downloading the app" width="150" height="150" />More than a dozen companies sell Medicare Advantage plans in Wisconsin. Find out which ones have top-rated plans.
May 2, 2024 Written by Alex Rosenberg Lead Writer Alex Rosenberg
Lead Writer | Medicare, health care, legislation
Alex Rosenberg is a NerdWallet writer focusing on Medicare and information technology. He has more than 10 years of experience researching and writing about health care, insurance, technology, data privacy and public policy. His research has supported lawmakers in the Wisconsin State Legislature as well as health systems and national health authorities in the U.S. and more than 10 other countries. He is based in Eau Claire, Wisconsin.
Assigning Editor Holly Carey
Assigning Editor | Medicare
Holly Carey joined NerdWallet in 2021 as an editor on the team responsible for expanding content to additional topics within personal finance. She currently leads the Medicare team. Previously, Holly wrote and edited content and developed digital media strategies as a public affairs officer for the U.S. Navy. She is based in Virginia Beach, Virginia.
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Over 1.2 million people in Wisconsin are signed up for Medicare, placing it in the top 20 U.S. states for Medicare beneficiaries [0]
Centers for Medicare & Medicaid Services . Fact Sheet. Accessed May 2, 2024.Medicare is the federal health insurance program for people age 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.
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More than 1 in 5 people in Wisconsin are 65 and older, and there are a variety of Medicare Advantage plans in the state [0]
U.S. Census Bureau . QuickFacts, Wisconsin. Accessed May 2, 2024.The average monthly premium in 2024 for a Medicare Advantage plan in Wisconsin is $26.15. (It was $27.59 in 2023.)
There are 129 Medicare Advantage plans available in Wisconsin in 2024. (This is up from 126 plans in 2023.)
All Medicare-eligible people in Wisconsin have access to a $0-premium Medicare Advantage plan.Each year, the Centers for Medicare & Medicaid Services (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 2024 plan year [0]
Centers for Medicare & Medicaid Services . CY2024_Landscape_Files_Final_20240314 (ZIP). Accessed May 2, 2024.
. (Check out more information about Medicare star ratings .)The company below offers plans in Wisconsin that are rated 5 out of 5 stars by CMS:
Network Health Medicare Advantage Plans.The companies below offer plans in Wisconsin that are rated 4.5 out of 5 stars by CMS:
Dean Advantage. HealthPartners. Quartz Medicare Advantage.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.
See all Medicare Advantage providers in Wisconsin. Aspirus Health Plan. Dean Health Plan. HealthPartners. Medical Associates Clinic Health Plan of Wisconsin. Network Health Medicare Advantage Plans. Quartz Medicare Advantage. Security Health Plan of Wisconsin. UnitedHealthcare.Wisconsin Department of Health Services : Information about Medicare plans and additional health care services.
State Health Insurance Assistance Program (SHIP) : Information about Medicare and free counseling for Wisconsin residents.
Senior Medicare Patrol : Resources and contacts for reporting Medicare scams and fraud.It’s important to do your research before selecting a Medicare Advantage plan for yourself . Here are some questions to consider asking:
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?
Is your doctor in-network? If you have a preferred medical provider or providers, make sure they participate in the plan’s network.
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?
Is there dental coverage? Does the plan offer routine coverage for vision, dental and hearing needs?Are there extras? Does the plan offer any extra benefits, such as fitness memberships, transportation benefits or meal delivery?
If you have additional questions about Medicare, visit Medicare.gov or call 800-MEDICARE (800-633-4227, TTY 877-486-2048).
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The Medicare Advantage marketplace is concentrated among just a handful of companies; in many places, one insurer serves more than half of the market. NerdWallet reviewed 26 Medicare Advantage brands, with some insurers having more than one brand under their umbrella. (For example, Blue Cross Blue Shield includes the brands Anthem and Highmark.) At the national level, these reviews include nine of the 10 largest brands by enrollment. At the state level, our research includes at least one major insurer in 47 of the 49 states that offer Medicare Advantage plans, and includes the top two insurers in 35 of those states. (Alaska doesn't offer Medicare Advantage plans.) We also look at online search volume to identify regional and other notable players in the space.
NerdWallet’s Medicare Advantage reviews are based on ratings data from the Centers for Medicare & Medicaid Services, as well as pricing, plan availability by state, plan types available, consumer experience, extra benefits offered and more. These reviews are a guide, but we encourage you to shop around and compare several plans to find the best coverage and rate for you. NerdWallet does not receive compensation for any reviews. Read our editorial guidelines for additional information.
This roundup includes only insurers that sell Medicare Advantage in Wisconsin.
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