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The 2023 Medicare Advantage Plans in Vilas County WI.



2022 Vilas County Wisconsin
Medicare Advantage Plans

There are 19 Medicare Advantage Plans available in Vilas County WI from 5 different health insurance providers. 5 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. Vilas County Wisconsin residents can also pick from 4 Medicare Special Needs Plans. The best Medicare Advantage plan in Vilas County Wisconsin received a 5 overall star rating from CMS and the lowest rated plan is 4 stars.



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Return to 2022 Medicare Advantage Plans in Wisconsin

Walworth County Medicare Advantage





Medicare Advantage Health Plans Without Drug Coverage

Plan Name ⇅ Premium Type MOOP Overall
Rating
AARP Medicare Advantage Patriot Plan 1 (PPO)
(H0294-014)

$0Local PPO *$6,700
Anthem MediBlue Service (PPO)
(H4036-024)

$0Local PPO *$6,700
Essence (HMO-POS)
(H5211-003)

$18.00Local HMO *$3,400
Humana Honor (PPO)
(H5216-258)

$0Local PPO *$5,900
HumanaChoice R5361-001 (Regional PPO)
(R5361-001)

$0Regional PPO *$6,700
NetworkPrime (MSA)
(H1181-001)

MSA *$-NA
Secure Saver (MSA)
(H4388-001)

MSA *$-NA
Spirit (HMO-POS)
(H5211-001)

$150.00Local HMO *$1,200





2022 Medicare Special Needs Plans in Vilas 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
UnitedHealthcare Dual Complete LP1 (HMO D-SNP) $42.30$480.0No Gap CoverageDual-Eligible
UnitedHealthcare Medicare Advantage Assist (PPO C-SNP) $28.00$345.0Some 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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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.