You are Currently Viewing the 2018 Medicare Plans.
Click here If you Would Like to See
The 2020 Medicare Advantage Plans in Winnebago County WI.

2018 Medicare Advantage Plans in Winnebago County Wisconsin

There are 23 Medicare Advantage Plans available in Winnebago County WI from 6 different health insurance providers. 2 of these Medicare Advantage plans offer additional gap coverage. The plan with the lowest out of pocket expense is $3000 and the highest out of pocket is $6700. The highest rated plan available in Winnebago County received a 4.5 overall star rating from CMS and the lowest rated plan is 3.5 stars. Winnebago County Wisconsin residents can also pick from 11 Medicare Special Needs Plans.

(Click the Plan Name for More Details)

Name Premium
Part D
 Gap  MOOP Overall Rating Formulary Sign Up
AARP MedicareComplete (HMO)
$27.00 $245.00 No $4,500 FormularyEnroll
AARP MedicareComplete Essential (HMO)
$0.00 $4,900 Enroll
AARP MedicareComplete Premier (HMO)
$74.00 $0.00 No $3,500 FormularyEnroll
AARP MedicareComplete Value (HMO)
$0.00 $355.00 No $5,900 FormularyEnroll
Anthem MediBlue Access (PPO)
$37.00 $0.00 Yes $4,000 FormularyEnroll
Anthem MediBlue Access Core (PPO)
$0.00 $5,900
Anthem MediBlue Plus (HMO)
$0.00 $80.00 Yes $4,300 FormularyEnroll
Care Improvement Plus Medicare Advantage (PPO)
$45.00 $385.00 No $6,700 FormularyEnroll
Humana Gold Choice H8145-006 (PFFS)
$97.00 $405.00 No N/A FormularyEnroll
Humana Gold Plus H6622-001 (HMO)
$0.00 $295.00 No $6,700 FormularyEnroll
HumanaChoice H5216-001 (PPO)
$87.00 $400.00 No $6,700 FormularyEnroll
HumanaChoice R5361-001 (Regional PPO)
$0.00 $6,700 Enroll
HumanaChoice R5361-002 (Regional PPO)
$137.00 $405.00 No $6,700 FormularyEnroll
Network PlatinumChoice (PPO)
$22.00 $260.00 No $4,500 Formulary
Network PlatinumPlus (PPO)
$89.00 $3,400
Network PlatinumPlus Pharmacy (PPO)
$117.00 $260.00 No $3,400 Formulary
Network PlatinumPremier (PPO)
$195.00 $3,400
Network PlatinumPremier Pharmacy (PPO)
$292.00 $260.00 No $3,400 Formulary
Network PlatinumSelect (PPO)
$0.00 $395.00 No $6,700 Formulary
NetworkPrime (MSA)
Promise Rx (HMO-POS)
$72.00 $200.00 No $3,000 Formulary
Secure Saver (MSA)
Surety Rx (HMO-POS)
$0.00 $300.00 No $6,500 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 Winnebago county Wisconsin

Plan Name Monthly
Premium C+D
Part D
 Gap  Special Needs
Overall Rating
Allwell Dual Medicare (HMO SNP)
(H8189- 001)
   40 85  No Dual-Eligible
Anthem MediBlue Dual Advantage (HMO SNP)
(H9525- 003)
   40 405  Yes Dual-Eligible
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 Medicare Plan (HMO SNP)
(H2237- 001)
   40 405  No Dual-Eligible
Lakeland Care +Health (HMO SNP)
(H2237- 010)
   40 405  No Dual-Eligible
NetworkCares (PPO SNP)
(H5215- 007)
   40 335  No Dual-Eligible
UnitedHealthcare Assisted Living Plan (HMO-POS SNP)
(H5253- 064)
   37.4 200  No Institutional
UnitedHealthcare Dual Complete LP (HMO SNP)
(H5253- 024)
   24 405  No Dual-Eligible
UnitedHealthcare Dual Complete LP1 (HMO SNP)
(H3794- 002)
   28.1 405  No Dual-Eligible
UnitedHealthcare Nursing Home Plan (HMO-POS SNP)
(H5253- 007)
   40 405  No Institutional

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.

Call For A licensed Sales Agent


  • Mon-Fri 8:30am-8:00pm

Or Enroll Online Here

Call to Enroll!