFS $700 Yes No No Yes No No 3,977
Aetna Medicare Aetna Medicare Premier (PPO)
H5521-150-0 		Local PPO $360 Yes $2,000 No No Yes No No 3,933
Humana Humana Honor (PPO)
H5216-258-0 		Local PPO $200 Yes No No Yes No No 3,708
UnitedHealthcare AARP Medicare Advantage Open (PPO)
H0294-011-0 		Local PPO $0 Yes No No Yes Yes No 3,461
Dean Advantage, Prevea360 Medicare Advantage Dean Advantage Balance (HMO-POS)
H9096-002-0 		HMOPOS $200 Yes $750 No No No No No 3,182
Humana Humana Gold Plus H6622-002 (HMO)
H6622-002-0 		HMO $200 Yes No No Yes No No 2,982
Dean Health Plan, Inc. DeanCare Gold Shared Value (Cost)
H5264-005-0 		1876 Cost $0 Yes $500 No No No No No 2,970
Medical Associates Clinic Health Plan of Wisconsin Medical Associates SmartPlan (Cost)
H5256-001-0 		1876 Cost $0 No 2,899
Network Health Medicare Advantage Plans NetworkCares (PPO D-SNP)
H5215-007-0 		Local PPO $620 Yes No No Yes No No 2,631
Security Health Plan of Wisconsin, Inc. Secure Saver (MSA)
H4388-001-0 		MSA $0 No 2,610
Anthem Blue Cross and Blue Shield Anthem MediBlue Access (PPO)
H4036-008-0 		Local PPO $176 Yes $3,000 No No Yes Yes No 2,477

Counties in Wisconsin

County Medicare Advantage Enrolless
Adams 2,683
Ashland 1,464
Barron 5,249
Bayfield 2,024
Brown 31,007
Buffalo 837
Burnett 2,117
Calumet 6,520
Chippewa 5,704
Clark 3,629
Columbia 4,739
Crawford 1,704
Dane 31,141
Dodge 8,482
Door 3,853
Douglas 5,706
Dunn 3,215
Eau Claire 7,871
Florence 514
Fond du Lac 13,579
Forest 1,110
Grant 5,171
Green 2,265
Green Lake 2,976
Iowa 1,893
Iron 913
Jackson 1,938
Jefferson 6,723
Juneau 2,084
Kenosha 13,420
Kewaunee 2,760
La Crosse 11,031
Lafayette 1,408
Langlade 3,080
Lincoln 3,942
Manitowoc 11,207
Marathon 16,237
Marinette 6,351
Marquette 1,899
Menominee 256
Milwaukee 93,145
Monroe 3,177
Oconto 6,361
Oneida 5,320
Outagamie 23,499
Ozaukee 10,431
Pepin 512
Pierce 3,525
Polk 5,290
Portage 7,332
Price 1,974
Racine 22,270
Richland 969
Rock 14,860
Rusk 1,786
Sauk 5,352
Sawyer 2,107
Shawano 6,431
Sheboygan 13,866
St. Croix 7,212
Taylor 2,219
Trempealeau 2,657
Vernon 3,632
Vilas 3,203
Walworth 8,343
Washburn 2,199
Washington 15,902
Waukesha 47,272
Waupaca 8,239
Waushara 4,341
Winnebago 22,250
Wood 10,754
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