Medicare Advantage Plans for Dane County, Wisconsin

  • 65 Total Plans
  • 96,387 Seniors Eligible for Medicare
  • 35,739 Seniors on Medicare Advantage (37%)
  • 7 plans with 2,832 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 32 plans with 16,700 seniors have OTC benefits that partially cover MDHearing hearing aids
  • 20% of seniors can partially or fully cover OTC hearing aids from MDHearing (if their plan has MDHearing hearing aids)
OTC Supplemental Benefits Prescription Hearing Aid Coverage
Company Plan name Plan type OTC Supplement OTC Rolls Over? Annual OTC Supplement Coverage? Covered Amount Covers OTC Aids? Coinsurance? Copay? Prior Authorization? Need Referral? Wisconsin Enrollees
Dean Health Plan, Inc. DeanCare Gold Enhanced (Cost)
H5264-002-0 		1876 Cost No $0 Yes $500 No No No No No 4,767
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO No $0 No 4,549
Quartz Medicare Advantage UW Health Quartz Med Advantage Elite D (w/Rx) (HMO)
H5262-007-0 		HMO $40 per Quarter No $160 Yes $1,500 Yes No No No No 2,666
UnitedHealthcare AARP Medicare Advantage Open Plan 2 (PPO)
H0294-016-0 		Local PPO No $0 Yes Yes No Yes Yes No 2,012
Dean Advantage Dean Advantage Balance (HMO-POS)
H9096-002-0 		HMOPOS $70 per Quarter No $280 Yes $750 No No No No No 1,868
Humana HumanaChoice H5216-006 (PPO)
H5216-006-0 		Local PPO $50 per Quarter Yes $200 Yes No No Yes No No 1,730
Quartz Medicare Advantage UW Health Quartz Med Advantage Core D (w/Rx) (HMO)
H5262-023-0 		HMO $40 per Quarter No $160 Yes $1,000 Yes No No No No 1,337
UnitedHealthcare UnitedHealthcare Dual Complete LP1 (HMO-POS D-SNP)
H3794-002-0 		HMOPOS $189 per Month No $0 Yes $2,500 Yes No Yes Yes No 1,171
iCare iCare Medicare Plan (HMO D-SNP)
H2237-001-0 		HMO $1,800 per Month No $0 Yes No No Yes No No 1,073
Dean Advantage Dean Advantage Assurance (HMO-POS)
H9096-001-0 		HMOPOS $50 per Quarter No $200 Yes $750 No No No No No 1,040
Dean Health Plan, Inc. DeanCare Gold Shared Value (Cost)
H5264-005-0 		1876 Cost No $0 Yes $500 No No No No No 1,016
Dean Advantage Dean Advantage Essential (HMO)
H9096-004-0 		HMO $35 per Quarter No $140 Yes $750 No No No No No 989
My Choice Wisconsin Health Plan My Choice Wisconsin Partnership Plan (HMO D-SNP)
H5209-002-0 		HMO No $0 No 942
Humana Humana Gold Plus H6622-034 (HMO)
H6622-034-0 		HMO $100 per Quarter Yes $400 Yes $1,500 No No Yes No No 877
Quartz Medicare Advantage UW Health Quartz Med Advantage Value D (w/Rx) (HMO)
H5262-008-0 		HMO $40 per Quarter No $160 Yes $1,250 Yes No No No No 747
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO No $0 No 684
Dean Advantage Dean Advantage Complete (HMO)
H9096-005-0 		HMO $70 per Quarter No $280 Yes $750 No No No No No 669
Humana HumanaChoice H5216-168 (PPO)
H5216-168-0 		Local PPO $50 per Quarter Yes $200 Yes No No Yes No No 623
Humana Humana Medicare Employer (PPO)
H5216-805-0 		Local PPO No $0 No 608
Humana Humana Honor (PPO)
H5216-258-0 		Local PPO $100 per Quarter Yes $400 Yes No No Yes No No 428
Quartz Medicare Advantage UW Health Quartz Med Advantage Elite (HMO)
H5262-010-0 		HMO $40 per Quarter No $160 Yes $1,500 Yes No No No No 410
UnitedHealthcare AARP Medicare Advantage Patriot Plan 1 (PPO)
H0294-014-0 		Local PPO $50 per Quarter No $200 Yes Yes No Yes Yes No 403
Security Health Plan of Wisconsin, Inc. Esteem Rx (HMO-POS)
H5211-012-0 		HMOPOS $30 per Quarter No $120 Yes No No Yes No No 394
Humana Humana Value Plus H5216-173 (PPO)
H5216-173-0 		Local PPO $50 per Quarter Yes $200 Yes No No Yes No No 347
Quartz Medicare Advantage UW Health Quartz Med Advantage Value (HMO)
H5262-009-0 		HMO $40 per Quarter No $160 Yes $1,250 Yes No No No No 345
UnitedHealthcare AARP Medicare Advantage Open Plan 1 (PPO)
H0294-004-0 		Local PPO No $0 Yes Yes No Yes Yes No 278
UnitedHealthcare UnitedHealthcare Medicare Advantage Assist (PPO C-SNP)
H0294-002-0 		Local PPO $40 per Month No $0 Yes Yes No Yes Yes No 277
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO No $0 No 253
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO No $0 No 242
Wellcare by Allwell Wellcare Dual Access (HMO D-SNP)
H8189-001-0 		HMO $220 per Month Yes $0 Yes $5,000 No No Yes Yes No 241
My Choice Wisconsin Health Plan My Choice Wisconsin Medicare Dual Advantage Plan (HMO D-SNP)
H5209-004-0 		HMO $155 per Month Yes $0 No 234
Dean Advantage Dean Advantage Harmony (HMO-POS)
H9096-010-0 		HMOPOS $50 per Quarter No $200 Yes $750 No No No No No 220
Humana Humana Gold Choice H8145-006 (PFFS)
H8145-006-0 		PFFS $175 per Quarter Yes $700 Yes No No Yes No No 218
iCare iCare Family Care Partnership (HMO D-SNP)
H2237-007-0 		HMO $1,800 per Month No $0 Yes No No Yes No No 208
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-870-0 		Local PPO No $0 No 170
Humana HumanaChoice H5216-356 (PPO)
H5216-356-0 		Local PPO $50 per Quarter Yes $200 Yes No No Yes No No 164
Humana Humana Honor (PPO)
H5216-355-0 		Local PPO $60 per Quarter Yes $240 Yes No No Yes No No 145
UnitedHealthcare UnitedHealthcare Dual Complete Choice (PPO D-SNP)
H0294-027-0 		Local PPO $164 per Month No $0 Yes $2,500 Yes No Yes Yes No 107
Anthem Blue Cross and Blue Shield Anthem MediBlue Dual Advantage (HMO D-SNP)
H9525-003-0 		HMO $175 per Month No $0 Yes $3,000 Yes No Yes Yes No 97
Humana Humana Honor (Regional PPO)
R5361-001-0 		Regional PPO $50 per Quarter Yes $200 Yes No No Yes No No 86
Security Health Plan of Wisconsin, Inc. Essence Rx (HMO-POS)
H5211-002-0 		HMOPOS $30 per Quarter No $120 Yes No No Yes No No 85
Security Health Plan of Wisconsin, Inc. Spirit Rx (HMO-POS)
H5211-004-0 		HMOPOS $30 per Quarter No $120 Yes No No Yes No No 74
Blue Cross Blue Shield of Michigan Medicare Plus Blue PPO Employer CY (PPO)
H9572-802-0 		Local PPO No $0 No 73
Anthem Blue Cross and Blue Shield Anthem MediBlue Access Plus (PPO)
H4036-020-0 		Local PPO $35 per Quarter Yes $140 Yes $1,500 Yes No Yes Yes No 72
Security Health Plan of Wisconsin, Inc. Essence (HMO-POS)
H5211-003-0 		HMOPOS $30 per Quarter No $120 Yes No No Yes No No 58
Anthem Blue Cross and Blue Shield Anthem MediBlue Plus (HMO)
H9525-015-0 		HMO $60 per Quarter Yes $240 Yes $3,000 Yes No Yes Yes No 52
Network Health Medicare Advantage Plans NetworkPrime (MSA)
H1181-001-0 		MSA No $0 No 51
Highmark Blue Cross Blue Shield or Highmark Blue Shield Freedom Blue PPO MA PA CALENDAR (PPO)
H3916-801-0 		Local PPO No $0 No 49
Humana Humana Medicare Employer (PPO)
H7617-801-0 		Local PPO No $0 No 47
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO No $0 No 45
Highmark Blue Cross Blue Shield or Highmark Blue Shield Freedom Blue PPO MAPD PA CALENDAR (PPO)
H3916-802-0 		Local PPO No $0 No 40
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-847-0 		Local PPO No $0 No 37
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-862-0 		Local PPO No $0 No 34
Molina Healthcare of Wisconsin and Massachusetts Molina Medicare Choice Care (HMO)
H2879-003-0 		HMO $0 per Month No $0 Yes Yes No No No No 21
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-869-0 		Local PPO No $0 No 21
Anthem Blue Cross and Blue Shield Anthem MediBlue Service (PPO)
H4036-024-0 		Local PPO $75 per Quarter Yes $300 Yes $2,000 Yes No Yes Yes No 17
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-802-0 		Local PPO No $0 No 17
Humana HumanaChoice R5361-002 (Regional PPO)
R5361-002-0 		Regional PPO $15 per Quarter No $60 Yes No No Yes No No 16
Aetna Medicare Aetna Medicare Plan w/Rx $75 Buy-Down (PPO)
H5521-812-0 		Local PPO No $0 No 15
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-801-0 		Local PPO No $0 No 14
Blue Cross and Blue Shield of Montana Blue Cross Group Medicare Advantage (PPO)
H0107-803-0 		Local PPO No $0 No 12
Humana Humana Medicare Employer (PPO)
H5216-806-0 		Local PPO No $0 No 12
Security Health Plan of Wisconsin, Inc. Spirit (HMO-POS)
H5211-001-0 		HMOPOS $30 per Quarter No $120 Yes No No Yes No No 12
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-857-0 		Local PPO No $0 No 12
Molina Healthcare of Wisconsin and Massachusetts Molina Medicare Complete Care (HMO D-SNP)
H2879-001-0 		HMO $410 per Quarter No $1,640 Yes Yes No No No No 11
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