Medicare Advantage Plans for Wisconsin
1,069,206 Total Medicare Advantage Enrollees
OTC Supplemental Benefits | Prescription Hearing Aid Coverage | ||||||||||||
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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 |
Humana |
Humana Honor (PPO) H5216-258-0 |
Local PPO | $100 per Quarter | Yes | $400 | Yes | No | No | Yes | No | No | 3,079 | |
Humana |
Humana Gold Choice H8145-006 (PFFS) H8145-006-0 |
PFFS | $175 per Quarter | Yes | $700 | Yes | No | No | Yes | No | No | 3,007 | |
Medical Associates Clinic Health Plan of Wisconsin |
Medical Associates SmartPlan (Cost) H5256-001-0 |
1876 Cost | No | $0 | No | 2,867 | |||||||
Dean Health Plan, Inc. |
DeanCare Gold Shared Value (Cost) H5264-005-0 |
1876 Cost | No | $0 | Yes | $500 | No | No | No | No | No | 2,731 | |
Humana |
Humana Honor (PPO) H5216-355-0 |
Local PPO | $60 per Quarter | Yes | $240 | Yes | No | No | Yes | No | No | 2,572 | |
Network Health Medicare Advantage Plans |
NetworkCares (PPO D-SNP) H5215-007-0 |
Local PPO | $175 per Quarter | No | $700 | Yes | No | No | Yes | No | No | 2,339 | |
HealthPartners |
HealthPartners Robin Birch (PPO) H4882-004-0 |
Local PPO | $0 per Month | No | $0 | Yes | No | No | Yes | No | No | 2,266 | |
Dean Advantage |
Dean Advantage Essential (HMO) H9096-004-0 |
HMO | $35 per Quarter | No | $140 | Yes | $750 | No | No | No | No | No | 2,205 |
Anthem Blue Cross and Blue Shield |
Anthem MediBlue Access (PPO) H4036-008-0 |
Local PPO | $44 per Quarter | Yes | $176 | Yes | $3,000 | Yes | No | Yes | Yes | No | 2,183 |
Security Health Plan of Wisconsin, Inc. |
Spirit (HMO-POS) H5211-001-0 |
HMOPOS | $30 per Quarter | No | $120 | Yes | No | No | Yes | No | No | 2,150 | |
Dean Advantage |
Dean Advantage Assurance (HMO-POS) H9096-001-0 |
HMOPOS | $50 per Quarter | No | $200 | Yes | $750 | No | No | No | No | No | 2,060 |
UnitedHealthcare |
AARP Medicare Advantage Open Premier (PPO) H0294-012-0 |
Local PPO | $50 per Quarter | No | $200 | Yes | Yes | No | Yes | Yes | No | 1,980 | |
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 | 1,926 |
Aetna Medicare |
Aetna Medicare Plan w/Rx (PPO) H5521-802-0 |
Local PPO | No | $0 | No | 1,838 | |||||||
Aetna Medicare |
Aetna Medicare Plan (PPO) H5521-801-0 |
Local PPO | No | $0 | No | 1,809 | |||||||
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 | 1,778 |
Medica |
Medica Prime Solution Standard (Cost) H2450-050-0 |
1876 Cost | $25 per Quarter | No | $100 | No | 1,717 | ||||||
UnitedHealthcare |
AARP Medicare Advantage (HMO-POS) H5253-073-0 |
HMOPOS | $40 per Quarter | No | $160 | Yes | Yes | No | Yes | Yes | No | 1,708 | |
UnitedHealthcare |
AARP Medicare Advantage Value (HMO-POS) H5253-072-0 |
HMOPOS | No | $0 | Yes | Yes | No | Yes | Yes | No | 1,648 | ||
Quartz Medicare Advantage |
Aurora Health Quartz Med Advantage Core D (w/Rx) (HMO) H5262-012-0 |
HMO | $75 per Quarter | No | $300 | Yes | $1,500 | Yes | No | No | No | No | 1,567 |
UnitedHealthcare |
AARP Medicare Advantage Value (HMO-POS) H5253-097-0 |
HMOPOS | $40 per Quarter | No | $160 | Yes | Yes | No | Yes | Yes | No | 1,540 | |
Medica |
Medica Prime Solution Total (Cost) H2450-040-0 |
1876 Cost | $50 per Quarter | No | $200 | Yes | $0 | Yes | No | No | No | No | 1,528 |
Humana |
Humana Value Plus H5216-173 (PPO) H5216-173-0 |
Local PPO | $50 per Quarter | Yes | $200 | Yes | No | No | Yes | No | No | 1,512 | |
Security Health Plan of Wisconsin, Inc. |
Ascend Rx (HMO-POS) H5211-013-0 |
HMOPOS | $30 per Quarter | No | $120 | Yes | No | No | Yes | No | No | 1,478 | |
Humana |
HumanaChoice H5216-168 (PPO) H5216-168-0 |
Local PPO | $50 per Quarter | Yes | $200 | Yes | No | No | Yes | No | No | 1,473 | |
UnitedHealthcare |
UnitedHealthcare Group Medicare Advantage (PPO) H2001-862-0 |
Local PPO | No | $0 | No | 1,454 | |||||||
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 | 1,442 |
Quartz Medicare Advantage |
Gundersen Quartz Med Advantage Value (HMO) H5262-004-0 |
HMO | $25 per Quarter | No | $100 | Yes | $1,250 | Yes | No | No | No | No | 1,441 |
UnitedHealthcare |
UnitedHealthcare Group Medicare Advantage (PPO) H2001-826-0 |
Local PPO | No | $0 | No | 1,433 | |||||||
UnitedHealthcare |
UnitedHealthcare Nursing Home Plan (HMO-POS I-SNP) H5253-007-0 |
HMOPOS | $300 per Quarter | Yes | $1,200 | Yes | $2,000 | Yes | No | Yes | Yes | No | 1,385 |
UnitedHealthcare |
AARP Medicare Advantage Choice (PPO) H0294-023-0 |
Local PPO | $40 per Quarter | No | $160 | Yes | Yes | No | Yes | Yes | No | 1,238 | |
Medica |
Medica Prime Solution Total w/Rx (Cost) H2450-041-0 |
1876 Cost | $50 per Quarter | No | $200 | Yes | $0 | Yes | No | No | No | No | 1,226 |
Humana |
HumanaChoice R5361-002 (Regional PPO) R5361-002-0 |
Regional PPO | $15 per Quarter | No | $60 | Yes | No | No | Yes | No | No | 1,195 | |
Dean Advantage |
Dean Advantage Complete (HMO) H9096-005-0 |
HMO | $70 per Quarter | No | $280 | Yes | $750 | No | No | No | No | No | 1,172 |
Network Health Medicare Advantage Plans |
Network Health Medicare Anywhere (PPO) H5215-010-0 |
Local PPO | $75 per Quarter | No | $300 | Yes | No | No | Yes | No | No | 1,166 | |
My Choice Wisconsin Health Plan |
My Choice Wisconsin Partnership Plan (HMO D-SNP) H5209-002-0 |
HMO | No | $0 | No | 1,156 | |||||||
Network Health Medicare Advantage Plans |
NetworkPrime (MSA) H1181-001-0 |
MSA | No | $0 | No | 1,120 | |||||||
Security Health Plan of Wisconsin, Inc. |
Ally Rx (HMO D-SNP) H5211-010-0 |
HMO | $60 per Quarter | No | $240 | No | 1,109 | ||||||
UnitedHealthcare |
UnitedHealthcare Medicare Advantage Assist (PPO C-SNP) H0294-010-0 |
Local PPO | No | $0 | Yes | Yes | No | Yes | Yes | No | 1,005 | ||
Quartz Medicare Advantage |
Aurora Health Quartz Med Advantage Elite D (w/Rx) (HMO) H5262-024-0 |
HMO | $75 per Quarter | No | $300 | Yes | $2,500 | Yes | No | No | No | No | 985 |
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 | 959 |
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 | 942 | |
Aetna Medicare |
Aetna Medicare Value (PPO) H5521-289-0 |
Local PPO | $75 per Quarter | No | $300 | Yes | $1,500 | No | No | Yes | No | No | 935 |
UnitedHealthcare |
UnitedHealthcare Assisted Living Plan (HMO-POS I-SNP) H5253-064-0 |
HMOPOS | $375 per Quarter | Yes | $1,500 | Yes | $2,000 | Yes | No | Yes | Yes | No | 903 |
HealthPartners |
HealthPartners Freedom Balance WI (Cost) H2462-028-0 |
1876 Cost | No | $0 | Yes | No | No | Yes | No | No | 899 | ||
Quartz Medicare Advantage |
Gundersen Quartz Med Advantage Elite (HMO) H5262-005-0 |
HMO | $25 per Quarter | No | $100 | Yes | $1,500 | Yes | No | No | No | No | 889 |
Quartz Medicare Advantage |
Aurora Health Quartz Med Advantage Value D (w/Rx) (HMO) H5262-011-0 |
HMO | $75 per Quarter | No | $300 | Yes | $2,000 | Yes | No | No | No | No | 853 |
iCare |
iCare Family Care Partnership (HMO D-SNP) H2237-007-0 |
HMO | $1,800 per Month | No | $0 | Yes | No | No | Yes | No | No | 821 | |
UnitedHealthcare |
AARP Medicare Advantage Open Plan 3 (PPO) H0294-026-0 |
Local PPO | $40 per Quarter | No | $160 | Yes | Yes | No | Yes | Yes | No | 801 | |
Network Health Medicare Advantage Plans |
Network PlatinumPremier Pharmacy (PPO) H5215-005-0 |
Local PPO | $225 per Quarter | No | $900 | Yes | $75 | No | No | Yes | No | No | 794 |