2021 Medicare Part-D Plans in Wisconsin

There are 31 Medicare Part-D Plans available in Wisconsin from 11 different health insurance providers. You can choose from 5 prescription drug plans offering additional gap coverage. The plan with the lowest monthly premium is $7.30 and the highest monthly premium is $132.30. The highest rated Part-D plan available in Wisconsin County received a 4 overall star rating from the CMS and the lowest rated plan is 2.5 stars.



(Click the Plan Name for More Details)
(⇅ Click the Header to Sort)

Plan Name Monthly
Premium
Annual
Deductible
Type Gap
Coverage
$0
Full LIS
Plan Rating
AARP MedicareRx Preferred (PDP)
(S5820-015)
$92.80 $0 Enhanced No No
AARP MedicareRx Saver Plus (PDP)
(S5921-361)
$40.00 $445.00 Basic No Yes
AARP MedicareRx Walgreens (PDP)
(S5921-397)
$32.00 $445.00 Enhanced No No
Anthem MediBlue Rx Enhanced (PDP)
(S5596-080)
$24.60 $290.00 Enhanced Yes No
Anthem MediBlue Rx Plus (PDP)
(S5596-057)
$54.30 $0 Enhanced No No
Anthem MediBlue Rx Standard (PDP)
(S5596-056)
$54.90 $320.00 Basic No No
Cigna Secure Rx (PDP)
(S5617-223)
$32.10 $445.00 Basic No Yes
Cigna Secure-Essential Rx (PDP)
(S5617-295)
$24.00 $445.00 Enhanced No No
Cigna Secure-Extra Rx (PDP)
(S5617-261)
$54.60 $100.00 Enhanced Yes No
Clear Spring Health Premier Rx (PDP)
(S6946-042)
$13.60 $445.00 Enhanced No No
Clear Spring Health Value Rx (PDP)
(S6946-013)
$29.30 $445.00 Basic No Yes
Elixir RxPlus (PDP)
(S7694-016)
$39.10 $445.00 Basic No Yes
Express Scripts Medicare - Choice (PDP)
(S5660-186)
$80.80 $100.00 Enhanced Yes No
Express Scripts Medicare - Saver (PDP)
(S5660-232)
$27.50 $285.00 Enhanced No No
Express Scripts Medicare - Value (PDP)
(S5660-118)
$31.60 $445.00 Basic No Yes
Humana Basic Rx Plan (PDP)
(S5884-139)
$37.90 $445.00 Basic No Yes
Humana Premier Rx Plan (PDP)
(S5884-162)
$63.30 $445.00 Enhanced No No
Humana Walmart Value Rx Plan (PDP)
(S5884-195)
$17.20 $445.00 Enhanced No No
Mutual of Omaha Rx Plus (PDP)
(S7126-015)
$86.60 $445.00 Basic No No
Mutual of Omaha Rx Premier (PDP)
(S7126-085)
$24.00 $445.00 Enhanced No No
SilverScript Choice (PDP)
(S5601-032)
$36.00 $205.00 Basic No Yes
SilverScript Plus (PDP)
(S5601-033)
$52.20 $0 Enhanced Yes No
SilverScript SmartRx (PDP)
(S5601-191)
$7.30 $445.00 Enhanced No No
WellCare Classic (PDP)
(S4802-097)
$33.90 $445.00 Basic No Yes
WellCare Medicare Rx Saver (PDP)
(S5810-050)
$39.50 $445.00 Basic No Yes
WellCare Medicare Rx Select (PDP)
(S5810-290)
$26.80 $300.00 Enhanced No No
WellCare Medicare Rx Value Plus (PDP)
(S5768-139)
$76.10 $0 Enhanced No No
WellCare Value Script (PDP)
(S4802-132)
$14.80 $445.00 Enhanced No No
WellCare Wellness Rx (PDP)
(S4802-185)
$14.60 $445.00 Enhanced No No
WPS MedicareRx Plan 1 (PDP)
(S5753-006)
$79.30 $445.00 Basic No No
WPS MedicareRx Plan 2 (PDP)
(S5753-007)
$132.30 $0 Enhanced Yes No

Return 2021 Medicare Part D Plans



Medicare in Wisconsin, 2021

2021 Part D:

9 stand-alone Medicare prescription drug plans and 40 Medicare Advantage plans with prescription drug coverage will offer lower out-of-pocket insulin costs through the Part D Senior Savings Model.

31 stand-alone Medicare prescription drug plans are available in 2021, compared to 30 plans in 2020. This represents a 3.30 percent change in plan options. All Medicare beneficiaries have access to a Medicare prescription drug plan.

100 percent of people with a stand-alone Medicare prescription drug plan have access to a plan with a lower premium than what they paid in 2020.

22 percent of people with a stand-alone Medicare prescription drug plan get Extra Help (also called the low-income subsidy, or LIS).

$7.30 is the lowest monthly premium for a stand-alone Medicare prescription drug plan.



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.

GAP

In 2021 once you and your plan provider have spent $4130 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. You will also receive discounted prescription drugs.

Full LIS

Plans that offer Full Low Income Subsidy (also called Extra Help). The amount of Extra Help a beneficiary receives depends on their income and resources. Most people who qualify for Full Low Income Subsidy will pay no premiums or deductibles and pay no more than the LIS drug coverage cost limit.



Source: CMS.gov
Plans as of September 9, 2020.
Plans are subject to change as contracts are finalized.
Includes 2021 approved contracts/plans. Employer sponsored 800 series plans and plans under sanction are excluded. For 2021, 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.

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