2019 Medicare Advantage Plans in
Florence County Wisconsin

There are 19 Medicare Advantage Plans available in Florence County WI from 6 different health insurance providers. 3 of these Medicare Advantage plans offer additional gap coverage. The plan with the lowest out of pocket expense is $1200 and the highest out of pocket is $6700. Florence County Wisconsin residents can also pick from 3 Medicare Special Needs Plans. The highest rated plan available in Florence County received a 4.5 overall star rating from CMS and the lowest rated plan is 3 stars

(Click the Plan Name for More Details)
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Name ⇅ Premium Deductible MOOP Gap Click
Anthem MediBlue Access (PPO)
$37.00 $25.00 $5,500 YesBrowse
Anthem MediBlue Plus (HMO)
$0 $140.00 $4,900 YesBrowse
Essence Rx (HMO-POS)
$77.00 $330.00 $3,400 NoBrowse
Esteem Rx (HMO-POS)
$0 $330.00 $6,500 NoBrowse
HealthPartners Robin Birch (PPO)
$0 $200.00 $5,000 NoBrowse
HealthPartners Robin Maple (PPO)
$20.00 $200.00 $3,500 YesBrowse
HumanaChoice R5361-002 (Regional PPO)
$117.00 $390.00 $6,700 NoBrowse
Spirit Rx (HMO-POS)
$219.00 $0 $1,200 NoBrowse

Return to 2019 Medicare Advantage Plans in Wisconsin

Medicare Advantage Health Plans Without Drug Coverage

Plan Name ⇅ Premium Type MOOP Overall
Sign Up
Anthem MediBlue Access Core (PPO)
$0 Local PPO * $5,900
Essence (HMO-POS)
$16.00 Local HMO * $3,400
HumanaChoice R5361-001 (Regional PPO)
$0 Regional PPO * $6,700 Enroll
NetworkPrime (MSA)
MSA * $- NA
Secure Saver (MSA)
MSA * $- NA
Spirit (HMO-POS)
$157.00 Local HMO * $1,200

2019 Medicare Special Needs Plans in Florence county Wisconsin

Plan Name ⇅ Monthly
Part D
 Gap  Special Needs
Anthem MediBlue Dual Advantage (HMO SNP)
(H9525- 003)
    $40.80 $415.0  Yes Dual-EligibleBrowse

Plan Type Is the type of organization offering the Medicare Plans.

  • HMO - Health Maintenance Organization
  • PPO - Preferred Provider Organization
  • PDP - Prescription Drug Plan
  • SNP - Special Needs Plan
  • POS - Point of Service
  • PFFS - Private Fee For Service

Monthly Consolidated Premium (Includes Part C + D) Your premium may be lower depending on your eligibility for medical assistance. Call your provider for details.

Part D Total Premium: The Part D Total Premium is the sum of the Basic and Supplemental Premiums. Note: the Part D Total Premium is net of any Part A/B rebates applied to "buy down" the drug premium for Medicare Advantage; for some plans the total premium may be lower than the sum of the basic and supplemental premiums due to negative basic or supplemental premiums.

Benefit Type
  • (EA) Enhanced Alternative may offer additional gap coverage which is calculated as the percentage of generic formulary products with coverage above standard generic coverage gap cost-sharing benefit and/or the percentage of brand formulary products covered in addition to the coverage gap discount for applicable drugs.
  • (DS) Defined Standard Benefit
  • (BA) Basic Alternative
  • (AE) Actuarially Equivalent Standard


In 2019 once you and your plan provider have spent $3820 on covered drugs. (combined amount plus your deductible) You will be in the coverage gap. (AKA "donut hole") Once you reach the coverage gap you will pay 25% of the plans cost for covered brand-name prescription drugs and 37% on generic drugs unless your plan offers additional coverage.

Maximum Out-of-Pocket (MOOP) limit on enrollee spending that includes costs for all in-network Part A and Part B Services. NOT Part D - prescription drugs. N/A is defined as Not Applicable

Source: CMS. Data as of September 5, 2018.
Star Rating as of October 10, 2018.
For More Information on Ratings Please See the CMS Tech Notes.
Plans are subject to change as contracts are finalized.
Includes 2019 approved contracts. Employer sponsored 800 series and plans under sanction are excluded. For 2019, enhanced alternative may offer additional cost sharing reductions in the gap on a sub-set of the formulary drugs, beyond the standard Part-D benefit.

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