2015 Medicare Advantage Plans in Ozaukee County Wisconsin


You are Currently Viewing the 2015 Medicare Plans.
Click here If you Would Like to See
The 2019 Medicare Advantage Plans in Ozaukee County WI.

2015 Medicare Advantage Plans in Ozaukee County Wisconsin

There are 10 Medicare Advantage Plans available in Ozaukee County WI from 6 health insurance providers and 10 Special Needs Plans available. 3 Advantage plans offer additional gap coverage. The plan with the lowest out of pocket expense is $4000 and the highest out of pocket is $6700. The highest rated plan available in Ozaukee County received a 4.5 overall star rating from CMS and the lowest rated plan is 3.5 stars.

(Click the Plan Name for More Details)

Plan Name Type Premium
Part D
 Gap  Max Out of
Overall Rating Formulary
Return to Counties In Wisconsin
AARP MedicareComplete (HMO)
Local HMO $25.00 $245.00 No $4,900 Browse
AARP MedicareComplete Essential (HMO)
Local HMO * $0.00 $4,900
Anthem Medicare Preferred Core (PPO)
Local PPO $65.00 $79.00 No $4,000 Browse
Care Improvement Plus Medicare Advantage (PPO)
Local PPO $29.00 $315.00 No $6,700 Browse
Humana Gold Choice H8145-006 (PFFS)
PFFS $89.00 $320.00 Yes N/A Browse
Humana Gold Plus H6622-002 (HMO)
Local HMO $27.00 $320.00 Yes $5,500 Browse
HumanaChoice H5216-001 (PPO)
Local PPO $83.00 $320.00 Yes $5,500 Browse
HumanaChoice R5826-009 (Regional PPO)
Regional PPO $123.00 $320.00 No $6,700 Browse
HumanaChoice R5826-023 (Regional PPO)
Regional PPO * $0.00 $6,700
Network Prime (MSA)

* Plan Type Indicates plan does not offer Part D drug coverage.

Medicare Special Needs Plans in Ozaukee county Wisconsin

Plan Name Consolidated
Premium C+D
Part D
 Gap  Special Needs
Overall Rating Formulary
Care Improvement Plus Dual Advantage (PPO SNP)
(H0294- 006)
   $33.40 $320.00  No Dual-EligibleBrowse
Care Improvement Plus Gold Rx (PPO SNP)
(H0294- 002)
   $0.00 $315.00  No Chronic or Disabling ConditionBrowse
Community Care's Partnership Program (HMO SNP)
(H2034- 001)
   $35.30 $320.00  No Dual-EligibleNABrowse
Community Care's Partnership Program Disabled (HMO SNP)
(H2034- 002)
   $35.30 $320.00  No Dual-EligibleNABrowse
iCare Medicare Plan (HMO SNP)
(H2237- 001)
   $35.30 $320.00  No Dual-EligibleBrowse
Managed Health Services Advantage (HMO SNP)
(H8189- 001)
   $35.30 $320.00  No Dual-EligibleBrowse
UnitedHealthcare Assisted Living Plan (HMO SNP)
(H3794- 003)
   $11.70 $235.00  No InstitutionalToo NewBrowse
UnitedHealthcare Dual Complete LP (HMO SNP)
(H5253- 024)
   $35.30 $320.00  No Dual-EligibleBrowse
UnitedHealthcare Dual Complete LP1 (HMO SNP)
(H3794- 002)
   $35.30 $320.00  No Dual-EligibleToo NewBrowse
UnitedHealthcare Nursing Home Plan (HMO-POS SNP)
(H5253- 007)
   $31.80 $320.00  No InstitutionalBrowse

Source: CMS.

Plans as of September 2, 2014.

Plans are subject to change as contracts are finalized.

Includes 2015 approved contracts/plans. Employer sponsored 800 series plans and plans under sanction are excluded. For 2015, enhanced alternative plans may offer additional cost sharing reductions in the gap on a sub-set of the formulary drugs, beyond the standard Part D benefit.

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 plan 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 plans; 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

Enhanced Alternative plans 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.


In 2015 once you and your plan provider have spent $2,960 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 45% of the plan's cost for covered brand-name prescription drugs unless your plan offers additional coverage. You will still receive a 55% discount on brand-name drugs and a 35% discount on generic drugs.

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

Call For A licensed Sales Agent


  • Mon-Fri 8:30am-8:00pm

Or Enroll Online Here

Call to Enroll!