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The 2020 Medicare Advantage Plans in Dane County WI.

2018 Medicare Advantage Plans in Dane County Wisconsin

There are 23 Medicare Advantage Plans available in Dane County WI from 7 different health insurance providers. 0 of these Medicare Advantage plans offer additional gap coverage. The plan with the lowest out of pocket expense is $400 and the highest out of pocket is $6700. The highest rated plan available in Dane County received a 5 overall star rating from CMS and the lowest rated plan is 3.5 stars. Dane County Wisconsin residents can also pick from 6 Medicare Special Needs Plans.

(Click the Plan Name for More Details)

Name Premium
Part D
 Gap  MOOP Overall Rating Formulary Sign Up
Assurance Rx (HMO-POS)
$0.00 $375.00 No $6,000 Formulary
Care Improvement Plus Medicare Advantage (PPO)
$45.00 $385.00 No $6,700 FormularyEnroll
Dean Advantage Assurance (HMO)
$40.00 $350.00 No $6,000 Formulary
Dean Advantage Balance (HMO)
$82.00 $200.00 No $4,000 Formulary
Dean Advantage Confidence (HMO-POS)
$165.00 $0.00 No $2,000 Formulary
Dean Advantage Essential (HMO)
$13.00 $400.00 No $6,700 Formulary
Dean Advantage Gold Complete (HMO)
$226.00 $0.00 No $400 Formulary
DeanCare Gold Basic (Cost)
$139.00 N/A
DeanCare Gold Enhanced (Cost)
$146.00 N/A
DeanCare Gold Shared Value (Cost)
$88.00 N/A
Humana Gold Choice H8145-006 (PFFS)
$97.00 $405.00 No N/A FormularyEnroll
HumanaChoice H5216-006 (PPO)
$51.00 $250.00 No $6,700 FormularyEnroll
HumanaChoice H5216-012 (PPO)
$0.00 $6,700 Enroll
HumanaChoice R5361-001 (Regional PPO)
$0.00 $6,700 Enroll
HumanaChoice R5361-002 (Regional PPO)
$137.00 $405.00 No $6,700 FormularyEnroll
NetworkPrime (MSA)
Secure Saver (MSA)
Spirit (HMO-POS)
$162.00 $1,200
Spirit Rx (HMO-POS)
$219.00 $0.00 No $1,200 Formulary
UW Health Senior Preferred Elite (no Rx) (HMO)
$50.00 $3,400
UW Health Senior Preferred Elite (w/Rx) (HMO)
$97.20 $0.00 No $3,400 Formulary
UW Health Senior Preferred Value (no Rx) (HMO)
$0.00 $4,700
UW Health Senior Preferred Value (w/Rx) (HMO)
$48.30 $0.00 No $4,700 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 Dane county Wisconsin

Plan Name Monthly
Premium C+D
Part D
 Gap  Special Needs
Overall Rating
Care Improvement Plus Gold Rx (PPO SNP)
(H0294- 002)
   20 345  No Chronic or Disabling Condition
Care Wisconsin Medicare Dual Advantage (HMO SNP)
(H5209- 004)
   28.7 405  No Dual-Eligible
iCare Family Care Partnership (HMO SNP)
(H2237- 007)
   40 405  No Dual-Eligible
iCare Medicare Plan (HMO SNP)
(H2237- 001)
   40 405  No Dual-Eligible
Partnership (HMO SNP)
(H5209- 002)
   7.6 405  No Dual-Eligible
UnitedHealthcare Dual Complete LP1 (HMO SNP)
(H3794- 002)
   28.1 405  No Dual-Eligible

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 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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