Medicare Plans in
Oneida County, WI

18 Medicare Advantage Plans Found in Oneida County. See Plans

Oneida County, WI
Medicare Information

For Oneida County’s Medicare beneficiaries, Medicare Advantage plans offer an alternative to Original Medicare. Currently, 18 MA plans are available in Oneida 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.

For Oneida County’s Medicare beneficiaries, Medicare Advantage plans offer an alternative to Original Medicare. Currently, 18 MA plans are available in Oneida 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 Oneida 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 Oneida County

Average Cost of Medicare Advantage Plans in Oneida County, Wisconsin
Average Monthly Premium $69.50
Average in-network out-of-pocket spending limit $5,431.25
Average drug deductible in 2022 (weighted) $284.55
Percentage of plans rated 4 stars or higher 55.6%
Average Cost of Medicare Advantage Plans in Oneida County, Wisconsin
Average Monthly Premium
$69.50
Average in-network out-of-pocket spending limit
$5,431.25
Average drug deductible in 2021 (weighted)
$284.55
Percentage of plans rated 4 stars or higher
55.6%

Learn More About Medicare Advantage
Prescription Drug Plans

Oneida County Medicare beneficiaries who are interested in a Part C policy may choose among the following types of plans, depending on their needs and circumstances:
Plan Type Description
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
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.
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.
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.
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.

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

Anthem Blue Cross and Blue Shield

Anthem Blue Cross and Blue Shield Medicare Advantage Plans in Oneida 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 2022.

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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 $225 $4,700 Yes
4 out of 5
Anthem MediBlue Plus (HMO) H9525: 004 $0 $175 $4,400 Yes
3.5 out of 5
Anthem MediBlue Service (PPO) H4036: 024 $0 N/A $6,700 No
4 out of 5
Anthem MediBlue Access (PPO) H4036: 009 $37 $95 $5,500 Yes
4 out of 5
Humana Inc.

Humana Inc. Medicare Advantage Plans in Oneida County, WI

The following table includes cost information and other plan details for Humana Inc. Medicare Advantage plans available in Wisconsin in 2022.

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Plan Name Plan Code Monthly Premium Deductible Out of
Pocket Max
Prescription Drug Coverage Medicare
Star Rating
Humana Honor (PPO) H5216: 258 $0 N/A $5,900 No
4 out of 5
HumanaChoice R5361-001 (Regional PPO) R5361: 001 $0 N/A $6,700 No
3.5 out of 5
Humana Gold Choice H8145-006 (PFFS) H8145: 006 $78 $480 N/A Yes
3.5 out of 5
HumanaChoice R5361-002 (Regional PPO) R5361: 002 $120 $480 $6,700 Yes
3.5 out of 5

Ministry Health Care, Inc.

Ministry Health Care, Inc. Medicare Advantage Plans in Oneida County, WI

The following table includes cost information and other plan details for Ministry Health Care, Inc. Medicare Advantage plans available in Wisconsin in 2022.

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Plan Name Plan Code Monthly Premium Deductible Out of
Pocket Max
Prescription Drug Coverage Medicare
Star Rating
NetworkPrime (MSA) H1181: 001 $0 N/A N/A No
Not enough data available

UCare Minnesota

UCare Minnesota Medicare Advantage Plans in Oneida County, WI

The following table includes cost information and other plan details for UCare Minnesota Medicare Advantage plans available in Wisconsin in 2022.

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Plan Name Plan Code Monthly Premium Deductible Out of
Pocket Max
Prescription Drug Coverage Medicare
Star Rating
Elite (PPO) H6874: 003 $0 N/A $4,000 No
Plan too new to be measured
Elite Rx (PPO) H6874: 002 $0 $295 $4,000 Yes
Plan too new to be measured
Essential Rx (PPO) H6874: 001 $0 $295 $5,900 Yes
Plan too new to be measured
UnitedHealthcare

UnitedHealthcare Medicare Advantage Plans in Oneida County, WI

The following table includes cost information and other plan details for UnitedHealthcare Medicare Advantage plans available in Wisconsin in 2022.

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Plan Name Plan Code Monthly Premium Deductible Out of
Pocket Max
Prescription Drug Coverage Medicare
Star Rating
AARP Medicare Advantage Patriot Plan 1 (PPO) H0294: 014 $0 N/A $6,700 No
4.5 out of 5
AARP Medicare Advantage Patriot Plan 2 (HMO-POS) H5253: 021 $0 N/A $4,900 No
4 out of 5
AARP Medicare Advantage Value (HMO-POS) H5253: 072 $0 $355 $6,400 Yes
4 out of 5
AARP Medicare Advantage (HMO-POS) H5253: 073 $29 $245 $4,500 Yes
4 out of 5
AARP Medicare Advantage Open (PPO) H0294: 011 $41 $385 $5,700 Yes
4.5 out of 5
AARP Medicare Advantage Open Premier (PPO) H0294: 012 $112 $100 $4,200 Yes
4.5 out of 5