Medicare Advantage Plans for Wisconsin

Prescription Hearing Aid Coverage
Company Plan name Plan type Annual OTC Supplement OTC Rolls Over? Coverage? Covered Amount Coinsurance? Copay? Prior Authorization? Need Referral? Wisconsin Enrollees
UnitedHealthcare AARP Medicare Advantage Plus (HMO-POS)
H5253-004-0 		HMOPOS $200 No Yes No Yes Yes No 66,732
Network Health Medicare Advantage Plans Network PlatinumSelect (PPO)
H5215-008-0 		Local PPO $0 No Yes No Yes No No 38,418
UnitedHealthcare UnitedHealthcare Dual Complete LP1 (HMO-POS D-SNP)
H3794-002-0 		HMOPOS $2,460 No Yes $3,600 No Yes Yes No 34,057
UnitedHealthcare AARP Medicare Advantage Walgreens (PPO)
H0294-015-0 		Local PPO $160 No Yes No Yes Yes No 32,758
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO $0 No No 26,194
UnitedHealthcare AARP Medicare Advantage (HMO-POS)
H5253-011-0 		HMOPOS $180 No Yes No Yes Yes No 21,065
UnitedHealthcare AARP Medicare Advantage Premier Value (HMO-POS)
H5253-033-0 		HMOPOS $160 No Yes No Yes Yes No 20,730
Security Health Plan of Wisconsin, Inc. Essence (HMO-POS)
H5211-003-0 		HMOPOS $120 No Yes No Yes No No 20,251
Security Health Plan of Wisconsin, Inc. Essence Rx (HMO-POS)
H5211-002-0 		HMOPOS $120 No Yes No Yes No No 20,000
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO $0 No No 17,038
Medica Medica Prime Solution Focus (Cost)
H2450-038-0 		1876 Cost $200 No Yes $0 No No No No 13,378
Humana Humana Gold Plus H6622-001 (HMO)
H6622-001-0 		HMO $400 Yes Yes $1,500 No Yes No No 13,202
Humana Humana Gold Plus H6622-034 (HMO)
H6622-034-0 		HMO $400 Yes Yes $1,500 No Yes No No 12,180
UnitedHealthcare AARP Medicare Advantage Patriot Plan 2 (HMO-POS)
H5253-021-0 		HMOPOS $480 No Yes No Yes Yes No 11,445
Dean Health Plan, Inc. DeanCare Gold Enhanced (Cost)
H5264-002-0 		1876 Cost $0 No Yes $500 No No No No 11,360
UnitedHealthcare UnitedHealthcare Dual Complete LP (HMO-POS D-SNP)
H5253-024-0 		HMOPOS $2,400 No Yes $3,600 No Yes Yes No 10,935
Security Health Plan of Wisconsin, Inc. Esteem Rx (HMO-POS)
H5211-012-0 		HMOPOS $120 No Yes No Yes No No 10,931
Anthem Blue Cross and Blue Shield Anthem MediBlue Plus (HMO)
H9525-004-0 		HMO $260 Yes Yes $3,000 No Yes Yes No 10,478
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-870-0 		Local PPO $0 No No 10,049
Network Health Medicare Advantage Plans Network PlatinumChoice (PPO)
H5215-011-0 		Local PPO $100 No Yes No Yes No No 9,331
Humana HumanaChoice H5216-253 (PPO)
H5216-253-0 		Local PPO $500 Yes Yes No Yes No No 9,216
Anthem Blue Cross and Blue Shield Anthem MediBlue Dual Advantage (HMO D-SNP)
H9525-003-0 		HMO $1,800 No Yes $3,000 No Yes Yes No 9,028
Network Health Medicare Advantage Plans Network Health Medicare Go (PPO)
H5215-009-0 		Local PPO $0 No Yes No Yes No No 8,554
iCare iCare Medicare Plan (HMO D-SNP)
H2237-001-0 		HMO $0 No No 8,222
Quartz Medicare Advantage Gundersen Quartz Med Advantage Value D (w/Rx) (HMO)
H5262-003-0 		HMO $100 No Yes $750 No No No No 8,121
Anthem Blue Cross and Blue Shield Anthem MediBlue Access Plus (PPO)
H4036-020-0 		Local PPO $140 Yes Yes $3,000 No Yes Yes No 7,796
UnitedHealthcare AARP Medicare Advantage Value (HMO-POS)
H5253-034-0 		HMOPOS $160 No Yes No Yes Yes No 6,909
Security Health Plan of Wisconsin, Inc. Spirit Rx (HMO-POS)
H5211-004-0 		HMOPOS $120 No Yes No Yes No No 6,696
Anthem Blue Cross and Blue Shield Anthem MediBlue Plus (HMO)
H9525-006-0 		HMO $260 Yes Yes $3,000 No Yes Yes No 6,516
UnitedHealthcare AARP Medicare Advantage Open Plan 1 (PPO)
H0294-004-0 		Local PPO $0 No Yes No Yes Yes No 6,416
Aetna Medicare Aetna Medicare Value (PPO)
H5521-195-0 		Local PPO $420 No Yes $1,500 No Yes No No 6,116
Medica Medica Prime Solution Focus w/Rx (Cost)
H2450-039-0 		1876 Cost $200 No Yes $0 No No No No 6,105
Humana Humana Medicare Employer (PPO)
H5216-805-0 		Local PPO $0 No No 5,434
Quartz Medicare Advantage Gundersen Quartz Med Advantage Elite D (w/Rx) (HMO)
H5262-001-0 		HMO $100 No Yes $1,000 No No No No 5,245
UnitedHealthcare AARP Medicare Advantage (HMO-POS)
H5253-030-0 		HMOPOS $200 No Yes No Yes Yes No 5,056
Humana Humana Honor (Regional PPO)
R5361-001-0 		Regional PPO $200 Yes Yes No Yes No No 4,798
Aetna Medicare Aetna Medicare Premier (PPO)
H5521-150-0 		Local PPO $360 No Yes $2,000 No Yes No No 4,578
Humana HumanaChoice H5216-252 (PPO)
H5216-252-0 		Local PPO $300 Yes Yes No Yes No No 4,509
UnitedHealthcare AARP Medicare Advantage Open Plan 2 (PPO)
H0294-016-0 		Local PPO $0 No Yes No Yes Yes No 4,472
UnitedHealthcare AARP Medicare Advantage Open (PPO)
H0294-011-0 		Local PPO $0 No Yes No Yes Yes No 4,337
Humana HumanaChoice H5216-006 (PPO)
H5216-006-0 		Local PPO $200 Yes Yes No Yes No No 4,269
UnitedHealthcare UnitedHealthcare Medicare Advantage Assist (PPO C-SNP)
H0294-002-0 		Local PPO $240 No Yes No Yes Yes No 4,263
Humana HumanaChoice H5216-001 (PPO)
H5216-001-0 		Local PPO $200 No Yes No Yes No No 4,105
UnitedHealthcare AARP Medicare Advantage Patriot Plan 1 (PPO)
H0294-014-0 		Local PPO $240 No Yes No Yes Yes No 3,658
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO $0 No No 3,526
Dean Advantage, Prevea360 Medicare Advantage Dean Advantage Balance (HMO-POS)
H9096-002-0 		HMOPOS $200 No Yes $750 No No No No 3,496
Network Health Medicare Advantage Plans Network PlatinumPlus Pharmacy (PPO)
H5215-002-0 		Local PPO $600 No Yes No Yes No No 3,406
Network Health Medicare Advantage Plans Network Health Medicare Advantage PlatinumZero (PPO)
H5215-012-0 		Local PPO $0 No Yes No Yes No No 3,402
Wellcare by Allwell Wellcare Dual Access (HMO D-SNP)
H8189-001-0 		HMO $1,800 No Yes $5,000 No Yes Yes Yes 3,359
Quartz Medicare Advantage UW Health Quartz Med Advantage Elite D (w/Rx) (HMO)
H5262-007-0 		HMO $160 No Yes $1,000 No No No No 3,351

Counties in Wisconsin

County Medicare Advantage Enrolless
Adams 5,771
Ashland 3,256
Barron 10,534
Bayfield 4,375
Brown 45,428
Buffalo 2,435
Burnett 4,832
Calumet 8,782
Chippewa 12,598
Clark 5,781
Columbia 11,266
Crawford 3,497
Dane 83,452
Dodge 15,959
Door 8,538
Douglas 10,702
Dunn 8,602
Eau Claire 18,874
Florence 1,092
Fond du Lac 20,221
Forest 2,059
Grant 11,686
Green 6,295
Green Lake 4,366
Iowa 4,747
Iron 1,620
Jackson 3,632
Jefferson 15,042
Juneau 4,852
Kenosha 25,653
Kewaunee 4,222
La Crosse 20,316
Lafayette 3,234
Langlade 4,868
Lincoln 6,569
Manitowoc 18,054
Marathon 25,001
Marinette 10,501
Marquette 3,535
Menominee 512
Milwaukee 138,299
Monroe 6,298
Oconto 8,780
Oneida 10,074
Outagamie 32,262
Ozaukee 18,529
Pepin 1,451
Pierce 7,806
Polk 10,931
Portage 12,982
Price 3,582
Racine 36,235
Richland 3,053
Rock 30,368
Rusk 3,351
Sauk 12,558
Sawyer 4,626
Shawano 9,025
Sheboygan 22,417
St. Croix 16,901
Taylor 3,696
Trempealeau 4,994
Vernon 5,900
Vilas 6,972
Walworth 18,329
Washburn 4,781
Washington 26,189
Waukesha 80,449
Waupaca 11,792
Waushara 6,145
Winnebago 31,451
Wood 16,221
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