Health Insurance Online
(888) 309-1425

Wisconsin MedicareAdvantage Plans

Are you 64 or older?

Medicare Advantage Plans in Winnebago County, Wisconsin

Below are Medicare Advantage plans available to residents of Winnebago county, Wisconsin. 7 carriers offer 22 plans throughout the county of Winnebago. Residents may choose plans from carriers such as iCare, Anthem Blue Cross and Blue Shield and Network Platinum Medicare Advantage Plans. 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 Winnebago county that is right for you complete the form at the top of the page.

Medicare Advantage Health Plans in the county of Winnebago

Carrier Plan Title Plan Type
iCare iCare Medicare Plan (HMO SNP) (H2237-001) 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.
    • $6 700 out-of-pocket limit for Medicare-covered services.*
    • $36.7 monthly plan premium in addition to your monthly Medicare Part B premium.*

    Doctor Office Visits

    • 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 in-area network urgent care Medicare-covered visit*
    • 0% or 0% to 20% of the cost for each specialist visit for Medicare-covered benefits.*
    Anthem Blue Cross and Blue Shield Anthem Medicare Preferred Select (PPO) (H4036-003) Local Preferred Provider Organization

      Premium and Other Important Information

      • Package: 1 - Preventive Dental Package:
      • Package: 2 - Comprehensive Dental and Vision Package:
      • Package: 3 - Combination Package:
      • $12 monthly premium in addition to your $36 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental
      • $30 monthly premium in addition to your $36 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental Comprehensive Dental Eye Exams Eye Wear
      • $43 monthly premium in addition to your $36 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Chiropractic Services Acupuncture Preventive Dental Compre
      • $3 400 out-of-pocket limit. All plan services included.
      • $36 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

      • $5 copay for each primary care doctor visit for Medicare-covered benefits.
      • $20 copay for each in-area network urgent care Medicare-covered visit
      • $20 copay for each specialist visit for Medicare-covered benefits.
      • $15 to $20 copay for each primary care doctor visit
      • $30 copay for each specialist visit
      Anthem Blue Cross and Blue Shield Anthem Medicare Preferred Core (PPO) (H4036-004) Local Preferred Provider Organization

        Premium and Other Important Information

        • Package: 1 - Preventive Dental Package:
        • Package: 2 - Comprehensive Dental and Vision Package:
        • Package: 3 - Combination Package:
        • $12 monthly premium in addition to your $0 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental
        • $30 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 Eye Exams Eye Wear
        • $43 monthly premium in addition to your $0 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Chiropractic Services Acupuncture Preventive Dental Compreh
        • $4 500 out-of-pocket limit. All plan services included.
        • $0 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

        • $0 copay for each primary care doctor visit for Medicare-covered benefits.
        • $45 copay for each in-area network urgent care Medicare-covered visit
        • $45 copay for each specialist visit for Medicare-covered benefits.
        • $35 to $45 copay for each primary care doctor visit
        • $50 copay for each specialist visit
        Network Platinum Medicare Advantage Plans Network PlatinumPlus (PPO) (H5215-001) Local Preferred Provider Organization

          Premium and Other Important Information

          • $2 700 out-of-pocket limit for Medicare-covered services and select Non-Medicare Supplemental Services. Contact plan for details regarding Non-Medicare Supplemental Services covered under this limit.
          • $2 700 out-of-pocket limit for Medicare-covered services and select Non-Medicare Supplemental Services. Contact plan for details regarding Non-Medicare Supplemental Services covered under this limit.
          • $36.00 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
          • 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.
          • $10 copay for each in-area network urgent care Medicare-covered visit
          • $25 copay for each specialist visit for Medicare-covered benefits.
          • $20 copay for each primary care doctor visit
          • $35 copay for each specialist visit
          Network Platinum Medicare Advantage Plans Network PlatinumPlus Pharmacy (PPO) (H5215-002) Local Preferred Provider Organization

            Premium and Other Important Information

            • $2 700 out-of-pocket limit for Medicare-covered services and select Non-Medicare Supplemental Services. Contact plan for details regarding Non-Medicare Supplemental Services covered under this limit.
            • $2 700 out-of-pocket limit for Medicare-covered services and select Non-Medicare Supplemental Services. Contact plan for details regarding Non-Medicare Supplemental Services covered under this limit.
            • $74 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.
            • $10 copay for each in-area network urgent care Medicare-covered visit
            • $25 copay for each specialist visit for Medicare-covered benefits.
            • $20 copay for each primary care doctor visit
            • $35 copay for each specialist visit
            Network Platinum Medicare Advantage Plans Network PlatinumPremier Pharmacy (PPO) (H5215-005) Local Preferred Provider Organization

              Premium and Other Important Information

              • $2 000 out-of-pocket limit for Medicare-covered services and select Non-Medicare Supplemental Services. Contact plan for details regarding Non-Medicare Supplemental Services covered under this limit.
              • $2 000 out-of-pocket limit for Medicare-covered services and select Non-Medicare Supplemental Services. Contact plan for details regarding Non-Medicare Supplemental Services covered under this limit.
              • $135 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

              • $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.
              • $15 copay for each specialist visit for Medicare-covered benefits.
              • $20 copay for each primary care doctor visit
              • $25 copay for each specialist visit
              Network Platinum Medicare Advantage Plans Network PlatinumPremier (PPO) (H5215-006) Local Preferred Provider Organization

                Premium and Other Important Information

                • $2 000 out-of-pocket limit for Medicare-covered services and select Non-Medicare Supplemental Services. Contact plan for details regarding Non-Medicare Supplemental Services covered under this limit.
                • $2 000 out-of-pocket limit for Medicare-covered services and select Non-Medicare Supplemental Services. Contact plan for details regarding Non-Medicare Supplemental Services covered under this limit.
                • $77.00 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
                • 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

                • $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.
                • $15 copay for each specialist visit for Medicare-covered benefits.
                • $20 copay for each primary care doctor visit
                • $25 copay for each specialist visit
                Network Platinum Medicare Advantage Plans NetworkCares (PPO SNP) (H5215-007) Local Preferred Provider Organization

                  Premium and Other Important Information

                  • * Depending on your level of Medicaid eligibility you may not have any cost-sharing responsibility for original Medicare services
                  • ** Please consult with your plan about cost sharing when receiving services from out-of-network providers.
                  • $6 700 out-of-pocket limit for Medicare-covered services and select Non-Medicare Supplemental Services. Contact plan for details regarding Non-Medicare Supplemental Services covered under this limit.*
                  • In 2012 the annual Part B deductible amount is $0 or $140 .* Contact the plan for services that apply.
                  • $10 000 out-of-pocket limit for Medicare-covered services and select Non-Medicare Supplemental Services. Contact plan for details regarding Non-Medicare Supplemental Services covered under this limit.*
                  • $36.7 monthly plan premium in addition to your monthly Medicare Part B premium.*
                  • 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

                  • 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 in-area network urgent care Medicare-covered visit*
                  • 0% or 0% to 20% of the cost for each specialist visit for Medicare-covered benefits.*
                  • 0% to 20% of the cost for each primary care doctor visit**
                  • 0% to 20% of the cost for each specialist visit**
                  Network Platinum Medicare Advantage Plans Network PlatinumSelect (PPO) (H5215-008) Local Preferred Provider Organization

                    Premium and Other Important Information

                    • $2 900 out-of-pocket limit for Medicare-covered services and select Non-Medicare Supplemental Services. Contact plan for details regarding Non-Medicare Supplemental Services covered under this limit.
                    • $2 900 out-of-pocket limit for Medicare-covered services and select Non-Medicare Supplemental Services. Contact plan for details regarding Non-Medicare Supplemental Services covered under this limit.
                    • $0 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

                    • $15 copay for each primary care doctor visit for Medicare-covered benefits.
                    • $25 copay for each in-area network urgent care Medicare-covered visit
                    • $30 copay for each specialist visit for Medicare-covered benefits.
                    • $20 copay for each primary care doctor visit
                    • $35 copay for each specialist visit
                    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
                      UnitedHealthcare UnitedHealthcare Nursing Home Plan (HMO-POS SNP) (H5253-007) HMO with POS Option

                        Premium and Other Important Information

                        • $5 000 out-of-pocket limit for Medicare-covered services.
                        • $35.3 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.
                        • 20% of the cost for each in-area network urgent care Medicare-covered visit
                        • 0% to 20% of the cost for each specialist visit for Medicare-covered benefits.
                        UnitedHealthcare AARP MedicareComplete Plus (HMO-POS) (H5253-011) HMO with POS Option

                          Premium and Other Important Information

                          • $3 400 out-of-pocket limit for Medicare-covered services.
                          • $0 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

                          • $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.
                          UnitedHealthcare UnitedHealthcare Dual Complete LP (HMO SNP) (H5253-024) 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.
                            • $6 700 out-of-pocket limit for Medicare-covered services.*
                            • $36.7 monthly plan premium in addition to your monthly Medicare Part B premium.*

                            Doctor Office Visits

                            • 0% or 20% of the cost for each primary care doctor visit for Medicare-covered benefits.*
                            • 0% or 20% of the cost for each in-area network urgent care Medicare-covered visit*
                            • 0% or 20% of the cost for each specialist visit for Medicare-covered benefits.*
                            Universal American Corp. Today's Options Advantage Plus 450B (PPO) (H5378-183) Local Preferred Provider Organization

                              Premium and Other Important Information

                              • $6 700 out-of-pocket limit for Medicare-covered services.
                              • $36 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

                              • $25 copay for each primary care doctor visit for Medicare-covered benefits.
                              • $35 copay for each in-area network urgent care Medicare-covered visit
                              • $50 copay for each specialist visit for Medicare-covered benefits.
                              • $30 copay for each primary care doctor visit
                              • $60 copay for each specialist visit
                              Universal American Corp. Today's Options Advantage Plus 250A (PPO) (H5378-199) Local Preferred Provider Organization

                                Premium and Other Important Information

                                • $3 250 out-of-pocket limit for Medicare-covered services.
                                • $52 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

                                • $5 copay for each primary care doctor visit for Medicare-covered benefits.
                                • $35 copay for each in-area network urgent care Medicare-covered visit
                                • $30 copay for each specialist visit for Medicare-covered benefits.
                                • $10 copay for each primary care doctor visit
                                • $40 copay for each specialist visit
                                Universal American Corp. Today's Options Premier 400 (PFFS) (H6169-012) Private Fee for Service

                                  Premium and Other Important Information

                                  • $6 700 out-of-pocket limit for Medicare-covered services.
                                  • $20.00 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.
                                  • $25 copay for each primary care doctor visit for Medicare-covered benefits.
                                  • $35 copay for each in-area network urgent care Medicare-covered visit
                                  • $50 copay for each specialist visit for Medicare-covered benefits.
                                  • $30 copay for each primary care doctor visit
                                  • $60 copay for each specialist visit
                                  Universal American Corp. Today's Options Premier Plus 450B (PFFS) (H6169-032) Private Fee for Service

                                    Premium and Other Important Information

                                    • $6 700 out-of-pocket limit for Medicare-covered services.
                                    • $59 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.
                                    • $25 copay for each primary care doctor visit for Medicare-covered benefits.
                                    • $35 copay for each in-area network urgent care Medicare-covered visit
                                    • $50 copay for each specialist visit for Medicare-covered benefits.
                                    • $30 copay for each primary care doctor visit
                                    • $60 copay for each specialist visit
                                    Universal American Corp. Today's Options Premier 200 (PFFS) (H6169-050) Private Fee for Service

                                      Premium and Other Important Information

                                      • $3 250 out-of-pocket limit for Medicare-covered services.
                                      • $50.00 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.
                                      • $5 copay for each primary care doctor visit for Medicare-covered benefits.
                                      • $35 copay for each in-area network urgent care Medicare-covered visit
                                      • $30 copay for each specialist visit for Medicare-covered benefits.
                                      • $10 copay for each primary care doctor visit
                                      • $40 copay for each specialist visit
                                      Universal American Corp. Today's Options Premier Plus 250A (PFFS) (H6169-054) Private Fee for Service

                                        Premium and Other Important Information

                                        • $3 250 out-of-pocket limit for Medicare-covered services.
                                        • $112 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.
                                        • $5 copay for each primary care doctor visit for Medicare-covered benefits.
                                        • $35 copay for each in-area network urgent care Medicare-covered visit
                                        • $30 copay for each specialist visit for Medicare-covered benefits.
                                        • $10 copay for each primary care doctor visit
                                        • $40 copay for each specialist visit
                                        Humana WisconsinHealth Organization Insurance Corp Humana Gold Plus H6622-001 (HMO-POS) (H6622-001) HMO with POS Option

                                          Premium and Other Important Information

                                          • Package: 1 - MyOption Vision:
                                          • Package: 2 - MyOption Enhanced Dental HMO:
                                          • $15 monthly premium in addition to your $0 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Eye Exams Eye Wear
                                          • $35 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
                                          • $290 plan coverage limit every year for these benefits.
                                          • $3 400 out-of-pocket limit for Medicare-covered services.
                                          • $0 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

                                          • Authorization rules may apply.
                                          • $10 copay for each primary care doctor visit for Medicare-covered benefits.
                                          • $20 copay for each in-area network urgent care Medicare-covered visit
                                          • $20 [or 20% of the cost] for each specialist visit for Medicare-covered benefits.
                                          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

                                              Wisconsin Plan Data by County

                                              Wisconsin Plan Data by City

                                              ©2012 Health Insurance Online. All rights reserved.