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 |
| Dean Advantage |
Prevea360 Harmony (HMO-POS) H9096-011-0 |
HMOPOS | $50 per Quarter | No | $200 | Yes | $750 | No | No | No | No | No | 53 |
| Highmark Blue Cross Blue Shield or Highmark Blue Shield |
Freedom Blue PPO MAPD PA CALENDAR (PPO) H3916-802-0 |
Local PPO | No | $0 | No | 53 | |||||||
| UCare |
EssentiaCare Access (PPO) H8783-003-0 |
Local PPO | $75 per Month | No | $0 | Yes | $900 | Yes | No | No | No | No | 52 |
| UnitedHealthcare |
UnitedHealthcare Group Medicare Advantage (PPO) H2001-825-0 |
Local PPO | No | $0 | No | 49 | |||||||
| Blue Cross and Blue Shield of Minnesota |
Group EGWP Medical Only (PPO) H5959-807-0 |
Local PPO | No | $0 | No | 42 | |||||||
| Aetna Medicare |
Aetna Medicare Value (PPO) H5521-387-0 |
Local PPO | $60 per Quarter | No | $240 | Yes | $1,000 | No | No | Yes | No | No | 24 |
| Quartz Medicare Advantage |
Aurora Health Quartz Med Advantage Elite (HMO) H5262-025-0 |
HMO | $75 per Quarter | No | $300 | Yes | $2,500 | Yes | No | No | No | No | 24 |
| HealthPartners |
HealthPartners Freedom Basic WI (Cost) H2462-026-0 |
1876 Cost | No | $0 | No | 20 | |||||||
| Quartz Medicare Advantage |
Gundersen Quartz Med Advantage Dual Eligible (HMO D-SNP) H5262-029-0 |
HMO | $270 per Quarter | No | $1,080 | Yes | $3,000 | Yes | No | No | No | No | 20 |
| UnitedHealthcare |
UnitedHealthcare Group Medicare Advantage (PPO) H2001-866-0 |
Local PPO | No | $0 | No | 19 | |||||||
| Molina Healthcare of Wisconsin and Massachusetts |
Molina Medicare Complete Care Select (HMO D-SNP) H2879-005-0 |
HMO | $115 per Quarter | No | $460 | Yes | Yes | No | No | No | No | 16 | |
| Blue Cross and Blue Shield of Montana |
Blue Cross Group Medicare Advantage (PPO) H0107-803-0 |
Local PPO | No | $0 | No | 12 | |||||||
| Blue Cross Blue Shield of Michigan |
Medicare Plus Blue PPO Employer Rx CY (PPO) H9572-801-0 |
Local PPO | No | $0 | No | 12 | |||||||
| Dean Advantage |
Prevea360 FlexSpend (HMO-POS) H9096-013-0 |
HMOPOS | $50 per Quarter | No | $200 | Yes | $750 | No | No | No | No | No | 12 |
