Wisconsin MedicareAdvantage Plans
HEALTH PLANS FOR SENIORS
Medicare Advantage Plans in Wisconsin
Medicare Advantage plans in Wisconsin are similar to an HMO and PPO and provide seniors with another Medicare insurance option for coverage.Wisconsin Medicare Advantage plans, also called Part C or MA Plans are offered by private companies approved by Medicare. You can join, switch, or drop a Medicare Advantage Plan at these times:
- When you first become eligible for Medicare (3 months before you turn age 65 to 3 months after the month you turn age 65). If you get Medicare due to a disability, you can join during the 3 months before to 3 months after your 25th month of disability.
- Between November 15 – December 31 each year. If you sign up during this period your coverage will begin on January 1 of the following year.
- Between January 1 – March 31 of each year. However, you can't join or switch to a plan with prescription drug coverage during this time unless you already have Medicare prescription drug coverage (Part D). You also can't drop a plan with prescription drug coverage or join, switch, or drop a Medicare Medical Savings Account Plan during this period.
In most cases, you must stay enrolled for that calendar year starting the date your coverage begins. However, in certain situations, you may be able to join, switch, or drop a Medicare Advantage Plan at other times. Some of these situations include the following: If you move out of your plan's service area in Wisconsin, or if you have both Medicare and Medicaid.
Medicare Advantage Health Plans in Wisconsin
Below are Medicare Advantage plans available to residents of Wisconsin. 19 carriers offer 109 plans throughout the state of Wisconsin. Residents may choose plans from carriers such as Anthem Blue Cross and Blue Shield, Community Care and iCare. This data has been made available by the Centers for Medicare & Medicaid Services (CMS) and is for informational purposes only. Some data may be inaccurate or incomplete. Please note that plans can vary by city, county, and state and all plans listed may not be available in all areas.
| Carrier | Plan Title | Plan Type |
|---|---|---|
| Anthem Blue Cross and Blue Shield | SmartValue Classic (PFFS) (H0540-090) | Private Fee for Service |
| Anthem Blue Cross and Blue Shield | SmartValue Plus (PFFS) (H0540-091) | Private Fee for Service |
| Anthem Blue Cross and Blue Shield | SmartValue Classic (PFFS) (H1689-012) | Private Fee for Service |
| Anthem Blue Cross and Blue Shield | SmartValue Plus (PFFS) (H1689-013) | Private Fee for Service |
| Community Care | Community Care's Partnership Program (HMO SNP) (H2034-001) | HMO |
| Community Care | Community Care's Partnership Program Disabled (HMO SNP) (H2034-002) | HMO |
| iCare | iCare Medicare Plan (HMO SNP) (H2237-001) | HMO |
| iCare | iCare Family Care Partnership (HMO SNP) (H2237-007) | HMO |
| Medica Insurance Company | Medica Prime Solution Value Thrift with Rx (Cost) (H2450-007) | Cost Plan |
| Medica Insurance Company | Medica Prime Solution Basic with Standard Rx - WI (Cost) (H2450-008) | Cost Plan |
| Medica Insurance Company | Medica Prime Solution Enhanced w/Enhanced Rx - WI (Cost) (H2450-009) | Cost Plan |
| Medica Insurance Company | Medica Prime Solution Basic with Enhanced Rx - WI (Cost) (H2450-010) | Cost Plan |
| Medica Insurance Company | Medica Prime Solution Enhanced w/Standard Rx - WI (Cost) (H2450-011) | Cost Plan |
| Medica Insurance Company | Medica Prime Solution Basic with Thrift Rx - WI (Cost) (H2450-018) | Cost Plan |
| Medica Insurance Company | Medica Prime Solution Enhanced with Thrift Rx - WI (Cost) (H2450-019) | Cost Plan |
| Medica Insurance Company | Medica Prime Solution Value Plus w/Thrift Rx - WI (Cost) (H2450-024) | Cost Plan |
| Medica Insurance Company | Medica Prime Solution Value Plus with Std Rx - WI (Cost) (H2450-025) | Cost Plan |
| HealthPartners | HealthPartners Wisconsin Freedom Plan I (Cost) (H2462-015) | Cost Plan |
| HealthPartners | HealthPartners Wisconsin Freedom Plan II (Cost) (H2462-016) | Cost Plan |
| HealthPartners | HealthPartners Wisconsin Freedom Plan II Std Rx (Cost) (H2462-017) | Cost Plan |
| Humana Insurance Company | Humana Gold Choice H2944-065 (PFFS) (H2944-065) | Private Fee for Service |
| Humana Insurance Company | Humana Gold Choice H2944-198 (PFFS) (H2944-198) | Private Fee for Service |
| Anthem Blue Cross and Blue Shield | Anthem Medicare Preferred Select (PPO) (H4036-003) | Local Preferred Provider Organization |
| Anthem Blue Cross and Blue Shield | Anthem Medicare Preferred Core (PPO) (H4036-004) | Local Preferred Provider Organization |
| UCare | UCare for Seniors Value (HMO-POS) (H4270-001) | HMO with POS Option |
| UCare | UCare for Seniors Classic (HMO-POS) (H4270-002) | HMO with POS Option |
| UCare | UCare for Seniors Value Plus (HMO-POS) (H4270-003) | HMO with POS Option |
| UCare | UCare for Seniors Standard D (HMO-POS) (H4270-004) | HMO with POS Option |
| UnitedHealthcare Community Plan | UnitedHealthcare Dual Complete (HMO SNP) (H4837-001) | HMO |
| Community Health Partnership | Community Health Partnership (HMO SNP) (H5206-002) | HMO |
| Community Health Partnership | Community Health Partnership (HMO SNP) (H5206-003) | HMO |
| Community Care | Community Care's Partnership Program (HMO SNP) (H5207-001) | HMO |
| Care Wisconsin Health Plan Inc. | Partnership (HMO SNP) (H5209-002) | HMO |
| Advocare | Advocare Spirit (HMO-POS) (H5211-001) | HMO with POS Option |
| Advocare | Advocare Essence Rx (HMO-POS) (H5211-002) | HMO with POS Option |
| Advocare | Advocare Essence (HMO-POS) (H5211-003) | HMO with POS Option |
| Advocare | Advocare Spirit Rx (HMO-POS) (H5211-004) | HMO with POS Option |
| Advocare | Advocare Vitality Rx (HMO-POS) (H5211-005) | HMO with POS Option |
| Advocare | Advocare Vitality (HMO-POS) (H5211-006) | HMO with POS Option |
| Community Care | Community Care's PACE Program (PACE) (H5212-001) | National PACE |
| Community Care | Community Care's PACE Program (PACE) (H5212-002) | National PACE |
| Network Platinum Medicare Advantage Plans | Network PlatinumPlus (PPO) (H5215-001) | Local Preferred Provider Organization |
| Network Platinum Medicare Advantage Plans | Network PlatinumPlus Pharmacy (PPO) (H5215-002) | Local Preferred Provider Organization |
| Network Platinum Medicare Advantage Plans | Network PlatinumPremier Pharmacy (PPO) (H5215-005) | Local Preferred Provider Organization |
| Network Platinum Medicare Advantage Plans | Network PlatinumPremier (PPO) (H5215-006) | Local Preferred Provider Organization |
| Network Platinum Medicare Advantage Plans | Network Cares (PPO SNP) (H5215-007) | Local Preferred Provider Organization |
| Network Platinum Medicare Advantage Plans | Network PlatinumSelect (PPO) (H5215-008) | Local Preferred Provider Organization |
| Humana Insurance Company | HumanaChoice H5216-001 (PPO) (H5216-001) | Local Preferred Provider Organization |
| Humana Insurance Company | HumanaChoice H5216-003 (PPO) (H5216-003) | Local Preferred Provider Organization |
| Humana Insurance Company | HumanaChoice H5216-006 (PPO) (H5216-006) | Local Preferred Provider Organization |
| Humana Insurance Company | HumanaChoice H5216-007 (PPO) (H5216-007) | Local Preferred Provider Organization |
| SecureHorizons by UnitedHealthcare | AARP MedicareComplete Plus (HMO-POS) (H5253-004) | HMO with POS Option |
| SecureHorizons by UnitedHealthcare | Evercare Plan IH-POS (HMO-POS SNP) (H5253-007) | HMO with POS Option |
| SecureHorizons by UnitedHealthcare | AARP MedicareComplete Plus (HMO-POS) (H5253-011) | HMO with POS Option |
| SecureHorizons by UnitedHealthcare | AARP MedicareComplete Plus Essential (HMO-POS) (H5253-021) | HMO with POS Option |
| SecureHorizons by UnitedHealthcare | Evercare Plan DH (HMO SNP) (H5253-024) | HMO |
| SecureHorizons by UnitedHealthcare | AARP MedicareComplete Plus (HMO-POS) (H5253-028) | HMO with POS Option |
| Medical Associates Clinic Health Plan of Wisconsin | Medical Associates SmartPlan (Cost) (H5256-001) | Cost Plan |
| Medical Associates Clinic Health Plan of Wisconsin | Medical Associates Community Plan (Cost) (H5256-002) | Cost Plan |
| Medical Associates Clinic Health Plan of Wisconsin | Medical Associates Freedom Plan (Cost) (H5256-004) | Cost Plan |
| Gundersen Lutheran Health Plan Inc. | Gundersen Lutheran Senior Pref. Elite (w/RX) (HMO) (H5262-001) | HMO |
| Gundersen Lutheran Health Plan Inc. | Gundersen Lutheran Senior Pref. Value (w/RX) (HMO) (H5262-003) | HMO |
| Gundersen Lutheran Health Plan Inc. | Gundersen Lutheran Sr. Pref. Value (no RX) (HMO) (H5262-004) | HMO |
| Gundersen Lutheran Health Plan Inc. | Gundersen Lutheran Sr. Pref. Elite (no RX) (HMO) (H5262-005) | HMO |
| Dean Health Plan Inc. | DeanCare Gold Enhanced (Cost) (H5264-002) | Cost Plan |
| Dean Health Plan Inc. | DeanCare Gold Basic (Cost) (H5264-003) | Cost Plan |
| Dean Health Plan Inc. | DeanCare Gold Shared Value (Cost) (H5264-005) | Cost Plan |
| Universal American | Today's Options Advantage 250A powered by CCRx (PPO) (H5378-010) | Local Preferred Provider Organization |
| Universal American | Today's Options Advantage 950C powered by CCRx (PPO) (H5378-016) | Local Preferred Provider Organization |
| Universal American | Today's Options Advantage 150A powered by CCRx (PPO) (H5378-182) | Local Preferred Provider Organization |
| Universal American | Today's Options Advantage 750B powered by CCRx (PPO) (H5378-183) | Local Preferred Provider Organization |
| Universal American | Today's Options Advantage 850B powered by CCRx (PPO) (H5378-185) | Local Preferred Provider Organization |
| Universal American | Today's Options Advantage 650B powered by CCRx (PPO) (H5378-190) | Local Preferred Provider Organization |
| Universal American | Today's Options Premier 800 (PFFS) (H5421-046) | Private Fee for Service |
| Universal American | Today's Options Premier 800 (PFFS) (H5421-047) | Private Fee for Service |
| Universal American | Today's Options Premier 800 (PFFS) (H5421-049) | Private Fee for Service |
| Universal American | Today's Options Premier 800 (PFFS) (H5421-056) | Private Fee for Service |
| Universal American | Today's Options Premier 850B powered by CCRx (PFFS) (H5421-065) | Private Fee for Service |
| Universal American | Today's Options Premier 450A powered by CCRx (PFFS) (H5421-067) | Private Fee for Service |
| Universal American | Today's Options Premier 450A powered by CCRx (PFFS) (H5421-068) | Private Fee for Service |
| Universal American | Today's Options Premier 850B powered by CCRx (PFFS) (H5421-070) | Private Fee for Service |
| Universal American | Today's Options Premier 850E powered by CCRx (PFFS) (H5421-073) | Private Fee for Service |
| Universal American | Today's Options Premier 850F powered by CCRx (PFFS) (H5421-074) | Private Fee for Service |
| SecureHorizons by UnitedHealthcare | SecureHorizons MedicareDirect Essential (PFFS) (H5435-001) | Private Fee for Service |
| SecureHorizons by UnitedHealthcare | SecureHorizons MedicareDirect Rx (PFFS) (H5435-014) | Private Fee for Service |
| Universal American | Today's Options Premier 100 (PFFS) (H6169-001) | Private Fee for Service |
| Universal American | Today's Options Premier 600 (PFFS) (H6169-011) | Private Fee for Service |
| Universal American | Today's Options Premier 700 (PFFS) (H6169-012) | Private Fee for Service |
| Universal American | Today's Options Premier 800 (PFFS) (H6169-013) | Private Fee for Service |
| Universal American | Today's Options Premier 800 (PFFS) (H6169-014) | Private Fee for Service |
| Universal American | Today's Options Premier 800 (PFFS) (H6169-016) | Private Fee for Service |
| Universal American | Today's Options Premier 150A powered by CCRx (PFFS) (H6169-021) | Private Fee for Service |
| Universal American | Today's Options Premier 450A powered by CCRx (PFFS) (H6169-024) | Private Fee for Service |
| Universal American | Today's Options Premier 650B powered by CCRx (PFFS) (H6169-031) | Private Fee for Service |
| Universal American | Today's Options Premier 750B powered by CCRx (PFFS) (H6169-032) | Private Fee for Service |
| Universal American | Today's Options Premier 850F powered by CCRx (PFFS) (H6169-033) | Private Fee for Service |
| Universal American | Today's Options Premier 850E powered by CCRx (PFFS) (H6169-034) | Private Fee for Service |
| Universal American | Today's Options Premier 850D powered by CCRx (PFFS) (H6169-036) | Private Fee for Service |
| Humana Wisconsin Health Organization Insurance Cor | Humana Gold Plus H6622-001 (HMO-POS) (H6622-001) | HMO with POS Option |
| Humana Wisconsin Health Organization Insurance Cor | Humana Gold Plus H6622-002 (HMO-POS) (H6622-002) | HMO with POS Option |
| Care Wisconsin Health Plan Inc. | Partnership (HMO SNP) (H7475-001) | HMO |
| Humana Insurance Company | Humana Gold Choice H8145-006 (PFFS) (H8145-006) | Private Fee for Service |
| Humana Insurance Company | Humana Gold Choice H8145-007 (PFFS) (H8145-007) | Private Fee for Service |
| Humana Insurance Company | Humana Gold Choice H8145-110 (PFFS) (H8145-110) | Private Fee for Service |
| Humana Insurance Company | Humana Gold Choice H8145-121 (PFFS) (H8145-121) | Private Fee for Service |
| Advantage by Managed Health Services | Managed Health Services (HMO SNP) (H8189-001) | HMO |
| Universal American | Today's Health Classic powered by CCRx (HMO) (H8742-001) | HMO |
| Universal American | Today's Health Value (HMO) (H8742-003) | HMO |
| Universal American | Today's Health Premier powered by CCRx (HMO) (H8742-008) | HMO |
Wisconsin Plan Data by County
- Adams, WI Medicare Advantage Plans
- Ashland, WI Medicare Advantage Plans
- Barron, WI Medicare Advantage Plans
- Bayfield, WI Medicare Advantage Plans
- Brown, WI Medicare Advantage Plans
- Buffalo, WI Medicare Advantage Plans
- Burnett, WI Medicare Advantage Plans
- Calumet, WI Medicare Advantage Plans
- Chippewa, WI Medicare Advantage Plans
- Clark, WI Medicare Advantage Plans
- Columbia, WI Medicare Advantage Plans
- Crawford, WI Medicare Advantage Plans
- Dane, WI Medicare Advantage Plans
- Dodge, WI Medicare Advantage Plans
- Door, WI Medicare Advantage Plans
- Douglas, WI Medicare Advantage Plans
- Dunn, WI Medicare Advantage Plans
- Eau Claire, WI Medicare Advantage Plans
- Florence, WI Medicare Advantage Plans
- Fond Du Lac, WI Medicare Advantage Plans
- Forest, WI Medicare Advantage Plans
- Grant, WI Medicare Advantage Plans
- Green, WI Medicare Advantage Plans
- Green Lake, WI Medicare Advantage Plans
- Iowa, WI Medicare Advantage Plans
- Iron, WI Medicare Advantage Plans
- Jackson, WI Medicare Advantage Plans
- Jefferson, WI Medicare Advantage Plans
- Juneau, WI Medicare Advantage Plans
- Kenosha, WI Medicare Advantage Plans
- Kewaunee, WI Medicare Advantage Plans
- La Crosse, WI Medicare Advantage Plans
- Lafayette, WI Medicare Advantage Plans
- Langlade, WI Medicare Advantage Plans
- Lincoln, WI Medicare Advantage Plans
- Manitowoc, WI Medicare Advantage Plans
- Marathon, WI Medicare Advantage Plans
- Marinette, WI Medicare Advantage Plans
- Marquette, WI Medicare Advantage Plans
- Menominee, WI Medicare Advantage Plans
- Milwaukee, WI Medicare Advantage Plans
- Monroe, WI Medicare Advantage Plans
- Oconto, WI Medicare Advantage Plans
- Oneida, WI Medicare Advantage Plans
- Outagamie, WI Medicare Advantage Plans
- Ozaukee, WI Medicare Advantage Plans
- Pepin, WI Medicare Advantage Plans
- Pierce, WI Medicare Advantage Plans
- Polk, WI Medicare Advantage Plans
- Portage, WI Medicare Advantage Plans
- Price, WI Medicare Advantage Plans
- Racine, WI Medicare Advantage Plans
- Richland, WI Medicare Advantage Plans
- Rock, WI Medicare Advantage Plans
- Rusk, WI Medicare Advantage Plans
- Saint Croix, WI Medicare Advantage Plans
- Sauk, WI Medicare Advantage Plans
- Sawyer, WI Medicare Advantage Plans
- Shawano, WI Medicare Advantage Plans
- Sheboygan, WI Medicare Advantage Plans
- Taylor, WI Medicare Advantage Plans
- Trempealeau, WI Medicare Advantage Plans
- Vernon, WI Medicare Advantage Plans
- Vilas, WI Medicare Advantage Plans
- Walworth, WI Medicare Advantage Plans
- Washburn, WI Medicare Advantage Plans
- Washington, WI Medicare Advantage Plans
- Waukesha, WI Medicare Advantage Plans
- Waupaca, WI Medicare Advantage Plans
- Waushara, WI Medicare Advantage Plans
- Winnebago, WI Medicare Advantage Plans
- Wood, WI Medicare Advantage Plans
Wisconsin Plan Data by City
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