2020 Kewaunee County Wisconsin
Medicare Advantage Plans

There are 30 Medicare Advantage Plans available in Kewaunee County WI from 8 different health insurance providers. 3 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. Kewaunee County Wisconsin residents can also pick from 10 Medicare Special Needs Plans. The highest rated plan available in Kewaunee 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)
(⇅ Click the Header to Sort)

Name ⇅ Premium Deductible MOOP Gap Plan
Rating
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AARP Medicare Advantage (HMO-POS)
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$27.00 $245.00 $4,200 NoEnroll
AARP Medicare Advantage Value (HMO-POS)
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$0 $355.00 $4,900 NoEnroll
AARP Medicare Advantage Walgreens (PPO)
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$0 $245.00 $4,500 NoEnroll
Anthem MediBlue Access (PPO)
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$27.00 $95.00 $4,500 YesEnroll
Anthem MediBlue Plus (HMO)
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$0 $150.00 $4,300 YesEnroll
HealthPartners Robin Birch (PPO)
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$0 $200.00 $5,100 NoEnroll
HealthPartners Robin Maple (PPO)
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$20.00 $200.00 $3,600 YesEnroll
Humana Value Plus H5216-173 (PPO)
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$26.70 $410.00 $6,700 NoEnroll
HumanaChoice H5216-001 (PPO)
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$86.00 $325.00 $6,700 NoEnroll
HumanaChoice R5361-002 (Regional PPO)
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$139.00 $420.00 $6,700 NoEnroll
Network PlatinumChoice (PPO)
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$28.00 $260.00 $4,500 NoEnroll
Network PlatinumPlus Pharmacy (PPO)
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$123.00 $260.00 $3,400 NoEnroll
Network PlatinumPremier Pharmacy (PPO)
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$296.00 $260.00 $3,400 NoEnroll
Network PlatinumSelect (PPO)
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$0 $395.00 $5,900 NoEnroll
Prevea360 Medicare Advantage Assurance (HMO)
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$25.00 $300.00 $4,000 NoEnroll
Prevea360 Medicare Advantage Balance (HMO)
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$85.00 $200.00 $3,000 NoEnroll
Prevea360 Medicare Advantage Complete (HMO)
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$226.00 $0 $400 NoEnroll
Prevea360 Medicare Advantage Essential (HMO)
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$0 $435.00 $5,000 NoEnroll
Promise Rx (HMO-POS)
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$68.00 $270.00 $3,000 NoEnroll
Surety Rx (HMO-POS)
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$0 $330.00 $6,500 NoEnroll
UnitedHealthcare Medicare Advantage Open (PPO)
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$47.00 $325.00 $5,900 NoEnroll


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Medicare Advantage Health Plans Without Drug Coverage

Plan Name ⇅ Premium Type MOOP Overall
Rating
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AARP Medicare Advantage Essential (HMO-POS)
$0 Local HMO * $4,900 Enroll
Allwell Medicare Essentials (HMO)
$0 Local HMO * $4,900
Anthem MediBlue Access Core (PPO)
$0 Local PPO * $5,900
HumanaChoice H5216-178 (PPO)
$0 Local PPO * $6,700
HumanaChoice R5361-001 (Regional PPO)
$0 Regional PPO * $6,700 Enroll
Network PlatinumPlus (PPO)
$61.00 Local PPO * $3,400
Network PlatinumPremier (PPO)
$195.00 Local PPO * $3,400
NetworkPrime (MSA)
MSA * $- NA
Secure Saver (MSA)
MSA * $- NA





2020 Medicare Special Needs Plans in Kewaunee county Wisconsin

Plan Name ⇅ Monthly
Premium
Part D
Deductible
 Gap  Special Needs
Type
Overall
Rating
Allwell Dual Medicare (HMO D-SNP)     $37.90 $225.0  Yes Dual-Eligible
Anthem MediBlue Dual Advantage (HMO D-SNP)     $33.40 $435.0  Yes Dual-Eligible
Care Wisconsin Medicare Dual Advantage Plan (HMO D-SNP)     $22.70 $435.0  No Dual-Eligible
iCare Medicare Plan (HMO D-SNP)     $39.90 $435.0  No Dual-Eligible
Molina Medicare Complete Care (HMO D-SNP)     $38.50 $435.0  No Dual-Eligible
NetworkCares (PPO D-SNP)     $39.90 $420.0  No Dual-Eligible
UnitedHealthcare Assisted Living Plan (PPO I-SNP)     $19.90 $200.0  No Institutional
UnitedHealthcare Dual Complete LP (HMO D-SNP)     $24.70 $435.0  No Dual-Eligible
UnitedHealthcare Dual Complete LP1 (HMO D-SNP)     $24.30 $435.0  No Dual-Eligible
UnitedHealthcare Medicare Advantage Assist (PPO C-SNP)     $14.00 $300.0  No Chronic or Disabling Condition



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 2020 once you and your plan provider have spent $4020 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 25% 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 3, 2019.
Star Rating as of October 11, 2019.
For More Information on Ratings Please See the CMS Tech Notes.
Plans are subject to change as contracts are finalized.
Includes 2020 approved contracts. Employer sponsored 800 series and plans under sanction are excluded. For 2020, 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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