Medicare Advantage Plans for Wisconsin

1,069,206 Total Medicare Advantage Enrollees

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
Quartz Medicare Advantage Gundersen Quartz Med Advantage Core D (w/Rx) (HMO)
H5262-021-0 		HMO $25 per Quarter No $100 Yes $1,000 Yes No No No No 763
Humana Humana Medicare Employer (PPO)
H5216-806-0 		Local PPO No $0 No 759
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-802-0 		Local PPO No $0 No 758
Humana Humana Medicare Employer (PPO)
H7617-801-0 		Local PPO No $0 No 756
Dean Advantage Prevea360 Essential (HMO-POS)
H9096-006-0 		HMOPOS $50 per Quarter No $200 Yes $750 No No No No No 736
Aetna Medicare Aetna Medicare Value (PPO)
H5521-283-0 		Local PPO $60 per Quarter No $240 Yes $1,000 No No Yes No No 728
Aetna Medicare Aetna Medicare Eagle (PPO)
H5521-286-0 		Local PPO $120 per Quarter No $480 Yes $3,000 No No Yes No No 701
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-848-0 		Local PPO No $0 No 690
HealthPartners HealthPartners Freedom Vital WI (Cost)
H2462-027-0 		1876 Cost No $0 Yes No No Yes No No 655
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 632
Network Health Medicare Advantage Plans Network PlatinumPlus (PPO)
H5215-001-0 		Local PPO $225 per Quarter No $900 Yes No No Yes No No 626
Humana HumanaChoice H5216-356 (PPO)
H5216-356-0 		Local PPO $50 per Quarter Yes $200 Yes No No Yes No No 587
Blue Cross Blue Shield of Michigan Medicare Plus Blue PPO Employer CY (PPO)
H9572-802-0 		Local PPO No $0 No 583
Humana HumanaChoice H5216-063 (PPO)
H5216-063-0 		Local PPO $50 per Quarter Yes $200 Yes No No Yes No No 526
Dean Advantage Dean Advantage Harmony (HMO-POS)
H9096-010-0 		HMOPOS $50 per Quarter No $200 Yes $750 No No No No No 503
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 503
Community Care Community Care's Partnership Program (HMO D-SNP)
H2034-001-0 		HMO $15 per Month No $0 No 497
Community Care Community Care's PACE Program (PACE)
H5212-001-0 		National PACE No $0 No 473
Medical Associates Clinic Health Plan of Wisconsin Medical Associates Freedom Plan (Cost)
H5256-004-0 		1876 Cost No $0 No 472
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-847-0 		Local PPO No $0 No 464
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 435
Aspirus Health Plan Essential Rx (PPO)
H6874-001-0 		Local PPO $125 per Month No $0 Yes No No Yes No No 410
Aetna Medicare Aetna Medicare Plan w/Rx $75 Buy-Down (PPO)
H5521-812-0 		Local PPO No $0 No 398
HealthPartners HealthPartners Robin Maple (PPO)
H4882-005-0 		Local PPO $0 per Month No $0 Yes No No Yes No No 383
Medica Medica Group Prime Solution w/Rx (Cost)
H2450-801-0 		1876 Cost No $0 No 378
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-869-0 		Local PPO No $0 No 370
Network Health Medicare Advantage Plans Network PlatinumPremier Pharmacy EGP (PPO)
H5215-808-0 		Local PPO No $0 No 358
Medical Associates Clinic Health Plan of Wisconsin Medical Associates Community Plan (Cost)
H5256-002-0 		1876 Cost No $0 No 356
Humana HumanaChoice H5216-167 (PPO)
H5216-167-0 		Local PPO $50 per Quarter Yes $200 Yes No No Yes No No 351
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-872-0 		Local PPO No $0 No 286
Network Health Medicare Advantage Plans Network Health Armor (PPO)
H5215-013-0 		Local PPO $100 per Quarter No $400 Yes No No Yes No No 281
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-801-0 		Local PPO No $0 No 277
UCare EssentiaCare Secure (PPO)
H8783-001-0 		Local PPO $75 per Month No $0 No 264
Aspirus Health Plan Elite Rx (PPO)
H6874-002-0 		Local PPO $75 per Month No $0 Yes No No Yes No No 232
Quartz Medicare Advantage Aurora Health Quartz Med Advantage Value (HMO)
H5262-013-0 		HMO $75 per Quarter No $300 Yes $2,000 Yes No No No No 204
Aspirus Health Plan Elite (PPO)
H6874-003-0 		Local PPO $75 per Month No $0 Yes No No Yes No No 189
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 165
Dean Advantage Dean Advantage SSM Presence (HMO-POS)
H9096-012-0 		HMOPOS $50 per Quarter No $200 Yes $750 No No No No No 157
Network Health Medicare Advantage Plans Network PlatinumPremier (PPO)
H5215-006-0 		Local PPO $225 per Quarter No $900 Yes $75 No No Yes No No 151
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-857-0 		Local PPO No $0 No 124
Highmark Blue Cross Blue Shield or Highmark Blue Shield Freedom Blue PPO MA PA CALENDAR (PPO)
H3916-801-0 		Local PPO No $0 No 113
UCare EssentiaCare Grand (PPO)
H8783-002-0 		Local PPO $75 per Month No $0 Yes $500 Yes No No No No 97
Anthem Blue Cross and Blue Shield Anthem MediBlue Dual Connect (HMO D-SNP)
H9525-012-0 		HMO $55 per Month No $0 Yes $3,000 Yes No Yes Yes No 94
UnitedHealthcare UnitedHealthcare Dual Complete Select (HMO-POS D-SNP)
H3794-004-0 		HMOPOS $74 per Month No $0 Yes $1,100 Yes No Yes Yes No 94
Aetna Medicare Aetna Medicare Premier (PPO)
H5521-389-0 		Local PPO $75 per Quarter No $300 Yes $2,000 No No Yes No No 74
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 67
Medica Medica Prime Solution Thrift w/Rx (Cost)
H2450-007-0 		1876 Cost No $0 No 64
UCare Group UCare (HMO-POS)
H2459-801-0 		HMOPOS No $0 No 62
Medica Medica Prime Solution Thrift (Cost)
H2450-030-0 		1876 Cost No $0 No 61
Humana HumanaChoice H5216-359 (PPO)
H5216-359-0 		Local PPO $25 per Quarter No $100 Yes No No Yes No No 54

Top 20 Medicare Advantage Insurance Companyes for Wisconsin

Company Total Enrollees Enrollees With OTC Supplement Enrollees With Prescription Hearing Aid Coverage
UnitedHealthcare 308,609 245,372 263,376
Humana 73,584 113,670 113,670
Network Health Medicare Advantage Plans 69,946 69,558 69,558
Security Health Plan of Wisconsin, Inc. 62,615 64,312 63,281
Anthem Blue Cross and Blue Shield 38,639 42,012 42,012
Quartz Medicare Advantage 27,286 29,975 29,975
Medica 24,457 23,974 21,679
Aetna Medicare 17,201 16,861 16,861
Dean Health Plan, Inc. 14,091 0 13,227
Dean Advantage 10,394 10,857 10,857
iCare 9,043 9,514 9,514
HealthPartners 4,223 3,285 4,854
Medical Associates Clinic Health Plan of Wisconsin 3,695 0 0
Wellcare by Allwell 3,359 2,972 2,972
My Choice Wisconsin Health Plan 1,788 844 0
Molina Healthcare of Wisconsin and Massachusetts 1,123 1,203 1,203
Community Care 970 542 0
Aspirus Health Plan 831 1,233 1,233
Blue Cross Blue Shield of Michigan 595 0 0
UCare 475 2,216 803

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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