Over 1.2 million people in Wisconsin are signed up for Medicare, placing it in the top half of U.S. states for Medicare beneficiaries
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Medicare is the federal health insurance program for people ages 65 and older. Medicare Advantage is a bundled alternative to Medicare sold by private companies. It offers all the same benefits and usually some extras, such as cost savings on dental and vision coverage.
Medicare Advantage plans offer more benefits than Original Medicare, and they can be cheaper than paying for Medicare and a Medicare Supplement plan. However, they offer less flexibility since you’ll need to get care from within the plan’s network of providers. Weigh your options to determine which plan best suits your needs.
What to know about Medicare in Wisconsin
More than 1 in 6 people in Wisconsin are 65 and older, and there are a variety of Medicare Advantage plans in the state:
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The average monthly premium in 2023 for a Medicare Advantage plan in Wisconsin is $27.28. (It was $29.61 in 2022.)
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There are 126 Medicare Advantage plans available in Wisconsin in 2023. (This is up from 115 plans in 2022.)
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All Medicare-eligible people in Wisconsin have access to a $0-premium Medicare Advantage plan.
Medicare Advantage companies in Wisconsin
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Dean Advantage, Prevea360 Medicare Advantage.
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Medical Associates Clinic Health Plan of Wisconsin.
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Molina Healthcare of Wisconsin and Massachusetts.
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Network Health Medicare Advantage Plans.
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Quartz Medicare Advantage.
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Security Health Plan of Wisconsin.
Top-rated Medicare Advantage plans in Wisconsin
Each year, the Centers for Medicare & Medicaid Services, or CMS, awards every Medicare Advantage plan a star rating on a scale of 1 to 5, with 5 being a top-rated plan. Below are companies with plans that received top marks in Wisconsin for the 2023 plan year. (Check out more information about Medicare star ratings.)
5-star plans
The companies below offer plans in Wisconsin that are rated 5 out of 5 stars by CMS:
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Dean Advantage, Prevea360 Medicare Advantage.
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Network Health Medicare Advantage Plans.
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Quartz Medicare Advantage.
4.5-star plans
The companies below offer plans in Wisconsin that are rated 4.5 out of 5 stars by CMS:
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Anthem Blue Cross and Blue Shield.
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Security Health Plan of Wisconsin.
This list doesn’t include special needs plans, which restrict membership to people with certain diseases or characteristics, such as having a chronic illness or living in a nursing home.
Find the right Medicare Advantage plan
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What are the plan’s costs? Do you understand what the plan’s premium, deductibles, copays and/or coinsurance will be? Can you afford them?
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Is your doctor in-network? If you have a preferred medical provider or providers, make sure they participate in the plan’s network.
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Are your prescriptions covered? If you’re on medication, it’s crucial to understand how the plan covers it. What tier are your prescription drugs on, and are there any coverage rules that apply to them?
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Is there dental coverage? Does the plan offer routine coverage for vision, dental and hearing needs?
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Are there extras? Does the plan offer any extra benefits, such as fitness memberships, transportation benefits or meal delivery?
Medicare Advantage providers
Get more information below about some of the major Medicare Advantage providers. These insurers offer plans in most states. The plans you can choose from will depend on your ZIP code and county.