Best Medicare Companies in Sheboygan County, Wisconsin (2025)
Discover the top-rated Medicare companies in Sheboygan County, Wisconsin, offering comprehensive coverage and exceptional benefits. Compare rates, plans, and provider networks to make an informed decision. Enter your ZIP code now to receive personalized quotes from leading insurance companies and secure the perfect Medicare plan for your needs and budget. Ensure peace of mind and quality healthcare with the best options available.
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Dani Best
Licensed Insurance Producer
Dani Best has been a licensed insurance producer for nearly 10 years. Dani began her insurance career in a sales role with State Farm in 2014. During her time in sales, she graduated with her Bachelors in Psychology from Capella University and is currently earning her Masters in Marriage and Family Therapy. Since 2014, Dani has held and maintains licenses in Life, Disability, Property, and Casualt...
UPDATED: Jan 16, 2025
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UPDATED: Jan 16, 2025
It’s all about you. We want to help you make the right coverage choices.
Advertiser Disclosure: We strive to help you make confident insurance decisions. Comparison shopping should be easy. We are not affiliated with any one insurance company and cannot guarantee quotes from any single insurance company.
Our insurance industry partnerships don’t influence our content. Our opinions are our own. To compare quotes from many different insurance companies please enter your ZIP code above to use the free quote tool. The more quotes you compare, the more chances to save.
On This Page
- Original Medicare in Sheboygan County doesn’t cover dental, vision, and hearing, but a Medicare Advantage plan often does
- Sheboygan County, WI, Medicare supplement plans fill in the gaps in coverage left by original Medicare
- Sheboygan County, Wisconsin, Medigap plans are standardized, but you can compare rates to save
Welcome to our comprehensive guide on the best Medicare companies in Sheboygan County, Wisconsin. In this article, we will explore the top-rated insurance providers, their plans, and the benefits they offer. We understand the importance of finding the right Medicare coverage that meets your unique healthcare needs.
Whether you’re looking for prescription drug coverage, hospital visits, or specialized care, we’ve got you covered. To make an informed decision and find the best rates, enter your ZIP code now and compare quotes from the leading insurance providers in Sheboygan County.
Don’t miss out on the opportunity to secure the best Medicare plan for your health and financial well-being. Act now and ensure peace of mind and quality healthcare for the future.
Medicare Advantage by Company in Sheboygan County, Wisconsin
There are several Medicare Advantage companies in Sheboygan County, WI, and each has its own list of plans. Take a look at your choices for a Medicare Advantage plan in Sheboygan County.
Medicare Advantage Companies in Sheboygan County, Wisconsin
| Plan Name | Monthly Prem. (Parts C & D) | Deductible | Additional Gap Coverage | Preferred Pharmacy Copay/ Coinsurance 30-Day Supply | MOOP for Part A & B Benefits |
|---|---|---|---|---|---|
| AARP Medicare Advantage (HMO-POS) – H5253-011-0 | $27.00 | $245 . Tier 1, 2 and 3 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $3.00, Generic: $12.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 28% | $4,200 |
| AARP Medicare Advantage Open Plan 1 (PPO) – H0294-004-0 | $47.00 | $325 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $4.00, Generic: $12.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 27% | $5,900 |
| AARP Medicare Advantage Patriot Plan 2 (HMO-POS) – H5253-021-0 | $0.00 | No Rx Coverage | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 |
| AARP Medicare Advantage Value (HMO-POS) – H5253-034-0 | $0.00 | $355 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $3.00, Generic: $14.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 26% | $4,900 |
| AARP Medicare Advantage Walgreens (PPO) – H0294-015-0 | $0.00 | $245 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 28% | $4,700 |
| Aetna Medicare Eagle (PPO) – H5521-286-0 | $0.00 | No Rx Coverage | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,900 |
| Aetna Medicare Premier (PPO) – H5521-150-0 | $26.00 | $200 . Tier 1, 2 and 3 exempt | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 29% | $4,600 |
| Aetna Medicare Value (PPO) – H5521-195-0 | $0.00 | $200 . Tier 1, 2 and 3 exempt | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 29% | $4,975 |
| Allwell Dual Medicare (HMO D-SNP) – H8189-001-0 | $0.00 for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $20.00, Preferred Brand: $47.00, Non-Preferred Drug: 50%, Specialty Tier: 29% | n/a |
| Anthem MediBlue Access (PPO) – H4036-008-0 | $27.00 | $95 . Tier 1 and 2 exempt | Yes, some additional gap coverage. | Preferred Generic: $5.00, Generic: $15.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 31%, Select Care Drugs: $0.00 | $4,500 |
| Anthem MediBlue Access Core (PPO) – H4036-016-0 | $0.00 | No Rx Coverage | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,500 |
| Anthem MediBlue Access Plus (PPO) – H4036-020-0 | $0.00 | $195 . Tier 1 and 2 exempt | Yes, some additional gap coverage. | Preferred Generic: $5.00, Generic: $15.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 29%, Select Care Drugs: $0.00 | $4,500 |
| Anthem MediBlue Dual Advantage (HMO D-SNP) – H9525-003-0 | $0.00 for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $4.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 25%, Select Care Drugs: $0.00 | n/a |
| Anthem MediBlue Plus (HMO) – H9525-006-0 | $0.00 | $150 . Tier 1 and 2 exempt | Yes, some additional gap coverage. | Preferred Generic: $2.00, Generic: $9.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 30%, Select Care Drugs: $0.00 | $4,300 |
| Aurora Health Quartz Med Advantage Core D (w/Rx) (HMO) – H5262-012-0 | $0.00 | $150 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: $8.00, Preferred Brand: $47.00, Non-Preferred Drug: 30%, Specialty Tier: 30% | $5,900 |
| Aurora Health Quartz Med Advantage Elite (HMO) – H5262-025-0 | $40.00 | No Rx Coverage | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,900 |
| Aurora Health Quartz Med Advantage Elite D (w/Rx) (HMO) – H5262-024-0 | $70.90 | $150 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: $8.00, Preferred Brand: $47.00, Non-Preferred Drug: 30%, Specialty Tier: 30% | $3,900 |
| Aurora Health Quartz Med Advantage Value (HMO) – H5262-013-0 | $0.00 | No Rx Coverage | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 |
| Aurora Health Quartz Med Advantage Value D (w/Rx) (HMO) – H5262-011-0 | $31.00 | $150 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: $8.00, Preferred Brand: $47.00, Non-Preferred Drug: 30%, Specialty Tier: 30% | $4,900 |
| Humana Gold Choice H8145-006 (PFFS) – H8145-006-0 | $81.00 | $445 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $6.00, Generic: $15.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 25% | n/a |
| Humana Gold Plus H6622-002 (HMO) – H6622-002-0 | $38.00 | $200 . Tier 1, 2 and 3 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $6.00, Generic: $15.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 29% | $4,000 |
| Humana Gold Plus H6622-034 (HMO) – H6622-034-0 | $0.00 | $300 . Tier 1, 2 and 3 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $6.00, Generic: $15.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 27% | $4,500 |
| Humana Gold Plus H6622-040 (HMO) – H6622-040-0 | $0.00 | $315 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $6.00, Generic: $15.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 27% | $6,700 |
| Humana Honor (PPO) – H5216-258-0 | $0.00 | No Rx Coverage | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $6,700 |
| Humana Value Plus H5216-173 (PPO) – H5216-173-0 | $33.00 | $230 . Tier 1 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $8.00, Generic: $18.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 29% | $6,700 |
| HumanaChoice H5216-001 (PPO) – H5216-001-0 | $78.00 | $200 . Tier 1, 2 and 3 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $6.00, Generic: $15.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 29% | $3,900 |
| HumanaChoice H5216-252 (PPO) – H5216-252-0 | $0.00 | $300 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $6.00, Generic: $15.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 27% | $4,900 |
| HumanaChoice H5216-253 (PPO) – H5216-253-0 | $0.00 | $275 . Tier 1, 2 and 3 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $6.00, Generic: $15.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 28% | $4,200 |
| HumanaChoice R5361-001 (Regional PPO) – R5361-001-0 | $0.00 | No Rx Coverage | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $6,700 |
| HumanaChoice R5361-002 (Regional PPO) – R5361-002-0 | $120.00 | $420 . Tier 1 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $3.00, Generic: $9.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 25% | $6,700 |
| Molina Medicare Complete Care (HMO D-SNP) – H2879-001-0 | $0.00 for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $47.00, Non-Preferred Drug: 34%, Specialty Tier: 25% | n/a |
| Network PlatinumChoice (PPO) – H5215-011-0 | $31.00 | $260 . Tier 1, 2 and 3 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $2.00, Generic: $8.00, Preferred Brand: $42.00, Non-Preferred Brand: $90.00, Specialty Tier: 28% | $4,050 |
| Network PlatinumPlus (PPO) – H5215-001-0 | $51.00 | No Rx Coverage | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
| Network PlatinumPlus Pharmacy (PPO) – H5215-002-0 | $124.00 | $260 . Tier 1, 2 and 3 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $2.00, Generic: $8.00, Preferred Brand: $42.00, Non-Preferred Brand: $90.00, Specialty Tier: 28% | $3,400 |
| Network PlatinumPremier (PPO) – H5215-006-0 | $185.00 | No Rx Coverage | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
| Network PlatinumPremier Pharmacy (PPO) – H5215-005-0 | $297.00 | $260 . Tier 1, 2 and 3 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $2.00, Generic: $8.00, Preferred Brand: $42.00, Non-Preferred Brand: $90.00, Specialty Tier: 28% | $3,400 |
| Network PlatinumSelect (PPO) – H5215-008-0 | $0.00 | $395 . Tier 1, 2 and 3 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $2.00, Generic: $8.00, Preferred Brand: $42.00, Non-Preferred Brand: $90.00, Specialty Tier: 25% | $4,900 |
| NetworkCares (PPO D-SNP) – H5215-007-0 | $0.00 for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $4.00, Generic: $8.00, Preferred Brand: $42.00, Non-Preferred Brand: $90.00, Specialty Tier: 25% | n/a |
| NetworkPrime (MSA) – H1181-001-0 | $0.00 | No Rx Coverage | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
| Prevea360 Complete (HMO-POS) – H9096-009-0 | $226.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $40.00, Non-Preferred Brand: $90.00, Specialty Tier: 33%, Vaccines: $0.00 | $2,500 |
| Prevea360 Essential (HMO-POS) – H9096-006-0 | $0.00 | $250 . Tier 1 and 2 exempt | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $40.00, Non-Preferred Brand: $90.00, Specialty Tier: 28%, Vaccines: $0.00 | $4,500 |
| Prevea360 Harmony (HMO-POS) – H9096-011-0 | $0.00 | No Rx Coverage | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,500 |
| Secure Saver (MSA) – H4388-001-0 | $0.00 | No Rx Coverage | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
| UnitedHealthcare Assisted Living Plan (HMO-POS I-SNP) – H5253-064-0 | $40.70 | $200 . Tier 1, 2 and 3 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $2.00, Generic: $12.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 29% | n/a |
| UnitedHealthcare Dual Complete LP (HMO D-SNP) – H5253-024-0 | $0.00 for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No additional gap coverage, only the Donut Hole Discount | Tier 1: 15%, Tier 2: 15%, Tier 3: 15%, Tier 4: 15%, Tier 5: 15% | n/a |
| UnitedHealthcare Dual Complete LP1 (HMO D-SNP) – H3794-002-0 | $0.00 for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No additional gap coverage, only the Donut Hole Discount | Tier 1: 15%, Tier 2: 15%, Tier 3: 15%, Tier 4: 15%, Tier 5: 15% | n/a |
| UnitedHealthcare Medicare Advantage Assist (PPO C-SNP) – H0294-002-0 | $14.00 | $300 . Tier 1, 2 and 3 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $4.00, Generic: $12.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 27% | n/a |
| UnitedHealthcare Nursing Home Plan 1 (HMO-POS I-SNP) – H5253-007-0 | $38.10 | $445 | No additional gap coverage, only the Donut Hole Discount | Tier 1: 25%, Tier 2: 25%, Tier 3: 25%, Tier 4: 25%, Tier 5: 25% | n/a |
| UnitedHealthcare Nursing Home Plan 2 (PPO I-SNP) – H0710-043-0 | $38.80 | $445 | No additional gap coverage, only the Donut Hole Discount | Tier 1: 25%, Tier 2: 25%, Tier 3: 25%, Tier 4: 25%, Tier 5: 25% | n/a |
| iCare Medicare Plan (HMO D-SNP) – H2237-001-0 | $0.00 for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No additional gap coverage, only the Donut Hole Discount | Generic: $15.00, Brand: $45.00, Specialty Tier: 25% | n/a |
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Medicare Part D by Company in Sheboygan County Wisconsin
Medicare Part D in Sheboygan County, WI, is available from a variety of companies as a standalone policy. You can add Part D prescription drug coverage to your Sheboygan County, state Medicare Advantage plan, or to original Medicare.
Standalone Medicare Part D plans in Sheboygan County, Wisconsin
| Plan | Details | Tiers |
|---|---|---|
| SilverScript SmartRx (PDP) S5601 – 191 – 0 by Aetna Medicare |
Monthly Premium: $7.30 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $19.00 Tier 3: $46.00 Tier 4: 46% Tier 5: 25% |
| Clear Spring Health Premier Rx (PDP) S6946 – 042 – 0 by Clear Spring Health |
Monthly Premium: $13.60 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $3.00 Tier 3: $40.00 Tier 4: 44% Tier 5: 25% |
| WellCare Wellness Rx (PDP) S4802 – 185 – 0 by WellCare |
Monthly Premium: $14.60 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $7.00 Tier 3: $43.00 Tier 4: 47% Tier 5: 25% |
| WellCare Value Script (PDP) S4802 – 132 – 0 by WellCare |
Monthly Premium: $14.80 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $8.00 Tier 3: $43.00 Tier 4: 47% Tier 5: 25% |
| Humana Walmart Value Rx Plan (PDP) S5884 – 195 – 0 by Humana |
Monthly Premium: $17.20 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $4.00 Tier 3: 19% Tier 4: 35% Tier 5: 25% |
| Cigna Secure-Essential Rx (PDP) S5617 – 295 – 0 by Cigna |
Monthly Premium: $24.00 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $2.00 Tier 3: 18% Tier 4: 46% Tier 5: 25% |
| Mutual of Omaha Rx Premier (PDP) S7126 – 085 – 0 by Mutual of Omaha Rx |
Monthly Premium: $24.00 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $2.00 Tier 3: 23% Tier 4: 46% Tier 5: 25% |
| Anthem MediBlue Rx Enhanced (PDP) S5596 – 080 – 0 by Anthem MediBlue Rx (PDP) |
Monthly Premium: $24.60 Annual Deductible: $290 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: Yes |
Tier 1: $0.00 Tier 2: $2.00 Tier 3: 20% Tier 4: 37% Tier 5: 26% |
| WellCare Medicare Rx Select (PDP) S5810 – 290 – 0 by WellCare |
Monthly Premium: $26.80 Annual Deductible: $300 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $3.00 Tier 3: $47.00 Tier 4: 42% Tier 5: 27% |
| Express Scripts Medicare – Saver (PDP) S5660 – 232 – 0 by Express Scripts Medicare |
Monthly Premium: $27.50 Annual Deductible: $285 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $2.00 Tier 2: $7.00 Tier 3: $35.00 Tier 4: 50% Tier 5: 28% |
| Clear Spring Health Value Rx (PDP) S6946 – 013 – 0 by Clear Spring Health |
Monthly Premium: $29.30 Annual Deductible: $445 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $3.00 Tier 3: $42.00 Tier 4: 34% Tier 5: 25% |
| Express Scripts Medicare – Value (PDP) S5660 – 118 – 0 by Express Scripts Medicare |
Monthly Premium: $31.60 Annual Deductible: $445 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $3.00 Tier 3: $30.00 Tier 4: 50% Tier 5: 25% |
| AARP MedicareRx Walgreens (PDP) S5921 – 397 – 0 by UnitedHealthcare |
Monthly Premium: $32.00 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $6.00 Tier 3: $40.00 Tier 4: 40% Tier 5: 25% |
| Cigna Secure Rx (PDP) S5617 – 223 – 0 by Cigna |
Monthly Premium: $32.10 Annual Deductible: $445 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $2.00 Tier 3: $30.00 Tier 4: 50% Tier 5: 25% |
| WellCare Classic (PDP) S4802 – 097 – 0 by WellCare |
Monthly Premium: $33.90 Annual Deductible: $445 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $2.00 Tier 3: $30.00 Tier 4: 33% Tier 5: 25% |
| SilverScript Choice (PDP) S5601 – 032 – 0 by Aetna Medicare |
Monthly Premium: $36.00 Annual Deductible: $205 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $5.00 Tier 3: $35.00 Tier 4: 42% Tier 5: 29% |
| Humana Basic Rx Plan (PDP) S5884 – 139 – 0 by Humana |
Monthly Premium: $37.90 Annual Deductible: $445 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $1.00 Tier 3: 20% Tier 4: 35% Tier 5: 25% |
| Elixir RxPlus (PDP) S7694 – 016 – 0 by Elixir Insurance |
Monthly Premium: $39.10 Annual Deductible: $445 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $6.00 Tier 3: 15% Tier 4: 25% Tier 5: 25% |
| WellCare Medicare Rx Saver (PDP) S5810 – 050 – 0 by WellCare |
Monthly Premium: $39.50 Annual Deductible: $445 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $2.00 Tier 3: $35.00 Tier 4: 37% Tier 5: 25% |
| AARP MedicareRx Saver Plus (PDP) S5921 – 361 – 0 by UnitedHealthcare |
Monthly Premium: $40.00 Annual Deductible: $445 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $7.00 Tier 3: $31.00 Tier 4: 40% Tier 5: 25% |
| SilverScript Plus (PDP) S5601 – 033 – 0 by Aetna Medicare |
Monthly Premium: $52.20 Annual Deductible: $0 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: Yes |
Tier 1: $0.00 Tier 2: $2.00 Tier 3: $47.00 Tier 4: 50% Tier 5: 33% |
| Anthem MediBlue Rx Plus (PDP) S5596 – 057 – 0 by Anthem MediBlue Rx (PDP) |
Monthly Premium: $54.30 Annual Deductible: $0 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $3.00 Tier 3: $43.00 Tier 4: 45% Tier 5: 33% |
| Cigna Secure-Extra Rx (PDP) S5617 – 261 – 0 by Cigna |
Monthly Premium: $54.60 Annual Deductible: $100 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: Yes |
Tier 1: $4.00 Tier 2: $10.00 Tier 3: $42.00 Tier 4: 50% Tier 5: 31% |
| Anthem MediBlue Rx Standard (PDP) S5596 – 056 – 0 by Anthem MediBlue Rx (PDP) |
Monthly Premium: $54.90 Annual Deductible: $320 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $2.00 Tier 3: $30.00 Tier 4: 35% Tier 5: 25% |
| Humana Premier Rx Plan (PDP) S5884 – 162 – 0 by Humana |
Monthly Premium: $63.30 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $4.00 Tier 3: $45.00 Tier 4: 49% Tier 5: 25% |
| WellCare Medicare Rx Value Plus (PDP) S5768 – 139 – 0 by WellCare |
Monthly Premium: $76.10 Annual Deductible: $0 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $4.00 Tier 3: $47.00 Tier 4: 45% Tier 5: 33% |
| WPS MedicareRx Plan 1 (PDP) S5753 – 006 – 0 by WPS Health Insurance |
Monthly Premium: $79.30 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $3.00 Tier 2: $15.00 Tier 3: $42.00 Tier 4: 49% Tier 5: 25% |
| Express Scripts Medicare – Choice (PDP) S5660 – 186 – 0 by Express Scripts Medicare |
Monthly Premium: $80.80 Annual Deductible: $100 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: Yes |
Tier 1: $2.00 Tier 2: $7.00 Tier 3: $42.00 Tier 4: 50% Tier 5: 31% |
| Mutual of Omaha Rx Plus (PDP) S7126 – 015 – 0 by Mutual of Omaha Rx |
Monthly Premium: $86.60 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $2.00 Tier 3: 20% Tier 4: 37% Tier 5: 25% |
| AARP MedicareRx Preferred (PDP) S5820 – 015 – 0 by UnitedHealthcare |
Monthly Premium: $92.80 Annual Deductible: $0 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $5.00 Tier 2: $10.00 Tier 3: $45.00 Tier 4: 40% Tier 5: 33% |
| WPS MedicareRx Plan 2 (PDP) S5753 – 007 – 0 by WPS Health Insurance |
Monthly Premium: $132.30 Annual Deductible: $0 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: Yes |
Tier 1: $0.00 Tier 2: $11.00 Tier 3: $42.00 Tier 4: 45% Tier 5: 33% |
Medicare Supplement By Company in Sheboygan County, Wisconsin
If you choose original Medicare, you can purchase a Sheboygan County, WI, Medicare supplement plan to cover out-of-pocket expenses. Compare the available Medicare supplement plans in Sheboygan County here.
Medicare Supplement Companies in Sheboygan County, Wisconsin
| Company | Plans |
|---|---|
| Humana (Humana Insurance Company) | Medigap 25% Cost Sharing Plan, Medigap 50% Cost Sharing Plan, Medigap Basic Plan, Medigap High Deductible Plan |
| Humana (Humana Insurance Company) (Household) | Medigap 25% Cost Sharing Plan, Medigap 50% Cost Sharing Plan, Medigap Basic Plan, Medigap High Deductible Plan |
| Humana Healthy Living (Humana Insurance Company) | Medigap 25% Cost Sharing Plan, Medigap 50% Cost Sharing Plan, Medigap Basic Plan |
| Humana Healthy Living (Humana Insurance Company) (Household) | Medigap 25% Cost Sharing Plan, Medigap 50% Cost Sharing Plan, Medigap Basic Plan |
| Humana Value (HumanaDental Insurance Company) | Medigap 25% Cost Sharing Plan, Medigap 50% Cost Sharing Plan, Medigap Basic Plan |
| Humana Value (HumanaDental Insurance Company) (Household) | Medigap 25% Cost Sharing Plan, Medigap 50% Cost Sharing Plan, Medigap Basic Plan |
| Wisconsin Physicians Service Insurance Corporation | Medigap 25% Cost Sharing Plan, Medigap 50% Cost Sharing Plan, Medigap Basic Plan |
| AARP – UnitedHealthcare Insurance Company (Level 1) | Medigap Basic Plan |
| AARP – UnitedHealthcare Insurance Company (Level 1/Household) | Medigap Basic Plan |
| AARP – UnitedHealthcare Insurance Company (Level 2) | Medigap Basic Plan |
| AARP – UnitedHealthcare Insurance Company (Level 2/Household) | Medigap Basic Plan |
| AARP – UnitedHealthcare Insurance Company (Standard) | Medigap Basic Plan |
| AARP – UnitedHealthcare Insurance Company (Standard/Household) | Medigap Basic Plan |
| Accendo Insurance Company | Medigap Basic Plan |
| Aetna Health and Life Insurance Company | Medigap Basic Plan |
| American Benefit Life Insurance Company | Medigap Basic Plan |
| Americo Financial Life and Annuity Insurance Company | Medigap Basic Plan |
| Americo Financial Life and Annuity Insurance Company (Class 1) | Medigap Basic Plan |
| Anthem Blue Cross and Blue Shield – Wisconsin | Medigap Basic Plan |
| Capitol Life Insurance Company | Medigap Basic Plan |
| Catholic United Financial | Medigap Basic Plan |
| Cigna Health & Life Insurance Company | Medigap Basic Plan |
| Colonial Penn Life Insurance Company | Medigap Basic Plan |
| Colonial Penn Life Insurance Company (Substandard) | Medigap Basic Plan |
| Garden State Life Insurance Company | Medigap Basic Plan, Medigap High Deductible Plan |
| Globe Life and Accident Insurance Company (Direct to Consumer) | Medigap Basic Plan |
| Guarantee Trust Life Insurance Company | Medigap Basic Plan |
| Humana Achieve (Emphesys Insurance Company) | Medigap Basic Plan |
| Humana Achieve (Emphesys Insurance Company) (Household) | Medigap Basic Plan |
| Independence American Insurance Company | Medigap Basic Plan |
| Lumico Life Insurance Company | Medigap Basic Plan |
| Manhattan Life Assurance Company | Medigap Basic Plan |
| Medico Insurance Company | Medigap Basic Plan |
| National Guardian Life Insurance Company | Medigap Basic Plan |
| National Health Insurance Company | Medigap Basic Plan |
| National Health Insurance Company (Household) | Medigap Basic Plan |
| Pan-American Life Insurance Company | Medigap Basic Plan |
| Pekin Life Insurance Company | Medigap Basic Plan |
| Philadelphia American Life Insurance Company | Medigap Basic Plan |
| Physicians Life Insurance Company (Attained Age) | Medigap Basic Plan, Medigap High Deductible Plan |
| Physicians Life Insurance Company (Issue Age) | Medigap Basic Plan, Medigap High Deductible Plan |
| Prosperity Life Group | Medigap Basic Plan |
| Puritan Life Insurance Company of America | Medigap Basic Plan |
| Security Health Plan of Wisconsin, Inc. | Medigap Basic Plan |
| Southern Guaranty Insurance Company | Medigap Basic Plan |
| State Farm Mutual Automobile Insurance Company | Medigap Basic Plan |
| Union Security Insurance Company | Medigap Basic Plan |
| United American Insurance Company | Medigap Basic Plan |
| United Commercial Travelers of America | Medigap Basic Plan |
| United World Life Insurance Company | Medigap Basic Plan, Medigap High Deductible Plan |
Medicare Supplement Coverage by Plan in Sheboygan County, Wisconsin
If you need help choosing a Medicare Supplement plan in Sheboygan County, Wisconsin, take a look at what each plan covers here.
Sheboygan County, Wisconsin Medicare Supplement Coverage by Plan
| Plan Name | Monthly Cost | Copays Coinsurance | Deductibles | Plan Benefits |
|---|---|---|---|---|
| Medigap 25% Cost Sharing Plan | Premiums range from $105-$569 depending on your age, sex, health status, and when you buy. | 5% Generally your cost for approved Part B services up to $3,110. Then, you’ll pay $0 for the rest of the year. | $371 (25% of Part A deductible) Hospital (Part A) deductible, $203 Medical (Part B) deductible |
Skilled nursing facility: Yes
Part A deductible: Yes Part B deductible: No Part B excess charges: No Foreign travel emergency: No |
| Medigap 50% Cost Sharing Plan | Premiums range from $78-$448 depending on your age, sex, health status, and when you buy. | 10% Generally your cost for approved Part B services up to $6,220. Then, you’ll pay $0 for the rest of the year. | $742 (50% of Part A deductible) Hospital (Part A) deductible, $203 Medical (Part B) deductible |
Skilled nursing facility: Yes
Part A deductible: Yes Part B deductible: No Part B excess charges: No Foreign travel emergency: No |
| Medigap Basic Plan | Premiums range from $98-$912 depending on your age, sex, health status, and when you buy. | $0 Generally your cost for approved Part B services | $1,484 Hospital (Part A) deductible, $203 Medical (Part B) deductible |
Skilled nursing facility: Yes
Part A deductible: No Part B deductible: No Part B excess charges: No Foreign travel emergency: No |
| Medigap High Deductible Plan | Premiums range from $52-$366 depending on your age, sex, health status, and when you buy. | $0 Generally your cost for approved Part B services | $2,370 total plan deductible. After, you pay: $0 Hospital (Part A) deductible, $0 (or $203 if not eligible for this benefit)** Medical (Part B) deductible |
Skilled nursing facility: Yes
Part A deductible: Yes Part B deductible: Yes Part B excess charges: Yes Foreign travel emergency: Yes |
Shop for Medicare Coverage in Sheboygan County, Wisconsin
Shopping for Sheboygan County, WI, Medicare coverage doesn’t have to be complex. Decide whether you prefer to pay more for monthly rates to avoid out-of-pocket costs in the future or lower monthly costs with greater potential for out-of-pocket costs if and when you need care.
From there, you can compare the options to find the Sheboygan County Medicare plan that best fits your requirements.
To find Sheboygan County, Wisconsin, Medicare rates now, just enter your ZIP code below. You’ll get fast, free Medicare quotes in Sheboygan County to compare.
Frequently Asked Questions
What Medicare Advantage plans are available in Sheboygan County, Wisconsin?
There are several Medicare Advantage plans available in Sheboygan County, Wisconsin, including plans from UnitedHealthcare, Humana, Aetna, and more. It’s important to compare plan benefits, costs, and network coverage to find the plan that best fits your needs.
What is Medicare and what does it cover?
Medicare is a federal health insurance program that provides coverage to individuals who are 65 years of age or older, as well as individuals with certain disabilities or end-stage renal disease. Medicare is divided into several parts, including Part A (hospital insurance), Part B (medical insurance), Part C (Medicare Advantage), and Part D (prescription drug coverage).
What is the difference between Medicare Advantage and traditional Medicare?
Medicare Advantage is an alternative to traditional Medicare, where a private insurance company provides all of your Medicare benefits instead of the federal government. Medicare Advantage plans often have additional benefits, such as dental and vision coverage, but may have restrictions on which healthcare providers you can see. Traditional Medicare allows you to see any healthcare provider that accepts Medicare.
What is Medigap and do I need it if I have Medicare Advantage?
Medigap, also known as Medicare Supplement, is a supplemental insurance policy that helps pay for out-of-pocket costs associated with traditional Medicare. If you have Medicare Advantage, you cannot also have a Medigap policy, as Medicare Advantage plans provide all of the benefits that Medigap would cover.
What is the Medicare Part D prescription drug coverage and how do I enroll?
Medicare Part D is a prescription drug coverage program offered by private insurance companies that have been approved by Medicare. Part D plans help pay for prescription drugs, and enrollment typically occurs during the Annual Enrollment Period from October 15 to December 7. It’s important to compare Part D plans to find the one that covers your needed medications at the lowest cost.
Can I change my Medicare Advantage or Part D plan during the year?
Generally, you cannot change your Medicare Advantage or Part D plan outside of the Annual Enrollment Period (October 15 to December 7). However, there are certain circumstances, such as moving to a new area or losing other health coverage, that may qualify you for a Special Enrollment Period to change your plan outside of the annual enrollment period.
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Dani Best
Licensed Insurance Producer
Dani Best has been a licensed insurance producer for nearly 10 years. Dani began her insurance career in a sales role with State Farm in 2014. During her time in sales, she graduated with her Bachelors in Psychology from Capella University and is currently earning her Masters in Marriage and Family Therapy. Since 2014, Dani has held and maintains licenses in Life, Disability, Property, and Casualt...
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