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
UnitedHealthcare AARP Medicare Advantage Plus (HMO-POS)
H5253-004-0 		HMOPOS $50 per Quarter No $200 Yes Yes No Yes Yes No 66,732
Network Health Medicare Advantage Plans Network PlatinumSelect (PPO)
H5215-008-0 		Local PPO $0 per Month No $0 Yes No No Yes No No 38,418
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 34,057
UnitedHealthcare AARP Medicare Advantage Walgreens (PPO)
H0294-015-0 		Local PPO $40 per Quarter No $160 Yes Yes No Yes Yes No 32,758
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO No $0 No 26,194
UnitedHealthcare AARP Medicare Advantage (HMO-POS)
H5253-011-0 		HMOPOS $40 per Quarter No $160 Yes Yes No Yes Yes No 21,065
UnitedHealthcare AARP Medicare Advantage Premier Value (HMO-POS)
H5253-033-0 		HMOPOS $40 per Quarter No $160 Yes Yes No Yes Yes No 20,730
Security Health Plan of Wisconsin, Inc. Essence (HMO-POS)
H5211-003-0 		HMOPOS $30 per Quarter No $120 Yes No No Yes No No 20,251
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 20,000
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO No $0 No 17,038
Medica Medica Prime Solution Focus (Cost)
H2450-038-0 		1876 Cost $50 per Quarter No $200 Yes $0 Yes No No No No 13,378
Humana Humana Gold Plus H6622-001 (HMO)
H6622-001-0 		HMO $60 per Quarter Yes $240 Yes No No Yes No No 13,202
Humana Humana Gold Plus H6622-034 (HMO)
H6622-034-0 		HMO $100 per Quarter Yes $400 Yes $1,500 No No Yes No No 12,180
UnitedHealthcare AARP Medicare Advantage Patriot Plan 2 (HMO-POS)
H5253-021-0 		HMOPOS $60 per Quarter No $240 Yes Yes No Yes Yes No 11,445
Dean Health Plan, Inc. DeanCare Gold Enhanced (Cost)
H5264-002-0 		1876 Cost No $0 Yes $500 No No No No No 11,360
UnitedHealthcare UnitedHealthcare Dual Complete LP (HMO-POS D-SNP)
H5253-024-0 		HMOPOS $174 per Month No $0 Yes $2,500 Yes No Yes Yes No 10,935
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 10,931
Anthem Blue Cross and Blue Shield Anthem MediBlue Plus (HMO)
H9525-004-0 		HMO $65 per Quarter Yes $260 Yes $3,000 Yes No Yes Yes No 10,478
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-870-0 		Local PPO No $0 No 10,049
Network Health Medicare Advantage Plans Network PlatinumChoice (PPO)
H5215-011-0 		Local PPO $75 per Quarter No $300 Yes No No Yes No No 9,331
Humana HumanaChoice H5216-253 (PPO)
H5216-253-0 		Local PPO $45 per Quarter Yes $180 Yes No No Yes No No 9,216
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 9,028
Network Health Medicare Advantage Plans Network Health Medicare Go (PPO)
H5215-009-0 		Local PPO $0 per Month No $0 Yes No No Yes No No 8,554
iCare iCare Medicare Plan (HMO D-SNP)
H2237-001-0 		HMO $1,800 per Month No $0 Yes No No Yes No No 8,222
Quartz Medicare Advantage Gundersen Quartz Med Advantage Value D (w/Rx) (HMO)
H5262-003-0 		HMO $25 per Quarter No $100 Yes $1,250 Yes No No No No 8,121
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 7,796
UnitedHealthcare AARP Medicare Advantage Value (HMO-POS)
H5253-034-0 		HMOPOS $40 per Quarter No $160 Yes Yes No Yes Yes No 6,909
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 6,696
Anthem Blue Cross and Blue Shield Anthem MediBlue Plus (HMO)
H9525-006-0 		HMO $65 per Quarter Yes $260 Yes $3,000 Yes No Yes Yes No 6,516
UnitedHealthcare AARP Medicare Advantage Open Plan 1 (PPO)
H0294-004-0 		Local PPO No $0 Yes Yes No Yes Yes No 6,416
Aetna Medicare Aetna Medicare Value (PPO)
H5521-195-0 		Local PPO $105 per Quarter No $420 Yes $1,500 No No Yes No No 6,116
Medica Medica Prime Solution Focus w/Rx (Cost)
H2450-039-0 		1876 Cost $50 per Quarter No $200 Yes $0 Yes No No No No 6,105
Humana Humana Medicare Employer (PPO)
H5216-805-0 		Local PPO No $0 No 5,434
Quartz Medicare Advantage Gundersen Quartz Med Advantage Elite D (w/Rx) (HMO)
H5262-001-0 		HMO $25 per Quarter No $100 Yes $1,500 Yes No No No No 5,245
UnitedHealthcare AARP Medicare Advantage (HMO-POS)
H5253-030-0 		HMOPOS $40 per Quarter No $160 Yes Yes No Yes Yes No 5,056
Humana Humana Honor (Regional PPO)
R5361-001-0 		Regional PPO $50 per Quarter Yes $200 Yes No No Yes No No 4,798
Aetna Medicare Aetna Medicare Premier (PPO)
H5521-150-0 		Local PPO $90 per Quarter No $360 Yes $2,000 No No Yes No No 4,578
Humana HumanaChoice H5216-252 (PPO)
H5216-252-0 		Local PPO $30 per Quarter Yes $120 Yes No No Yes No No 4,509
UnitedHealthcare AARP Medicare Advantage Open Plan 2 (PPO)
H0294-016-0 		Local PPO No $0 Yes Yes No Yes Yes No 4,472
UnitedHealthcare AARP Medicare Advantage Open (PPO)
H0294-011-0 		Local PPO No $0 Yes Yes No Yes Yes No 4,337
Humana HumanaChoice H5216-006 (PPO)
H5216-006-0 		Local PPO $50 per Quarter Yes $200 Yes No No Yes No No 4,269
UnitedHealthcare UnitedHealthcare Medicare Advantage Assist (PPO C-SNP)
H0294-002-0 		Local PPO $40 per Month No $0 Yes Yes No Yes Yes No 4,263
Humana HumanaChoice H5216-001 (PPO)
H5216-001-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 4,105
UnitedHealthcare AARP Medicare Advantage Patriot Plan 1 (PPO)
H0294-014-0 		Local PPO $50 per Quarter No $200 Yes Yes No Yes Yes No 3,658
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO No $0 No 3,526
Dean Advantage Dean Advantage Balance (HMO-POS)
H9096-002-0 		HMOPOS $70 per Quarter No $280 Yes $750 No No No No No 3,496
Network Health Medicare Advantage Plans Network PlatinumPlus Pharmacy (PPO)
H5215-002-0 		Local PPO $225 per Quarter No $900 Yes No No Yes No No 3,406
Network Health Medicare Advantage Plans Network Health Medicare Advantage PlatinumZero (PPO)
H5215-012-0 		Local PPO $0 per Month No $0 Yes No No Yes No No 3,402
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 3,359
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 3,351

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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