Medicare Plans in
Milwaukee County, WI
51 Medicare Advantage Plans Found in Milwaukee County. See Plans
Milwaukee County, WI
Medicare Information
For Milwaukee County’s Medicare beneficiaries, Medicare Advantage plans offer an alternative to Original Medicare. Currently, 51 MA plans are available in Milwaukee County, and coverage is provided through Medicare-approved private companies, following rules set by Medicare. MA plans, which are also referred to as Medicare Part C, may offer additional benefits that aren't available through Original Medicare.
Some Medicare Part C plans include coverage for prescription medications. Known as Medicare Advantage Prescription Drug plans, or MAPDs, these plans offer comprehensive coverage for seniors who want to minimize their out-of-pocket costs.
Learn more about Medicare Advantage plans in Milwaukee County, Wisconsin, including average costs, out-of-pocket expenses and what’s involved in obtaining prescription drug coverage.
Average Cost of Medicare Advantage
Plans in Milwaukee County
Average Cost of Medicare Advantage Plans in Milwaukee County, Wisconsin | |
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Average Monthly Premium | $54.89 |
Average in-network out-of-pocket spending limit | $5,251.43 |
Average drug deductible in 2023 (weighted) | $358.52 |
Percentage of plans rated 4 stars or higher | 45.1% |
Average Cost of Medicare Advantage Plans in Milwaukee County, Wisconsin |
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Average Monthly Premium $54.89 |
Average in-network out-of-pocket spending limit $5,251.43 |
Average drug deductible in 2021 (weighted) $358.52 |
Percentage of plans rated 4 stars or higher 45.1% |
Learn More About Medicare Advantage
Prescription Drug Plans
Plan Type | Description |
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HMO | HMO enrollees typically receive services through in-network providers and must obtain referrals for visits to specialists. However, most plans permit out-of-network care in emergencies or out-of-area dialysis. HMO plans often include prescription drug coverage. |
PPO | Members of PPO plans can typically go in or out of network for care, including hospitalization, although visits to non-network providers may cost considerably more. Referrals are usually not needed for visits to specialists, and many PPO plans include prescription drug coverage. |
PFFS | Private fee-for-service plans determine how much a doctor or facility will be paid for services, and members may seek care from any in or out-of-network provider that agrees to the plan's terms. Some PFFS plans include prescription drug coverage. Otherwise, members may seek coverage for medications through standalone Medicare drug plans, which are also known as Part D plans. |
SNP | Special Needs Plans are designed for individuals with specific conditions or medical characteristics. Benefits such as providers and drug formularies are tailored to members' unique needs, and most care is provided by in-network physicians and facilities. SNPs are required to provide prescription drug coverage. |
Plan Type and Description |
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HMO enrollees typically receive services through in-network providers and must obtain referrals for visits to specialists. However, most plans permit out-of-network care in emergencies or out-of-area dialysis. HMO plans often include prescription drug coverage.
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Members of PPO plans can typically go in or out of network for care, including hospitalization, although visits to non-network providers may cost considerably more. Referrals are usually not needed for visits to specialists, and many PPO plans include prescription drug coverage.
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Private fee-for-service plans determine how much a doctor or facility will be paid for services, and members may seek care from any in or out-of-network provider that agrees to the plan's terms. Some PFFS plans include prescription drug coverage. Otherwise, members may seek coverage for medications through standalone Medicare drug plans, which are also known as Part D plans.
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Special Needs Plans are designed for individuals with specific conditions or medical characteristics. Benefits such as providers and drug formularies are tailored to members' unique needs, and most care is provided by in-network physicians and facilities. SNPs are required to provide prescription drug coverage.
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In addition to these primary types of plans, some members may be eligible for standalone prescription drug plans. Otherwise known as a PDP or Part D plan, a standalone prescription drug plan adds coverage for prescription medications to Original Medicare and some PFFS plans. It’s important to note that some MA plans, such as HMOs, may disenroll members who sign up for a separate drug plan.
Medicare Advantage Plans

Aetna Inc. Medicare Advantage Plans in Milwaukee County, WI
The following table includes cost information and other plan details for Aetna Inc. Medicare Advantage plans available in Wisconsin in 2023.
Plan Name | Plan Code | Monthly Premium | Deductible | Out of Pocket Max |
Prescription Drug Coverage |
Medicare Star Rating |
---|---|---|---|---|---|---|
Aetna Medicare Value (PPO) | H5521: 195 | $0 | $200 | $4,500 | Yes | 3.5 out of 5 |
Aetna Medicare Eagle (PPO) | H5521: 286 | $0 | N/A | $4,390 | No | 3.5 out of 5 |
Aetna Medicare Premier (PPO) | H5521: 150 | $27 | $200 | $3,900 | Yes | 3.5 out of 5 |
SilverScript Choice (PDP) | S5601: 032 | $40 | $505 | N/A | Yes | 3.5 out of 5 |
SilverScript Plus (PDP) | S5601: 033 | $84 | $0 | N/A | Yes | 3.5 out of 5 |
Aetna Medicare Premier Plus (PPO) | H5521: 386 | $187 | $0 | $4,300 | Yes | 3.5 out of 5 |
Anthem Blue Cross and Blue Shield Medicare Advantage Plans in Milwaukee County, WI
The following table includes cost information and other plan details for Anthem Blue Cross and Blue Shield Medicare Advantage plans available in Wisconsin in 2023.
Plan Name | Plan Code | Monthly Premium | Deductible | Out of Pocket Max |
Prescription Drug Coverage |
Medicare Star Rating |
---|---|---|---|---|---|---|
Anthem MediBlue Access Plus (PPO) | H4036: 020 | $0 | $195 | $4,700 | Yes | 4.5 out of 5 |
Anthem MediBlue Service (PPO) | H4036: 024 | $0 | N/A | $6,700 | No | 4.5 out of 5 |
Anthem MediBlue Dual Advantage (HMO D-SNP) | H9525: 003 | $0 | $0 | $8,300 | Yes | 3.5 out of 5 |
Anthem MediBlue Plus (HMO) | H9525: 004 | $0 | $150 | $4,400 | Yes | 3.5 out of 5 |
Anthem MediBlue Dual Connect (HMO D-SNP) | H9525: 012 | $19 | $0 | $8,300 | Yes | 3.5 out of 5 |
Anthem MediBlue Access (PPO) | H4036: 008 | $27 | $95 | $4,500 | Yes | 4.5 out of 5 |
Anthem MediBlue Rx Plus (PDP) | S5596: 057 | $60 | $0 | N/A | Yes | 3.5 out of 5 |
Anthem MediBlue Rx Standard (PDP) | S5596: 056 | $68 | $505 | N/A | Yes | 3.5 out of 5 |

Cigna Medicare Advantage Plans in Milwaukee County, WI
The following table includes cost information and other plan details for Cigna Medicare Advantage plans available in Wisconsin in 2023.
Plan Name | Plan Code | Monthly Premium | Deductible | Out of Pocket Max |
Prescription Drug Coverage |
Medicare Star Rating |
---|---|---|---|---|---|---|
Cigna Extra Rx (PDP) | S5617: 261 | $56 | $100 | N/A | Yes | 3 out of 5 |

Humana Inc. Medicare Advantage Plans in Milwaukee County, WI
The following table includes cost information and other plan details for Humana Inc. Medicare Advantage plans available in Wisconsin in 2023.
Plan Name | Plan Code | Monthly Premium | Deductible | Out of Pocket Max |
Prescription Drug Coverage |
Medicare Star Rating |
---|---|---|---|---|---|---|
HumanaChoice H5216-252 (PPO) | H5216: 252 | $0 | $0 | $4,200 | Yes | 4.5 out of 5 |
HumanaChoice H5216-253 (PPO) | H5216: 253 | $0 | $200 | $3,750 | Yes | 4.5 out of 5 |
Humana Honor (PPO) | H5216: 258 | $0 | N/A | $4,900 | No | 4.5 out of 5 |
Humana Honor (PPO) | H5216: 355 | $0 | N/A | $4,900 | No | 4.5 out of 5 |
Humana Gold Plus H6622-034 (HMO) | H6622: 034 | $0 | $200 | $3,500 | Yes | 4.5 out of 5 |
Humana Honor (Regional PPO) | R5361: 001 | $0 | N/A | $4,900 | No | 4 out of 5 |
Humana Walmart Value Rx Plan (PDP) | S5884: 195 | $31 | $505 | N/A | Yes | 3 out of 5 |
Humana Value Plus H5216-173 (PPO) | H5216: 173 | $42 | $475 | $6,700 | Yes | 4.5 out of 5 |
Humana Gold Choice H8145-006 (PFFS) | H8145: 006 | $49 | $505 | N/A | Yes | 4 out of 5 |
HumanaChoice H5216-001 (PPO) | H5216: 001 | $77 | $200 | $3,900 | Yes | 4.5 out of 5 |
Humana Premier Rx Plan (PDP) | S5884: 162 | $84 | $300 | N/A | Yes | 3 out of 5 |
HumanaChoice R5361-002 (Regional PPO) | R5361: 002 | $96 | $505 | $6,700 | Yes | 4 out of 5 |
Molina Healthcare, Inc.,
Molina Healthcare, Inc., Medicare Advantage Plans in Milwaukee County, WI
The following table includes cost information and other plan details for Molina Healthcare, Inc., Medicare Advantage plans available in Wisconsin in 2023.
Plan Name | Plan Code | Monthly Premium | Deductible | Out of Pocket Max |
Prescription Drug Coverage |
Medicare Star Rating |
---|---|---|---|---|---|---|
Molina Medicare Choice Care (HMO) | H2879: 003 | $0 | $125 | $8,300 | Yes | 3 out of 5 |
Molina Medicare Complete Care (HMO D-SNP) | H2879: 001 | $43 | $505 | $3,400 | Yes | 3 out of 5 |
Molina Medicare Complete Care Select (HMO D-SNP) | H2879: 005 | $43 | $505 | $8,300 | Yes | 3 out of 5 |
Mutual of Omaha
Mutual of Omaha Medicare Advantage Plans in Milwaukee County, WI
The following table includes cost information and other plan details for Mutual of Omaha Medicare Advantage plans available in Wisconsin in 2023.
Plan Name | Plan Code | Monthly Premium | Deductible | Out of Pocket Max |
Prescription Drug Coverage |
Medicare Star Rating |
---|---|---|---|---|---|---|
Mutual of Omaha Rx Essential (PDP) | S7126: 118 | $18 | $505 | N/A | Yes | 2 out of 5 |
Mutual of Omaha Rx Premier (PDP) | S7126: 085 | $60 | $505 | N/A | Yes | 2 out of 5 |
Mutual of Omaha Rx Plus (PDP) | S7126: 015 | $90 | $505 | N/A | Yes | 2 out of 5 |
UnitedHealthcare Medicare Advantage Plans in Milwaukee County, WI
The following table includes cost information and other plan details for UnitedHealthcare Medicare Advantage plans available in Wisconsin in 2023.
Plan Name | Plan Code | Monthly Premium | Deductible | Out of Pocket Max |
Prescription Drug Coverage |
Medicare Star Rating |
---|---|---|---|---|---|---|
AARP Medicare Advantage Open Plan 3 (PPO) | H0294: 026 | $0 | $0 | $4,900 | Yes | 4.5 out of 5 |
UnitedHealthcare Dual Complete Choice (PPO D-SNP) | H0294: 027 | $0 | $0 | $0 | Yes | 4.5 out of 5 |
UnitedHealthcare Dual Complete LP1 (HMO-POS D-SNP) | H3794: 002 | $0 | $0 | $0 | Yes | 4.5 out of 5 |
UnitedHealthcare Dual Complete Select (HMO-POS D-SNP) | H3794: 004 | $0 | $0 | $0 | Yes | 4.5 out of 5 |
AARP Medicare Advantage Patriot Plan 2 (HMO-POS) | H5253: 021 | $0 | N/A | $4,900 | No | 4.5 out of 5 |
UnitedHealthcare Dual Complete LP (HMO-POS D-SNP) | H5253: 024 | $0 | $0 | $0 | Yes | 4.5 out of 5 |
AARP Medicare Advantage Premier Value (HMO-POS) | H5253: 033 | $0 | $0 | $4,500 | Yes | 4.5 out of 5 |
UnitedHealthcare Medicare Advantage Assist (PPO C-SNP) | H0294: 002 | $12 | $0 | $5,900 | Yes | 4.5 out of 5 |
AARP MedicareRx Walgreens (PDP) | S5921: 397 | $22 | $350 | N/A | Yes | 3 out of 5 |
AARP Medicare Advantage Plus (HMO-POS) | H5253: 004 | $27 | $0 | $3,900 | Yes | 4.5 out of 5 |
AARP MedicareRx Saver Plus (PDP) | S5921: 361 | $39 | $505 | N/A | Yes | 3 out of 5 |
AARP Medicare Advantage Open Plan 1 (PPO) | H0294: 004 | $45 | $325 | $5,500 | Yes | 4.5 out of 5 |
AARP MedicareRx Preferred (PDP) | S5820: 015 | $113 | $0 | N/A | Yes | 3.5 out of 5 |

WellCare Health Plans, Inc. Medicare Advantage Plans in Milwaukee County, WI
The following table includes cost information and other plan details for WellCare Health Plans, Inc. Medicare Advantage plans available in Wisconsin in 2023.
Plan Name | Plan Code | Monthly Premium | Deductible | Out of Pocket Max |
Prescription Drug Coverage |
Medicare Star Rating |
---|---|---|---|---|---|---|
Wellcare Dual Access (HMO D-SNP) | H8189: 001 | $0 | $0 | $0 | Yes | 3.5 out of 5 |
Wellcare Value Script (PDP) | S4802: 132 | $10 | $505 | N/A | Yes | 3 out of 5 |
Wellcare Classic (PDP) | S4802: 097 | $35 | $505 | N/A | Yes | 3 out of 5 |
Wellcare Medicare Rx Value Plus (PDP) | S4802: 219 | $71 | $0 | N/A | Yes | 3 out of 5 |
Wellcare Medicare Rx Value Plus (PDP) | S4802: 237 | $71 | $0 | N/A | Yes | 3 out of 5 |