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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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| Name ⇅ | Premium | Deductible | MOOP | Gap | Plan Rating |
Click for Formulary |
|---|---|---|---|---|---|---|
| AARP Medicare Advantage Open (PPO) (H0294-011) | $41.00 | $385.00 | $5,700 | Yes | Browse Formulary | |
| AARP Medicare Advantage Open Premier (PPO) (H0294-012) | $112.00 | $100.00 | $4,200 | Yes | Browse Formulary | |
| Anthem MediBlue Access (PPO) (H4036-009) | $37.00 | $95.00 | $5,500 | Yes | Browse Formulary | |
| Anthem MediBlue Access Plus (PPO) (H4036-020) | $0 | $225.00 | $4,700 | Yes | Browse Formulary | |
| Anthem MediBlue Plus (HMO) (H9525-004) | $0 | $175.00 | $4,400 | Yes | Browse Formulary | |
| Ascend Rx (HMO-POS) (H5211-013) | $40.00 | $330.00 | $4,500 | No | Browse Formulary | |
| Essence Rx (HMO-POS) (H5211-002) | $88.00 | $330.00 | $3,400 | No | Browse Formulary | |
| Esteem Rx (HMO-POS) (H5211-012) | $0 | $250.00 | $5,000 | No | Browse Formulary | |
| Humana Gold Choice H8145-006 (PFFS) (H8145-006) | $78.00 | $480.00 | $- | No | Browse Formulary | |
| HumanaChoice R5361-002 (Regional PPO) (R5361-002) | $120.00 | $480.00 | $6,700 | No | Browse Formulary | |
| Spirit Rx (HMO-POS) (H5211-004) | $229.00 | $0 | $1,200 | No | Browse Formulary |
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) | $0 | Local PPO * | $6,700 | |
| Anthem MediBlue Service (PPO) (H4036-024) | $0 | Local PPO * | $6,700 | |
| Essence (HMO-POS) (H5211-003) | $18.00 | Local HMO * | $3,400 | |
| Humana Honor (PPO) (H5216-258) | $0 | Local PPO * | $5,900 | |
| HumanaChoice R5361-001 (Regional PPO) (R5361-001) | $0 | Regional PPO * | $6,700 | |
| NetworkPrime (MSA) (H1181-001) | MSA * | $- | NA | |
| Secure Saver (MSA) (H4388-001) | MSA * | $- | NA | |
| Spirit (HMO-POS) (H5211-001) | $150.00 | Local 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 | $480.0 | No Gap Coverage | Dual-Eligible | |
| Anthem MediBlue Dual Connect (HMO D-SNP) | $41.90 | $480.0 | Some Generics | Dual-Eligible | |
| UnitedHealthcare Dual Complete LP1 (HMO D-SNP) | $42.30 | $480.0 | No Gap Coverage | Dual-Eligible | |
| UnitedHealthcare Medicare Advantage Assist (PPO C-SNP) | $28.00 | $345.0 | Some Generics | Chronic 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.