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Wisconsin MedicareAdvantage Plans

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Medicare Advantage Plans in Marathon County, Wisconsin

Below are Medicare Advantage plans available to residents of Marathon county, Wisconsin. 3 carriers offer 10 plans throughout the county of Marathon. Residents may choose plans from Security Health Plan of Wisconsin Inc., Humana Insurance Company or Advantage by Managed Health Services. 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. To speak to an advisor and find the Medicare Advantage plan in Marathon county that is right for you complete the form at the top of the page.

Medicare Advantage Health Plans in the county of Marathon

Carrier Plan Title Plan Type
Security Health Plan of Wisconsin Inc. Advocare Spirit (HMO-POS) (H5211-001) HMO with POS Option

    Premium and Other Important Information

    • $900 out-of-pocket limit. All plan services included.
    • $5 000 annual deductible. Contact the plan for services that apply.
    • $5 000 out-of-pocket limit. All plan services included.
    • $118.00 monthly plan premium in addition to your monthly Medicare Part B premium.
    • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay a higher premium because of their yearly income (over $85 000 for singles $170 000 for married couples). For more i

    Doctor Office Visits

    • $0 copay for each primary care doctor visit for Medicare-covered benefits.
    • $0 copay for the cost of each in-area network urgent care Medicare-covered visit.
    • $20 copay for each specialist visit for Medicare-covered benefits.
    Security Health Plan of Wisconsin Inc. Advocare Essence Rx (HMO-POS) (H5211-002) HMO with POS Option

      Premium and Other Important Information

      • $3 400 out-of-pocket limit. All plan services included.
      • $5 000 annual deductible. Contact the plan for services that apply.
      • $5 000 out-of-pocket limit. All plan services included.
      • $39 monthly plan premium in addition to your monthly Medicare Part B premium.
      • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co

      Doctor Office Visits

      • $0 copay for each primary care doctor visit for Medicare-covered benefits.
      • $0 copay for the cost of each in-area network urgent care Medicare-covered visit.
      • $20 copay for each specialist visit for Medicare-covered benefits.
      Security Health Plan of Wisconsin Inc. Advocare Essence (HMO-POS) (H5211-003) HMO with POS Option

        Premium and Other Important Information

        • $3 400 out-of-pocket limit. All plan services included.
        • $5 000 annual deductible. Contact the plan for services that apply.
        • $5 000 out-of-pocket limit. All plan services included.
        • $0.00 monthly plan premium in addition to your monthly Medicare Part B premium.
        • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay a higher premium because of their yearly income (over $85 000 for singles $170 000 for married couples). For more i

        Doctor Office Visits

        • $0 copay for each primary care doctor visit for Medicare-covered benefits.
        • $0 copay for the cost of each in-area network urgent care Medicare-covered visit.
        • $20 copay for each specialist visit for Medicare-covered benefits.
        Security Health Plan of Wisconsin Inc. Advocare Spirit Rx (HMO-POS) (H5211-004) HMO with POS Option

          Premium and Other Important Information

          • $900 out-of-pocket limit. All plan services included.
          • $5 000 annual deductible. Contact the plan for services that apply.
          • $5 000 out-of-pocket limit. All plan services included.
          • $167 monthly plan premium in addition to your monthly Medicare Part B premium.
          • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co

          Doctor Office Visits

          • $0 copay for each primary care doctor visit for Medicare-covered benefits.
          • $0 copay for the cost of each in-area network urgent care Medicare-covered visit.
          • $20 copay for each specialist visit for Medicare-covered benefits.
          Security Health Plan of Wisconsin Inc. Advocare Vitality Rx (HMO-POS) (H5211-005) HMO with POS Option

            Premium and Other Important Information

            • In this plan you will have no cost sharing responsibility for Medicare-covered services and Non-Medicare Supplemental Services.
            • $5 000 annual deductible. Contact the plan for services that apply.
            • $5 000 out-of-pocket limit. All plan services included.
            • $254 monthly plan premium in addition to your monthly Medicare Part B premium.
            • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co

            Doctor Office Visits

            • $0 copay for each primary care doctor visit for Medicare-covered benefits.
            • $0 copay for the cost of each in-area network urgent care Medicare-covered visit.
            • $0 copay for each specialist doctor visit for Medicare-covered benefits.
            Security Health Plan of Wisconsin Inc. Advocare Vitality (HMO-POS) (H5211-006) HMO with POS Option

              Premium and Other Important Information

              • In this plan you will have no cost sharing responsibility for Medicare-covered services and Non-Medicare Supplemental Services.
              • $5 000 annual deductible. Contact the plan for services that apply.
              • $5 000 out-of-pocket limit. All plan services included.
              • $192.00 monthly plan premium in addition to your monthly Medicare Part B premium.
              • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay a higher premium because of their yearly income (over $85 000 for singles $170 000 for married couples). For more i

              Doctor Office Visits

              • $0 copay for each primary care doctor visit for Medicare-covered benefits.
              • $0 copay for the cost of each in-area network urgent care Medicare-covered visit.
              • $0 copay for each specialist doctor visit for Medicare-covered benefits.
              Humana Insurance Company HumanaChoice H5216-003 (PPO) (H5216-003) Local Preferred Provider Organization

                Premium and Other Important Information

                • $4 500 out-of-pocket limit for Medicare-covered services.
                • $6 000 out-of-pocket limit for Medicare-covered services.
                • $41 monthly plan premium in addition to your monthly Medicare Part B premium.
                • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co
                • Some physicians providers and suppliers that are out of a plan's network (i.e. out-of-network) accept "assignment" from Medicare and will only charge up to a Medicare-approved amount. If you choose to see an out-of-network physician who does NOT accept

                Doctor Office Visits

                • $10 copay for each primary care doctor visit for Medicare-covered benefits.
                • $30 copay for each in-area network urgent care Medicare-covered visit
                • $30 copay for each specialist visit for Medicare-covered benefits.
                • $35 copay for each primary care doctor visit
                • $35 copay for each specialist visit
                Humana Insurance Company Humana Gold Choice H8145-006 (PFFS) (H8145-006) Private Fee for Service

                  Premium and Other Important Information

                  • Package: 1 - MyOption Dental High PPO:
                  • Package: 2 - MyOption Dental Low PPO:
                  • Package: 3 - MyOption Vision:
                  • Package: 4 - MyOption Plus:
                  • $31 monthly premium in addition to your $61 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental Comprehensive Dental
                  • $19 monthly premium in addition to your $61 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental Comprehensive Dental
                  • $15 monthly premium in addition to your $61 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Eye Exams Eye Wear
                  • $30 monthly premium in addition to your $61 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental Comprehensive Dental Eye Exams Eye Wear
                  • $1 500 plan coverage limit every year for these benefits.
                  • $1 000 plan coverage limit every year for these benefits.
                  • $290 plan coverage limit every year for these benefits.
                  • $6 000 out-of-pocket limit for Medicare-covered services.
                  • $61 monthly plan premium in addition to your monthly Medicare Part B premium.
                  • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co
                  • This plan does not allow providers to balance bill (charging more than your cost share amount).

                  Doctor Office Visits

                  • You may go to any doctor specialist or hospital that accepts the plan's terms and conditions of payment.
                  • $15 copay for each primary care doctor visit for Medicare-covered benefits.
                  • $35 copay for each in-area network urgent care Medicare-covered visit
                  • $35 copay for each specialist visit for Medicare-covered benefits.
                  • $15 copay for each primary care doctor visit
                  • $35 copay for each specialist visit
                  Humana Insurance Company Humana Gold Choice H8145-121 (PFFS) (H8145-121) Private Fee for Service

                    Premium and Other Important Information

                    • Package: 1 - MyOption Dental High PPO:
                    • Package: 2 - MyOption Dental Low PPO:
                    • $31 monthly premium in addition to your $0 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental Comprehensive Dental
                    • $19 monthly premium in addition to your $0 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental Comprehensive Dental
                    • $1 500 plan coverage limit every year for these benefits.
                    • $1 000 plan coverage limit every year for these benefits.
                    • $5 000 out-of-pocket limit for Medicare-covered services.
                    • $0.00 monthly plan premium in addition to your monthly Medicare Part B premium.
                    • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay a higher premium because of their yearly income (over $85 000 for singles $170 000 for married couples). For more i
                    • This plan does not allow providers to balance bill (charging more than your cost share amount).

                    Doctor Office Visits

                    • You may go to any doctor specialist or hospital that accepts the plan's terms and conditions of payment.
                    • 15% of the cost for each primary care doctor visit for Medicare-covered benefits.
                    • 15% of the cost for each in-area network urgent care Medicare-covered visit
                    • 15% of the cost for each specialist visit for Medicare-covered benefits.
                    • 20% of the cost for each primary care doctor visit
                    • 20% of the cost for each specialist visit
                    Advantage by Managed Health Services Advantage by Managed Health Services (HMO SNP) (H8189-001) HMO

                      Premium and Other Important Information

                      • * Depending on your level of Medicaid eligibility you may not have any cost-sharing responsibility for original Medicare services
                      • In 2012 the annual Part B deductible amount is $0 or $140 .* Contact the plan for services that apply.
                      • ** Please consult with your plan about cost sharing when receiving services from out-of-network providers.
                      • $3 400 out-of-pocket limit. All plan services included.*
                      • $0 monthly plan premium in addition to your monthly Medicare Part B premium.*

                      Doctor Office Visits

                      • Authorization rules may apply.
                      • 0% or 0% to 20% of the cost for each primary care doctor visit for Medicare-covered benefits.*
                      • 0% or 0% to 20% of the cost for each specialist visit for Medicare-covered benefits.*

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