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Wisconsin has more than 1.2 million Medicare beneficiaries. This places it in the top half for Medicare beneficiaries in the United States. [0] Centers for Medicare & Medicaid Services. Fact Sheet. Accessible Dec 5, 2022. . Medicare is the federal insurance program that covers people 65 years and older. Private companies can offer Medicare Advantage, […]


Wisconsin has more than 1.2 million Medicare beneficiaries. This places it in the top half for Medicare beneficiaries in the United States.


Centers for Medicare & Medicaid Services. Fact Sheet. Accessible Dec 5, 2022.


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Medicare is the federal insurance program that covers people 65 years and older. Private companies can offer Medicare Advantage, a bundled version of Medicare. You get all the same benefits, but with some additional features such as savings on vision and dental care.

Medicare Advantage plans provide more benefits than Original Medicare. They can also be less expensive than Medicare and a Medicare Supplement plan. They offer less flexibility because you will need to access care through the plan’s network. Consider all options and decide which plan is best for you.


What you need to know about Medicare in Wisconsin


Wisconsin has more than one in six people who are 65 or older. There are many Medicare Advantage plans available in Wisconsin.


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  • In 2023, the average monthly premium for a Medicare Advantage plan is $27.28. It was $29.61 for 2022. )


  • In Wisconsin, there are 126 Medicare Advantage Plans available in 2023. This is an increase of 115 plans that were available in 2022. )


  • All Medicare-eligible individuals in Wisconsin have access a $0-premium Medicare Benefit plan.


Wisconsin Medicare Advantage Companies


  • Aspirus Health Plan.


  • Prevea360 Medicare Advantage, Dean Advantage.


  • Dean Health Plan.


  • HealthPartners.


  • Medical Associates Clinic Health Plan of Wisconsin.


  • Molina Healthcare in Wisconsin and Massachusetts.


  • Network Health Medicare Advantage Plans.


  • Quartz Medicare Advantage.


  • Security Health Plan of Wisconsin.


Best-rated Medicare Advantage plans for Wisconsin


Every year, the Centers for Medicare & Medicaid Service (or CMS) awards each Medicare Advantage plan a star rating. A star rating is a rating that ranges from 1 to 5 and 5 being the highest-rated. Here are the top-rated plans in Wisconsin for 2023.


. (Refer to the following for more information.


Medicare star ratings


.)


5-star plans


These companies offer plans in Wisconsin and have been rated 5 out 5 stars by CMS:


  • Prevea360 Medicare Advantage, Dean Advantage.


  • HealthPartners.


  • Network Health Medicare Advantage Plans.


  • Quartz Medicare Advantage.


4.5-star plans


These companies offer plans in Wisconsin and have been rated 4.5 stars by CMS:


  • Anthem Blue Cross & Blue Shield.


  • Security Health Plan of Wisconsin.


  • UnitedHealthcare.


This is a list that doesn’t include special need plans. These restrict membership to individuals with certain characteristics or diseases, such as those who have a chronic illness, or are living in a nursing facility.


Search for the best Medicare Advantage plan

  • How much do you know about the costs of the plan? What is the cost of the premium, deductibles, and copays? Are they affordable?

  • Are you in-network with your doctor? Make sure that they are included in the plan’s network.

  • What are your prescriptions? It’s important to know what the plan covers if you take medication. Which tier do you belong on for prescription drugs? Are there any specific coverage rules?

  • Does the plan provide dental coverage? Do you have routine coverage for vision, hearing and dental needs?

  • Is there anything extra? Do you have any additional benefits such as meal delivery or transportation benefits?


Medicare Advantage providers


Find out more about the top Medicare Advantage providers. These insurers offer plans across most states. Your ZIP code and your county will determine which plans are available to you.

For more information about Medicare, please visit Medicare.gov , or call 800-MEDICARE (833-4227 TTY 877-486-2048).