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The 2023 Medicare Advantage Plans in Green County WI.



2022 Green County Wisconsin
Medicare Advantage Plans

There are 35 Medicare Advantage Plans available in Green County WI from 8 different health insurance providers. 15 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. Green County Wisconsin residents can also pick from 6 Medicare Special Needs Plans. The best Medicare Advantage plan in Green County Wisconsin received a 5 overall star rating from CMS and the lowest rated plan is 4 stars.



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

Name ⇅ Premium Deductible MOOP Gap Plan
Rating
Click
for
Formulary
AARP Medicare Advantage (HMO-POS)
(H5253-030)

$29.00$295.00$4,900YesBrowse
Formulary
AARP Medicare Advantage Open Plan 1 (PPO)
(H0294-004)

$47.00$325.00$5,900YesBrowse
Formulary
AARP Medicare Advantage Open Plan 2 (PPO)
(H0294-016)

$29.00$290.00$4,200YesBrowse
Formulary
AARP Medicare Advantage Value (HMO-POS)
(H5253-097)

$0$405.00$5,900YesBrowse
Formulary
Aetna Medicare Value (PPO)
(H5521-289)

$0$200.00$4,975YesBrowse
Formulary
Anthem MediBlue Access (PPO)
(H4036-008)

$27.00$95.00$4,500YesBrowse
Formulary
Anthem MediBlue Access Plus (PPO)
(H4036-020)

$0$225.00$4,700YesBrowse
Formulary
Anthem MediBlue Plus (HMO)
(H9525-004)

$0$175.00$4,400YesBrowse
Formulary
Ascend Rx (HMO-POS)
(H5211-013)

$40.00$330.00$4,500NoBrowse
Formulary
Dean Advantage Assurance (HMO-POS)
(H9096-001)

$40.00$150.00$4,500YesBrowse
Formulary
Dean Advantage Balance (HMO-POS)
(H9096-002)

$82.00$100.00$3,500YesBrowse
Formulary
Dean Advantage Complete (HMO)
(H9096-005)

$251.00$0$2,000YesBrowse
Formulary
Dean Advantage Essential (HMO)
(H9096-004)

$0$250.00$6,500YesBrowse
Formulary
Essence Rx (HMO-POS)
(H5211-002)

$88.00$330.00$3,400NoBrowse
Formulary
Esteem Rx (HMO-POS)
(H5211-012)

$0$250.00$5,000NoBrowse
Formulary
Humana Value Plus H5216-173 (PPO)
(H5216-173)

$34.80$390.00$6,700NoBrowse
Formulary
HumanaChoice H5216-006 (PPO)
(H5216-006)

$46.00$250.00$5,500NoBrowse
Formulary
HumanaChoice H5216-168 (PPO)
(H5216-168)

$119.00$250.00$3,500NoBrowse
Formulary
HumanaChoice R5361-002 (Regional PPO)
(R5361-002)

$120.00$480.00$6,700NoBrowse
Formulary
Spirit Rx (HMO-POS)
(H5211-004)

$229.00$0$1,200NoBrowse
Formulary
UW Health Quartz Med Advantage Core D (w-Rx) (HMO)
(H5262-023)

$0$0$5,600YesBrowse
Formulary
UW Health Quartz Med Advantage Elite D (w-Rx) (HMO)
(H5262-007)

$101.00$0$3,450YesBrowse
Formulary
UW Health Quartz Med Advantage Value D (w-Rx) (HMO)
(H5262-008)

$51.00$0$4,900YesBrowse
Formulary


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Green Lake County Medicare Advantage





Medicare Advantage Health Plans Without Drug Coverage





2022 Medicare Special Needs Plans in Green county Wisconsin

Plan Name ⇅ Monthly
Premium
Part D
Deductible
 Gap  Special Needs
Type
Overall
Rating
Anthem MediBlue Dual Advantage (HMO D-SNP) $40.50$480.0No Gap CoverageDual-Eligible
Anthem MediBlue Dual Connect (HMO D-SNP) $41.90$480.0Some GenericsDual-Eligible
iCare Medicare Plan (HMO D-SNP) $42.30$480.0No Gap CoverageDual-Eligible
My Choice Wisconsin Medicare Dual Advantage Plan (HMO D-S $30.50$480.0No Gap CoverageDual-Eligible
UnitedHealthcare Dual Complete LP1 (HMO D-SNP) $42.30$480.0No Gap CoverageDual-Eligible
UnitedHealthcare Medicare Advantage Assist (PPO C-SNP) $14.00$300.0Some GenericsChronic or Disabling Condition



Plan Type Is the type of organization offering the Medicare Plan.

  • 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
  • Many - Many Generics and Some Brands
  • Some - Some Generics and Few Brands

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 1, 2021.
Plans are subject to change as contracts are finalized.
Includes 2022 approved contracts. Employer sponsored 800 series and plans under sanction are excluded. For 2022, 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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MedicareHelp.org is a privately-owned Non-governmental agency. The government website can be found at HealthCare.gov.

Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Program (SHIP) to get information on all of your options. Enrollment depends on the plan’s contract renewal.

Every year, Medicare evaluates plans based on a 5-star rating system.