Medicare
Medicare Plans 2026
Medicare Advantage (MA, MA-PD) and Part D (PDP) plans by county, from CMS public files. Pick a state, then search for your doctor to see which Medicare Advantage plans list them in their public provider directory.
Drug list (Part D cost estimate)
Find your doctor: which Medicare Advantage plans list them?
In-network status comes from each Medicare Advantage organization's public provider directory (CMS-required Plan-Net). Directories can be out of date and a plan not listed here may still cover the doctor: always confirm with the plan and the doctor's office before enrolling. Directory data is loaded for 858 of 5,595 2026 Medicare Advantage plans nationwide ("Unknown" = no directory loaded for that plan); organizations whose directory needs a developer registration are not loaded yet. "Estimated" means we matched the plan to the directory by name rather than by its CMS plan id. See coverage by organization.
131 plans. Premiums are monthly.
| Plan | Type | Monthly premium | vs 2025 | Drug deductible | MOOP | Stars | PCP / specialist | Extras | Drug list | Provider network |
|---|---|---|---|---|---|---|---|---|---|---|
| Aetna Medicare Eagle (PPO) Aetna Medicare - H5521_286_0 |
MA PPO |
$0.00 | - | n/a | $4,900.00 | 4.5 | $0.00 / $30.00 | Dental, Vision, Hearing | None | Not loaded |
| Aetna Medicare Signature (PPO) Aetna Medicare - H5521_195_0 |
MA-PD PPO |
$0.00 | - | $615.00 | $5,200.00 | 4.5 | $0.00 / $0.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Aetna Medicare Signature (PPO) Aetna Medicare - H5521_289_0 |
MA-PD PPO |
$0.00 | - | $615.00 | $5,900.00 | 4.5 | $0.00 / $45.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Aetna Medicare Signature Extra (PPO) Aetna Medicare - H5521_403_0 |
MA-PD PPO |
$0.00 | - | $615.00 | $5,500.00 | 4.5 | $0.00 / $0.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Compass (HMO-POS) Security Health Plan of Wisconsin, Inc. - H5211_003_0 |
MA HMO-POS |
$0.00 | - | n/a | $3,400.00 | 4.5 | - / $50.00 | Vision, Hearing | None | Not loaded |
| Esteem Rx (HMO-POS) Security Health Plan of Wisconsin, Inc. - H5211_012_0 |
MA-PD HMO-POS |
$0.00 | - | $250.00 | $5,000.00 | 4.5 | - / $50.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Humana Full Access H7617-020 (PPO) Humana - H7617_020_0 |
MA-PD PPO |
$0.00 | - | $400.00 | $5,000.00 | 4.5 | $0.00 / $40.00 | Dental, Vision, Hearing | Loaded | Loaded 513,591 providers |
| Humana USAA Honor Giveback (PPO) Humana - H7617_022_0 |
MA PPO |
$0.00 | - | n/a | $6,000.00 | 4.5 | $0.00 / $45.00 | Dental, Vision, Hearing | None | Loaded 510,267 providers |
| HumanaChoice Giveback H7617-011 (PPO) Humana - H7617_011_0 |
MA-PD PPO |
$0.00 | - | $615.00 | $5,000.00 | 4.5 | $0.00 / $45.00 | Dental, Vision, Hearing | Loaded | Loaded 513,591 providers |
| Network Health Anywhere (PPO) Network Health Medicare Advantage Plans - H5215_010_0 |
MA-PD PPO |
$0.00 | - | $320.00 | $4,500.00 | 4.5 | - / $45.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Network Health Armor (PPO) Network Health Medicare Advantage Plans - H5215_013_0 |
MA PPO |
$0.00 | - | n/a | $4,900.00 | 4.5 | - / $40.00 | Dental, Vision, Hearing | None | Not loaded |
| Network Health Bravo (PPO) Network Health Medicare Advantage Plans - H5215_014_0 |
MA PPO |
$0.00 | - | n/a | $4,500.00 | 4.5 | - / $40.00 | Dental, Vision, Hearing | None | Not loaded |
| Network Health Choice (PPO) Network Health Medicare Advantage Plans - H5215_011_0 |
MA-PD PPO |
$0.00 | - | $300.00 | $4,700.00 | 4.5 | - / $50.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Network Health Go (PPO) Network Health Medicare Advantage Plans - H5215_009_0 |
MA-PD PPO |
$0.00 | - | $340.00 | $4,500.00 | 4.5 | - / $50.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Network Health Select (PPO) Network Health Medicare Advantage Plans - H5215_008_0 |
MA-PD PPO |
$0.00 | - | $330.00 | $3,900.00 | 4.5 | - / $60.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Network Health Zero (PPO) Network Health Medicare Advantage Plans - H5215_012_0 |
MA-PD PPO |
$0.00 | - | $330.00 | $3,860.00 | 4.5 | - / $55.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| AARP Medicare Advantage CareFlex from UHC WI-18 (HMO-POS) UnitedHealthcare - H5253_198_0 |
MA-PD HMO-POS |
$0.00 | - | $600.00 | $6,700.00 | 4.0 | $0.00 / $0.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| AARP Medicare Advantage Essentials from UHC WI-13 (HMO-POS) UnitedHealthcare - H5253_033_0 |
MA-PD HMO-POS |
$0.00 | - | $520.00 | $4,900.00 | 4.0 | $0.00 / $0.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| AARP Medicare Advantage Extras from UHC WI-19 (HMO-POS) UnitedHealthcare - H5253_199_0 |
MA-PD HMO-POS |
$0.00 | - | $600.00 | $6,700.00 | 4.0 | $0.00 / $0.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| AARP Medicare Advantage from UHC WI-0014 (HMO-POS) UnitedHealthcare - H5253_034_0 |
MA-PD HMO-POS |
$0.00 | - | $520.00 | $5,400.00 | 4.0 | $0.00 / $0.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| AARP Medicare Advantage from UHC WI-0015 (HMO-POS) UnitedHealthcare - H5253_072_0 |
MA-PD HMO-POS |
$0.00 | - | $520.00 | $6,700.00 | 4.0 | $0.00 / $0.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| AARP Medicare Advantage from UHC WI-0017 (HMO-POS) UnitedHealthcare - H5253_097_0 |
MA-PD HMO-POS |
$0.00 | - | $520.00 | $6,700.00 | 4.0 | $0.00 / $0.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| AARP Medicare Advantage Patriot No Rx WI-MA02 (HMO-POS) UnitedHealthcare - H5253_021_0 |
MA HMO-POS |
$0.00 | - | n/a | $6,700.00 | 4.0 | $0.00 / $0.00 | Dental, Vision, Hearing | None | Not loaded |
| Anthem Veteran (PPO) Anthem Blue Cross and Blue Shield - H4036_024_0 |
MA PPO |
$0.00 | - | n/a | $6,751.00 | 4.0 | $15.00 / $45.00 | Dental, Vision, Hearing | None | Not loaded |
| Gundersen Quartz Med Advantage Basic D (w/Rx) (HMO) Quartz Medicare Advantage (HMO) - H5262_032_0 |
MA-PD HMO |
$0.00 | - | $270.00 | $6,700.00 | 4.0 | $30.00 / $75.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Gundersen Quartz Med Advantage Value (HMO) Quartz Medicare Advantage (HMO) - H5262_004_0 |
MA HMO |
$0.00 | - | n/a | $4,200.00 | 4.0 | $15.00 / $50.00 | Dental, Vision, Hearing | None | Not loaded |
| UHC Complete Care WI-20 (HMO-POS C-SNP) UnitedHealthcare - H5253_202_0Chronic or Disabling Condition |
MA-PD HMO-POS C-SNP |
$0.00 | - | $520.00 | $5,400.00 | 4.0 | $0.00 / $0.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| UW Health Quartz Med Advantage Basic D (w/Rx) (HMO) Quartz Medicare Advantage (HMO) - H5262_033_0 |
MA-PD HMO |
$0.00 | - | $270.00 | $6,400.00 | 4.0 | $25.00 / $75.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| UW Health Quartz Med Advantage Value (HMO) Quartz Medicare Advantage (HMO) - H5262_009_0 |
MA HMO |
$0.00 | - | n/a | $4,900.00 | 4.0 | $15.00 / $40.00 | Dental, Vision, Hearing | None | Not loaded |
| AARP Medicare Advantage Patriot No Rx WI-MA01 (PPO) UnitedHealthcare - H0294_014_0 |
MA PPO |
$0.00 | - | n/a | $6,700.00 | 3.5 | $0.00 / $0.00 | Dental, Vision, Hearing | None | Not loaded |
| Anthem Full Dual Advantage 2 (HMO D-SNP) Anthem Blue Cross and Blue Shield - H9525_018_0Dual-Eligible |
MA-PD HMO D-SNP |
$0.00 | - | $590.00 | $9,250.00 | 3.5 | - / - | Dental, Vision, Hearing | Loaded | Not loaded |
| Anthem Medicare Advantage (HMO-POS) Anthem Blue Cross and Blue Shield - H9525_004_0 |
MA-PD HMO-POS |
$0.00 | - | $315.00 | $4,400.00 | 3.5 | $0.00 / $40.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Aspirus Health Plan Elite (PPO) Aspirus Health Plan - H6874_003_0 |
MA PPO |
$0.00 | - | n/a | $3,200.00 | 3.5 | - / $45.00 | Vision, Hearing | None | Not loaded |
| Aspirus Health Plan Essential Rx (PPO) Aspirus Health Plan - H6874_001_0 |
MA-PD PPO |
$0.00 | - | $350.00 | $5,500.00 | 3.5 | - / $45.00 | Vision, Hearing | Not loaded | Not loaded |
| Dean Advantage Essential (HMO) Dean Advantage - H9096_004_0 |
MA-PD HMO |
$0.00 | - | $615.00 | $6,750.00 | 3.5 | - / $0.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Dean Advantage Harmony (HMO-POS) Dean Advantage - H9096_010_0 |
MA HMO-POS |
$0.00 | - | n/a | $5,000.00 | 3.5 | - / $0.00 | Dental, Vision, Hearing | None | Not loaded |
| Humana Full Access H5216-410 (PPO) Humana - H5216_410_0 |
MA-PD PPO |
$0.00 | - | $400.00 | $5,000.00 | 3.5 | $0.00 / $40.00 | Dental, Vision, Hearing | Loaded | Loaded 513,591 providers |
| Humana Gold Plus H6622-001 (HMO) Humana - H6622_001_0 |
MA-PD HMO |
$0.00 | - | $615.00 | $4,200.00 | 3.5 | $0.00 / $35.00 | Dental, Vision, Hearing | Loaded | Loaded 113,556 providers |
| Humana USAA Honor Giveback (PPO) Humana - H5216_258_0 |
MA PPO |
$0.00 | - | n/a | $6,000.00 | 3.5 | $0.00 / $45.00 | Dental, Vision, Hearing | None | Loaded 513,591 providers |
| Humana USAA Honor Giveback (PPO) Humana - H5216_355_0 |
MA PPO |
$0.00 | - | n/a | $6,000.00 | 3.5 | $0.00 / $45.00 | Dental, Vision, Hearing | None | Loaded 513,591 providers |
| HumanaChoice Giveback H5216-252 (PPO) Humana - H5216_252_0 |
MA-PD PPO |
$0.00 | - | $615.00 | $5,000.00 | 3.5 | $0.00 / $45.00 | Dental, Vision, Hearing | Loaded | Loaded 513,591 providers |
| HumanaChoice H5216-253 (PPO) Humana - H5216_253_0 |
MA-PD PPO |
$0.00 | - | $615.00 | $4,200.00 | 3.5 | $0.00 / $30.00 | Dental, Vision, Hearing | Loaded | Loaded 513,591 providers |
| UHC Complete Care WI-1 (PPO C-SNP) UnitedHealthcare - H0294_002_0Chronic or Disabling Condition |
MA-PD PPO C-SNP |
$0.00 | - | $600.00 | $6,700.00 | 3.5 | $0.00 / $0.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Wellcare Simple (HMO-POS) Wellcare - H8189_008_0 |
MA-PD HMO-POS |
$0.00 | - | $615.00 | $5,300.00 | 3.5 | $0.00 / $30.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Humana USAA Honor Giveback (Regional PPO) Humana - R5361_001_0 |
MA Regional PPO |
$0.00 | - | n/a | $6,750.00 | 3.0 | $0.00 / $45.00 | Dental, Vision, Hearing | None | Not loaded |
| My Choice Wisconsin Medicare Dual Advantage Plan (HMO D-SNP) Molina Healthcare of Wisconsin - H5209_006_1Dual-Eligible |
MA-PD HMO D-SNP |
$0.00 | - | $615.00 | $9,250.00 | 3.0 | - / - | Dental, Vision, Hearing | Loaded | Not loaded |
| My Choice Wisconsin Medicare Dual Advantage Plan (HMO D-SNP) Molina Healthcare of Wisconsin - H5209_006_2Dual-Eligible |
MA-PD HMO D-SNP |
$0.00 | - | $615.00 | $9,250.00 | 3.0 | - / - | Dental, Vision, Hearing | Loaded | Not loaded |
| AARP Medicare Rx Saver from UHC (PDP) UnitedHealthcare - S5921_361_0 |
PDP PDP |
$0.00 | - | $615.00 | n/a | - | n/a | Loaded | n/a | |
| Aetna Medicare Signature (HMO-POS) Aetna Medicare - H1206_002_0 |
MA-PD HMO-POS |
$0.00 | - | $615.00 | $5,900.00 | - | $0.00 / $0.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Cooperative Medicare Advantage (HMO) Group Health Cooperative of Eau Claire - H7598_004_0 |
MA-PD HMO |
$0.00 | - | $275.00 | $6,000.00 | - | - / $35.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| HealthPartners Birch (PPO) HealthPartners - H6309_001_0 |
MA-PD PPO |
$0.00 | - | $300.00 | $5,000.00 | - | - / $50.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| HealthPartners Cedar (PPO) HealthPartners - H6309_002_0 |
MA-PD PPO |
$0.00 | - | $300.00 | $6,000.00 | - | - / $60.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| HealthSpring Assurance Rx (PDP) HealthSpring - S5617_223_0 |
PDP PDP |
$0.00 | - | $615.00 | n/a | - | n/a | Loaded | n/a | |
| Humana Basic Rx Plan (PDP) Humana - S5884_139_0 |
PDP PDP |
$0.00 | - | $615.00 | n/a | - | n/a | Loaded | n/a | |
| Humana Value Rx Plan (PDP) Humana - S5884_195_0 |
PDP PDP |
$0.00 | - | $601.00 | n/a | - | n/a | Loaded | n/a | |
| Network Health Prime (MSA) Network Health Medicare Advantage Plans - H1181_001_0 |
MA MSA |
$0.00 | - | n/a | - | - | - / - | None | Not loaded | |
| Wellcare Classic (PDP) Wellcare - S4802_097_0 |
PDP PDP |
$0.00 | - | $615.00 | n/a | - | n/a | Loaded | n/a | |
| Wellcare Value Script (PDP) Wellcare - S4802_132_0 |
PDP PDP |
$0.00 | - | $615.00 | n/a | - | n/a | Loaded | n/a | |
| Anthem Full Dual Advantage (HMO D-SNP) Anthem Blue Cross and Blue Shield - H9525_003_0Dual-Eligible |
MA-PD HMO D-SNP |
$3.60 | - | $615.00 | $9,250.00 | 3.5 | - / - | Dental, Vision, Hearing | Loaded | Not loaded |
| UHC Dual Complete WI-D003 (HMO-POS D-SNP) UnitedHealthcare - H5253_024_0Dual-Eligible |
MA-PD HMO-POS D-SNP |
$7.50 | - | $615.00 | $9,250.00 | 4.0 | - / - | Dental, Vision, Hearing | Loaded | Not loaded |
| UHC Nursing Home Plan WI-F001 (HMO-POS I-SNP) UnitedHealthcare - H5253_007_0Institutional |
MA-PD HMO-POS I-SNP |
$7.70 | - | $615.00 | $9,250.00 | 4.0 | - / - | Dental, Vision, Hearing | Loaded | Not loaded |
| UHC Dual Complete WI-D001 (PPO D-SNP) UnitedHealthcare - H0294_027_0Dual-Eligible |
MA-PD PPO D-SNP |
$9.00 | - | $615.00 | $9,250.00 | 3.5 | - / - | Dental, Vision, Hearing | Loaded | Not loaded |
| HumanaChoice H5216-359 (PPO) Humana - H5216_359_0 |
MA-PD PPO |
$10.00 | - | $615.00 | $5,900.00 | 3.5 | $0.00 / $45.00 | Dental, Vision, Hearing | Loaded | Loaded 510,267 providers |
| Wellcare Dual Reserve (HMO-POS D-SNP) Wellcare - H8189_007_0Dual-Eligible |
MA-PD HMO-POS D-SNP |
$10.40 | - | $615.00 | $5,100.00 | 3.5 | $0.00 / $20.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Wellcare Dual Access Sync (HMO-POS D-SNP) Wellcare - H8189_001_0Dual-Eligible |
MA-PD HMO-POS D-SNP |
$13.10 | - | $400.00 | $9,250.00 | 3.5 | - / - | Dental, Vision, Hearing | Loaded | Not loaded |
| My Choice Wisconsin Partnership Plan (HMO D-SNP) Molina Healthcare of Wisconsin - H5209_005_1Dual-Eligible |
MA-PD HMO D-SNP |
$13.30 | - | $615.00 | $9,250.00 | 3.0 | - / - | Dental, Vision, Hearing | Loaded | Not loaded |
| My Choice Wisconsin Partnership Plan (HMO D-SNP) Molina Healthcare of Wisconsin - H5209_005_2Dual-Eligible |
MA-PD HMO D-SNP |
$13.30 | - | $615.00 | $9,250.00 | 3.0 | - / - | Dental, Vision, Hearing | Loaded | Not loaded |
| HumanaChoice SNP-DE H5216-420 (PPO D-SNP) Humana - H5216_420_0Dual-Eligible |
MA-PD PPO D-SNP |
$15.30 | - | $615.00 | $9,250.00 | 3.5 | - / - | Dental, Vision, Hearing | Loaded | Loaded 510,267 providers |
| UHC Dual Complete WI-V001 (HMO-POS D-SNP) UnitedHealthcare - H3794_004_0Dual-Eligible |
MA-PD HMO-POS D-SNP |
$17.30 | - | $615.00 | $4,900.00 | 4.0 | $0.00 / $0.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| UHC Dual Complete WI-D002 (HMO-POS D-SNP) UnitedHealthcare - H3794_002_0Dual-Eligible |
MA-PD HMO-POS D-SNP |
$18.90 | - | $615.00 | $9,250.00 | 4.0 | - / - | Dental, Vision, Hearing | Loaded | Not loaded |
| Medica Prime Solution Standard (Cost) Medica - H2450_050_0 |
MA Cost |
$20.00 | - | n/a | $5,900.00 | 3.5 | $15.00 / $60.00 | Vision, Hearing | None | Not loaded |
| iCare Family Care Partnership (HMO D-SNP) iCare - H2237_007_0Dual-Eligible |
MA-PD HMO D-SNP |
$20.90 | - | $615.00 | $9,250.00 | 2.5 | - / - | Dental, Vision, Hearing | Loaded | Loaded 86,406 providers |
| Aetna Medicare Value Care (PPO) Aetna Medicare - H5521_400_0 |
MA-PD PPO |
$21.10 | - | $615.00 | $5,900.00 | 4.5 | $0.00 / $10.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Ally Rx (HMO D-SNP) Security Health Plan of Wisconsin, Inc. - H5211_010_0Dual-Eligible |
MA-PD HMO D-SNP |
$21.10 | - | $615.00 | $9,050.00 | 4.5 | - / - | Dental, Vision, Hearing | Loaded | Not loaded |
| Network Health Cares (PPO D-SNP) Network Health Medicare Advantage Plans - H5215_007_0Dual-Eligible |
MA-PD PPO D-SNP |
$21.10 | - | $615.00 | $9,250.00 | 4.5 | - / - | Dental, Vision, Hearing | Loaded | Not loaded |
| Gundersen Quartz Med Advantage Dual Eligible (HMO D-SNP) Quartz Medicare Advantage (HMO) - H5262_029_0Dual-Eligible |
MA-PD HMO D-SNP |
$21.10 | - | $615.00 | $9,250.00 | 4.0 | - / - | Dental, Vision, Hearing | Loaded | Not loaded |
| UHC Care Advantage WI-E001 (HMO-POS I-SNP) UnitedHealthcare - H5253_064_0Institutional |
MA-PD HMO-POS I-SNP |
$21.10 | - | $270.00 | $4,000.00 | 4.0 | $0.00 / $0.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| UHC Dual Complete WI-D3 (HMO-POS D-SNP) UnitedHealthcare - H3794_006_0Dual-Eligible |
MA-PD HMO-POS D-SNP |
$21.10 | - | $615.00 | $9,250.00 | 4.0 | - / - | Dental, Vision, Hearing | Loaded | Not loaded |
| UW Health Quartz Med Advantage Dual Eligible (HMO D-SNP) Quartz Medicare Advantage (HMO) - H5262_030_0Dual-Eligible |
MA-PD HMO D-SNP |
$21.10 | - | $615.00 | $9,250.00 | 4.0 | - / - | Dental, Vision, Hearing | Loaded | Not loaded |
| Humana Value Plus H5216-173 (PPO) Humana - H5216_173_0 |
MA-PD PPO |
$21.10 | - | $615.00 | $9,250.00 | 3.5 | $0.00 / - | Dental, Vision, Hearing | Loaded | Loaded 513,591 providers |
| Community Care's Partnership Program (HMO D-SNP) Community Care - H2034_001_0Dual-Eligible |
MA-PD HMO D-SNP |
$21.10 | - | $615.00 | $9,250.00 | - | - / - | Dental, Vision, Hearing | Loaded | Not loaded |
| Cooperative Advantage (HMO D-SNP) Group Health Cooperative of Eau Claire - H7598_003_0Dual-Eligible |
MA-PD HMO D-SNP |
$21.10 | - | $615.00 | $9,250.00 | - | - / - | Dental, Vision, Hearing | Loaded | Not loaded |
| HumanaChoice H5216-006 (PPO) Humana - H5216_006_0 |
MA-PD PPO |
$26.00 | - | $615.00 | $5,400.00 | 3.5 | $0.00 / $45.00 | Dental, Vision, Hearing | Loaded | Loaded 513,591 providers |
| SilverScript Choice (PDP) Aetna Medicare - S5601_032_0 |
PDP PDP |
$26.70 | - | $615.00 | n/a | - | n/a | Loaded | n/a | |
| Aetna Medicare Premier (PPO) Aetna Medicare - H5521_388_0 |
MA-PD PPO |
$27.00 | - | $615.00 | $5,200.00 | 4.5 | $0.00 / $35.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Gundersen Quartz Med Advantage Core D (w/Rx) (HMO) Quartz Medicare Advantage (HMO) - H5262_021_0 |
MA-PD HMO |
$29.00 | - | $270.00 | $5,900.00 | 4.0 | $25.00 / $60.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Aetna Medicare Enhanced (PPO) Aetna Medicare - H5521_150_0 |
MA-PD PPO |
$30.00 | - | $615.00 | $5,000.00 | 4.5 | $0.00 / $0.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| UW Health Quartz Med Advantage Core D (w/Rx) (HMO) Quartz Medicare Advantage (HMO) - H5262_023_0 |
MA-PD HMO |
$34.00 | - | $270.00 | $5,400.00 | 4.0 | $20.00 / $65.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Humana Gold Choice H8145-006 (PFFS) Humana - H8145_006_0 |
MA-PD PFFS |
$37.00 | - | $615.00 | $6,800.00 | 3.5 | $0.00 / $55.00 | Dental, Vision, Hearing | Loaded | Loaded 86,406 providers |
| Anthem Medicare Advantage (HMO-POS) Anthem Blue Cross and Blue Shield - H9525_006_0 |
MA-PD HMO-POS |
$39.00 | - | $350.00 | $4,300.00 | 3.5 | $0.00 / $40.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| AARP Medicare Advantage from UHC WI-0010 (HMO-POS) UnitedHealthcare - H5253_004_0 |
MA-PD HMO-POS |
$44.00 | - | $440.00 | $3,800.00 | 4.0 | $0.00 / $0.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| AARP Medicare Advantage from UHC WI-0012 (HMO-POS) UnitedHealthcare - H5253_030_0 |
MA-PD HMO-POS |
$44.00 | - | $440.00 | $4,900.00 | 4.0 | $0.00 / $0.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| HumanaChoice H7617-007 (PPO) Humana - H7617_007_0 |
MA-PD PPO |
$47.00 | - | $615.00 | $9,250.00 | 4.5 | $0.00 / $50.00 | Dental, Vision, Hearing | Loaded | Loaded 510,267 providers |
| Medica Prime Solution Thrift (Cost) Medica - H2450_030_0 |
MA Cost |
$49.00 | - | n/a | $6,750.00 | 3.5 | - / - | Dental, Vision, Hearing | None | Not loaded |
| AARP Medicare Advantage from UHC WI-6 (PPO) UnitedHealthcare - H0294_015_0 |
MA-PD PPO |
$50.00 | - | $600.00 | $6,700.00 | 3.5 | $0.00 / $0.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Dean Advantage Assurance (HMO-POS) Dean Advantage - H9096_001_0 |
MA-PD HMO-POS |
$50.00 | - | $380.00 | $5,000.00 | 3.5 | - / $0.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| HealthPartners Freedom Basic WI (Cost) HealthPartners - H2462_026_0 |
MA Cost |
$50.00 | - | n/a | - | - | - / - | Dental, Vision, Hearing | None | Not loaded |
| HealthSpring Extra Rx (PDP) HealthSpring - S5617_366_0 |
PDP PDP |
$56.30 | - | $615.00 | n/a | - | n/a | Loaded | n/a | |
| AARP Medicare Advantage from UHC WI-0011 (HMO-POS) UnitedHealthcare - H5253_011_0 |
MA-PD HMO-POS |
$59.00 | - | $440.00 | $4,100.00 | 4.0 | $0.00 / $0.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Anthem Medicare Advantage 3 (PPO) Anthem Blue Cross and Blue Shield - H4036_008_0 |
MA-PD PPO |
$68.00 | - | $275.00 | $4,500.00 | 4.0 | $5.00 / $40.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| UW Health Quartz Med Advantage Elite (HMO) Quartz Medicare Advantage (HMO) - H5262_010_0 |
MA HMO |
$70.00 | - | n/a | $4,200.00 | 4.0 | $10.00 / $35.00 | Dental, Vision, Hearing | None | Not loaded |
| HealthPartners Freedom Vital WI (Cost) HealthPartners - H2462_027_0 |
MA Cost |
$70.00 | - | n/a | $5,000.00 | - | $15.00 / $40.00 | Vision, Hearing | None | Not loaded |
| Network Health PlusRx (PPO) Network Health Medicare Advantage Plans - H5215_002_0 |
MA-PD PPO |
$73.00 | - | $340.00 | $3,400.00 | 4.5 | $15.00 / $40.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| HumanaChoice H5216-001 (PPO) Humana - H5216_001_0 |
MA-PD PPO |
$81.00 | - | $615.00 | $4,200.00 | 3.5 | $0.00 / $45.00 | Dental, Vision, Hearing | Loaded | Loaded 513,591 providers |
| Essence Rx (HMO-POS) Security Health Plan of Wisconsin, Inc. - H5211_002_0 |
MA-PD HMO-POS |
$87.00 | - | $330.00 | $3,800.00 | 4.5 | - / $50.00 | Vision, Hearing | Loaded | Not loaded |
| Spirit (HMO-POS) Security Health Plan of Wisconsin, Inc. - H5211_001_0 |
MA HMO-POS |
$89.00 | - | n/a | $1,500.00 | 4.5 | - / $25.00 | Vision, Hearing | None | Not loaded |
| AARP Medicare Advantage from UHC WI-0007 (PPO) UnitedHealthcare - H0294_016_0 |
MA-PD PPO |
$89.00 | - | $600.00 | $6,700.00 | 3.5 | $0.00 / $0.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Gundersen Quartz Med Advantage Value D (w/Rx) (HMO) Quartz Medicare Advantage (HMO) - H5262_003_0 |
MA-PD HMO |
$90.00 | - | $225.00 | $4,200.00 | 4.0 | $15.00 / $50.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Medica Prime Solution Thrift w/Rx (Cost) Medica - H2450_007_0 |
MA-PD Cost |
$92.80 | - | $615.00 | $6,750.00 | 3.5 | - / - | Dental, Vision, Hearing | Loaded | Not loaded |
| AARP Medicare Advantage from UHC WI-0002 (PPO) UnitedHealthcare - H0294_004_0 |
MA-PD PPO |
$95.00 | - | $600.00 | $6,700.00 | 3.5 | $0.00 / $0.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| HumanaChoice R5361-002 (Regional PPO) Humana - R5361_002_0 |
MA-PD Regional PPO |
$103.00 | - | $615.00 | $7,200.00 | 3.0 | $0.00 / - | Dental, Vision, Hearing | Loaded | Not loaded |
| UW Health Quartz Med Advantage Value D (w/Rx) (HMO) Quartz Medicare Advantage (HMO) - H5262_008_0 |
MA-PD HMO |
$106.00 | - | $225.00 | $4,900.00 | 4.0 | $15.00 / $50.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Medica Prime Solution Core (Cost) Medica - H2450_051_0 |
MA Cost |
$106.00 | - | n/a | $4,900.00 | 3.5 | $10.00 / $55.00 | Dental, Vision, Hearing | None | Not loaded |
| Humana Premier Rx Plan (PDP) Humana - S5884_162_0 |
PDP PDP |
$110.60 | - | $0.00 | n/a | - | n/a | Loaded | n/a | |
| AARP Medicare Rx Preferred from UHC (PDP) UnitedHealthcare - S5921_397_0 |
PDP PDP |
$113.90 | - | $130.00 | n/a | - | n/a | Loaded | n/a | |
| DeanCare Gold Shared Value (Cost) Dean Health Plan, Inc. - H5264_005_0 |
MA Cost |
$118.00 | - | n/a | - | - | $10.00 / $10.00 | Dental, Vision, Hearing | None | Not loaded |
| Dean Advantage Balance (HMO-POS) Dean Advantage - H9096_002_0 |
MA-PD HMO-POS |
$119.00 | - | $300.00 | $4,200.00 | 3.5 | - / $0.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| HealthPartners Freedom Balance WI (Cost) HealthPartners - H2462_028_0 |
MA Cost |
$125.00 | - | n/a | $4,000.00 | - | $15.00 / $15.00 | Vision, Hearing | None | Not loaded |
| Gundersen Quartz Med Advantage Elite (HMO) Quartz Medicare Advantage (HMO) - H5262_005_0 |
MA HMO |
$130.00 | - | n/a | $3,500.00 | 4.0 | $10.00 / $45.00 | Dental, Vision, Hearing | None | Not loaded |
| Medica Prime Solution Focus (Cost) Medica - H2450_038_0 |
MA Cost |
$144.00 | - | n/a | $4,000.00 | 3.5 | - / $15.00 | Dental, Vision, Hearing | None | Not loaded |
| Medical Associates SmartPlan (Cost) Medical Associates Clinic Health Plan of Wisconsin - H5256_001_0 |
MA Cost |
$150.00 | - | n/a | - | - | - / - | Vision | None | Not loaded |
| HumanaChoice H5216-168 (PPO) Humana - H5216_168_0 |
MA-PD PPO |
$154.00 | - | $615.00 | $4,200.00 | 3.5 | $0.00 / $0.00 | Dental, Vision, Hearing | Loaded | Loaded 513,591 providers |
| UW Health Quartz Med Advantage Elite D (w/Rx) (HMO) Quartz Medicare Advantage (HMO) - H5262_007_0 |
MA-PD HMO |
$162.00 | - | $200.00 | $4,200.00 | 4.0 | $10.00 / $40.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Medical Associates Community Plan (Cost) Medical Associates Clinic Health Plan of Wisconsin - H5256_002_0 |
MA Cost |
$170.00 | - | n/a | - | - | - / - | Vision | None | Not loaded |
| DeanCare Gold Enhanced (Cost) Dean Health Plan, Inc. - H5264_002_0 |
MA Cost |
$189.00 | - | n/a | - | - | - / - | Dental, Vision, Hearing | None | Not loaded |
| Gundersen Quartz Med Advantage Elite D (w/Rx) (HMO) Quartz Medicare Advantage (HMO) - H5262_001_0 |
MA-PD HMO |
$196.00 | - | $200.00 | $3,500.00 | 4.0 | $10.00 / $45.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Network Health PremierRx (PPO) Network Health Medicare Advantage Plans - H5215_005_0 |
MA-PD PPO |
$226.00 | - | $340.00 | $3,400.00 | 4.5 | $10.00 / $20.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Medical Associates Freedom Plan (Cost) Medical Associates Clinic Health Plan of Wisconsin - H5256_004_0 |
MA Cost |
$230.00 | - | n/a | - | - | - / - | Vision | None | Not loaded |
| Medica Prime Solution Focus w/Rx (Cost) Medica - H2450_039_0 |
MA-PD Cost |
$236.70 | - | $615.00 | $4,000.00 | 3.5 | - / $15.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Dean Advantage Complete (HMO) Dean Advantage - H9096_005_0 |
MA-PD HMO |
$256.00 | - | $100.00 | $2,750.00 | 3.5 | - / $0.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Legacy Rx (HMO-POS) Security Health Plan of Wisconsin, Inc. - H5211_004_0 |
MA-PD HMO-POS |
$269.00 | - | $0.00 | $2,200.00 | 4.5 | - / $25.00 | Vision, Hearing | Loaded | Not loaded |
Derived from CMS public files (Landscape, Plan Benefit Package, Part D formulary). Plan availability, premiums, benefits and drug coverage can change: always confirm with the insurer or Medicare.gov before enrolling. Changes vs 2025 compare the same CMS plan id (contract-plan-segment) in both years; they are estimates, so confirm premiums with the insurer.