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The 2023 Medicare Advantage Plans in Washington County WI.



2022 Washington County Wisconsin
Medicare Advantage Plans

There are 32 Medicare Advantage Plans available in Washington County WI from 8 different health insurance providers. 11 of these Medicare Advantage plans offer additional gap coverage. The plan with the lowest out of pocket expense is $3900 and the highest out of pocket is $7550. Washington County Wisconsin residents can also pick from 15 Medicare Special Needs Plans. The best Medicare Advantage plan in Washington County Wisconsin received a 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
Click
for
Formulary
AARP Medicare Advantage (HMO-POS)
(H5253-004)

$27.00$250.00$4,500YesBrowse
Formulary
AARP Medicare Advantage Open Plan 1 (PPO)
(H0294-004)

$47.00$325.00$5,900YesBrowse
Formulary
AARP Medicare Advantage Value (HMO-POS)
(H5253-033)

$0$275.00$4,900YesBrowse
Formulary
Aetna Medicare Premier (PPO)
(H5521-150)

$27.00$200.00$4,300YesBrowse
Formulary
Aetna Medicare Value (PPO)
(H5521-195)

$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)
(H9525-006)

$0$150.00$4,300YesBrowse
Formulary
Aurora Health Quartz Med Advantage Core D (w-Rx) (HMO)
(H5262-012)

$0$150.00$4,900YesBrowse
Formulary
Aurora Health Quartz Med Advantage Elite D (w-Rx) (HMO)
(H5262-024)

$71.00$150.00$3,900YesBrowse
Formulary
Aurora Health Quartz Med Advantage Value D (w-Rx) (HMO)
(H5262-011)

$30.00$150.00$4,400YesBrowse
Formulary
Humana Gold Choice H8145-006 (PFFS)
(H8145-006)

$78.00$480.00$-NoBrowse
Formulary
Humana Gold Plus H6622-002 (HMO)
(H6622-002)

$26.00$200.00$4,000NoBrowse
Formulary
Humana Gold Plus H6622-034 (HMO)
(H6622-034)

$0$300.00$4,500NoBrowse
Formulary
Humana Value Plus H5216-173 (PPO)
(H5216-173)

$34.80$390.00$6,700NoBrowse
Formulary
HumanaChoice H5216-001 (PPO)
(H5216-001)

$78.00$200.00$3,900NoBrowse
Formulary
HumanaChoice H5216-252 (PPO)
(H5216-252)

$0$300.00$4,900NoBrowse
Formulary
HumanaChoice H5216-253 (PPO)
(H5216-253)

$0$275.00$4,200NoBrowse
Formulary
HumanaChoice R5361-002 (Regional PPO)
(R5361-002)

$120.00$480.00$6,700NoBrowse
Formulary
Molina Medicare Choice Care (HMO)
(H2879-003)

$0$125.00$7,550NoBrowse
Formulary
Network Health Medicare Anywhere (PPO)
(H5215-010)

$35.00$250.00$4,500NoBrowse
Formulary
Network Health Medicare Explore (HMO)
(H5644-002)

$11.00$260.00$4,100NoNABrowse
Formulary
Network Health Medicare Go (PPO)
(H5215-009)

$0$195.00$4,500NoBrowse
Formulary


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Waukesha County Medicare Advantage





Medicare Advantage Health Plans Without Drug Coverage





2022 Medicare Special Needs Plans in Washington 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
Community Cares Partnership Program (HMO D-SNP) $42.30$480.0No Gap CoverageDual-EligibleNA
Humana Together in Health I-SNP (HMO I-SNP) $24.40$410.0No Gap CoverageInstitutional
Humana Together in Health IE-SNP (HMO I-SNP) $24.40$410.0No Gap CoverageInstitutional
iCare Medicare Plan (HMO D-SNP) $42.30$480.0No Gap CoverageDual-Eligible
Molina Medicare Complete Care (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
My Choice Wisconsin Partnership Plan (HMO D-SNP) $19.20$480.0No Gap CoverageDual-Eligible
UnitedHealthcare Assisted Living Plan (HMO-POS I-SNP) $42.30$200.0No Gap CoverageInstitutional
UnitedHealthcare Dual Complete LP (HMO D-SNP) $38.90$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
UnitedHealthcare Nursing Home Plan (HMO-POS I-SNP) $42.30$480.0No Gap CoverageInstitutional
Wellcare Dual Access (HMO D-SNP) $35.70$480.0Some GenericsDual-Eligible



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.