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The 2019 Medicare Advantage Plans in Burnett County WI.



2018 Medicare Advantage Plans in Burnett County Wisconsin

There are 18 Medicare Advantage Plans available in Burnett County WI from 5 different health insurance providers. 0 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. The highest rated plan available in Burnett County received a 4.5 overall star rating from CMS and the lowest rated plan is 3.5 stars. Burnett County Wisconsin residents can also pick from 0 Medicare Special Needs Plans.



(Click the Plan Name for More Details)

Name Premium
C+D
Part D
Deductible
 Gap  MOOP Overall Rating Formulary Sign Up
Essence (HMO-POS)
$17.00 $3,400
Essence Rx (HMO-POS)
$76.00 $300.00 No $3,400 Formulary
Esteem Rx (HMO-POS)
$0.00 $300.00 No $6,500 Formulary
HealthPartners Wisconsin Freedom Balance (Cost)
$81.00 $3,400
HealthPartners Wisconsin Freedom Balance with Rx (Cost)
$125.30 $130.00 No $3,400 Formulary
HealthPartners Wisconsin Freedom Basic (Cost)
$50.00 N/A
HumanaChoice R5361-001 (Regional PPO)
$0.00 $6,700 Enroll
HumanaChoice R5361-002 (Regional PPO)
$137.00 $405.00 No $6,700 FormularyEnroll
Medica Prime Solution Focus (Cost)
$86.00 $4,000
Medica Prime Solution Focus w/Rx (Cost)
$117.60 $250.00 No $4,000 Formulary
Medica Prime Solution Thrift (Cost)
$49.00 $6,700
Medica Prime Solution Thrift w/Rx (Cost)
$77.40 $260.00 No $6,700 Formulary
Medica Prime Solution Total (Cost)
$172.00 $3,000
Medica Prime Solution Total w/Rx (Cost)
$217.10 $215.00 No $3,000 Formulary
NetworkPrime (MSA)
N/A
Secure Saver (MSA)
N/A
Spirit (HMO-POS)
$162.00 $1,200
Spirit Rx (HMO-POS)
$219.00 $0.00 No $1,200 Formulary
Return to 2018 Medicare Advantage Plans in Wisconsin

* Plan Type does not offer Medicare Part D drug coverage.



2018 Medicare Special Needs Plans in Burnett county Wisconsin

Plan Name Monthly
Consolidated
Premium C+D
Part D
Deductible
 Gap  Special Needs
Type
Overall Rating
Sorry, No Special Needs Plans in burnett County Found!


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

GAP

In 2018 once you and your plan provider have spent $3750 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 35% of the plans cost for covered brand-name prescription drugs and 44% 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, 2017.

Plans are subject to change as contracts are finalized.

Includes 2018 approved contracts. Employer sponsored 800 series and plans under sanction are excluded. For 2018, 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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