Best Medicare Companies in Waupaca County, Wisconsin (2024)
Discover the best Medicare companies in Waupaca County, Wisconsin and unlock a world of exceptional healthcare options tailored to your needs. Compare rates, plans, and benefits from leading providers in your area, ensuring you make an informed decision for your Medicare coverage. Experience comprehensive care, affordable premiums, and personalized service that prioritizes your well-being.
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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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UPDATED: Dec 18, 2023
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UPDATED: Dec 18, 2023
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.
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UPDATED: Dec 18, 2023Fact Checked
The Rundown
- Waupaca County, WI, Medicare supplement plans fill in the gaps in coverage left by original Medicare
- You can purchase a standalone Medicare Part D plan in Waupaca County to cover prescription drug costs
- Original Medicare in Waupaca County doesn’t cover dental, vision, and hearing, but a Medicare Advantage plan often does
Welcome to our comprehensive guide on the best Medicare companies in Waupaca County, Wisconsin. In this article, we will explore the top insurance providers offering Medicare plans in the area, providing you with valuable insights to make an informed decision.
We will delve into important factors such as plan coverage, benefits, network providers, and costs. By entering your ZIP code, you can compare rates from the best insurance providers, ensuring you find a plan that suits your needs and budget.
Don’t miss out on the opportunity to secure reliable and affordable Medicare coverage. Enter your ZIP code now and gain access to the best rates and plans available in Waupaca County, Wisconsin.
Medicare Advantage by Company in Waupaca County, Wisconsin
There are several Medicare Advantage companies in Waupaca County, WI, and each has its own list of plans. Take a look at your choices for a Medicare Advantage plan in Waupaca County.
Read More: Best Medicare Advantage Providers
Medicare Advantage Companies in Waupaca 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 |
| 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) – H4036-009-0 | $37.00 | $95 . Tier 1 and 2 exempt | Yes, some additional gap coverage. | Preferred Generic: $4.00, Generic: $15.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 31%, Select Care Drugs: $0.00 | $5,500 |
| 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 |
| Ascend Rx (HMO-POS) – H5211-013-0 | $40.00 | $330 . 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: 26%, Vaccines: $0.00 | $4,500 |
| Community Care’s Partnership Program (HMO D-SNP) – H2034-001-0 | $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 | Tier 1: $0.00 | n/a |
| Essence (HMO-POS) – H5211-003-0 | $16.00 | No Rx Coverage | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
| Essence Rx (HMO-POS) – H5211-002-0 | $85.00 | $330 . 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: 26%, Vaccines: $0.00 | $3,400 |
| Esteem Rx (HMO-POS) – H5211-012-0 | $0.00 | $250 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $6.00, Generic: $20.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 28%, Vaccines: $0.00 | $5,000 |
| HealthPartners Robin Birch (PPO) – H4882-004-0 | $0.00 | $200 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $2.00, Generic: $9.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 29% | $5,100 |
| HealthPartners Robin Maple (PPO) – H4882-005-0 | $26.00 | $200 . Tier 1 and 2 exempt | Yes, some additional gap coverage. | Preferred Generic: $2.00, Generic: $9.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 29% | $4,500 |
| 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 H6622-001 (HMO) – H6622-001-0 | $0.00 | $250 . 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% | $4,500 |
| 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 |
| My Choice Wisconsin Medicare Dual Advantage Plan (HMO D-SNP) – H5209-004-0 | $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: $0.00 | 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 |
| Secure Saver (MSA) – H4388-001-0 | $0.00 | No Rx Coverage | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
| Spirit (HMO-POS) – H5211-001-0 | $150.00 | No Rx Coverage | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $1,200 |
| Spirit Rx (HMO-POS) – H5211-004-0 | $226.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $9.00, Generic: $20.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33%, Vaccines: $0.00 | $1,200 |
| 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 Waupaca County Wisconsin
Medicare Part D in Waupaca County, WI, is available from a variety of companies as a standalone policy. You can add Part D prescription drug coverage to your Waupaca County, state Medicare Advantage plan, or to original Medicare.
Standalone Medicare Part D plans in Waupaca 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 Waupaca County, Wisconsin
If you choose original Medicare, you can purchase a Waupaca County, WI, Medicare supplement plan to cover out-of-pocket expenses. Compare the available Medicare supplement plans in Waupaca County here.
Medicare Supplement Companies in Waupaca 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 Waupaca County, Wisconsin
If you need help choosing a Medicare Supplement plan in Waupaca County, Wisconsin, take a look at what each plan covers here.
Waupaca 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 Waupaca County, Wisconsin
Shopping for Waupaca 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 Waupaca County Medicare plan that best fits your requirements.
To find Waupaca County, Wisconsin, Medicare rates now, just enter your ZIP code below. You’ll get fast, free Medicare quotes in Waupaca County to compare.
Frequently Asked Questions
Are there Medicare companies in Waupaca County, Wisconsin?
Yes, there are Medicare companies in Waupaca County, Wisconsin that offer various plans to eligible individuals.
What are the different types of Medicare plans offered in Waupaca County, Wisconsin?
The Medicare plans offered in Waupaca County, Wisconsin include Original Medicare (Part A and Part B), Medicare Advantage (Part C), Medicare Supplement (Medigap), and Medicare Prescription Drug (Part D) plans.
What is Medicare Advantage?
Medicare Advantage is an alternative to Original Medicare offered by private insurance companies that provides additional benefits, such as prescription drug coverage, vision and dental services, and fitness programs.
What is Medicare Supplement (Medigap)?
Medicare Supplement, also known as Medigap, is a type of insurance policy that covers some of the out-of-pocket costs associated with Original Medicare, such as deductibles, copayments, and coinsurance.
How do I enroll in a Medicare plan in Waupaca County, Wisconsin?
To enroll in a Medicare plan in Waupaca County, Wisconsin, you can visit the official Medicare website or contact a licensed insurance agent who can help you navigate the enrollment process.
What should I consider when choosing a Medicare plan in Waupaca County, Wisconsin?
When choosing a Medicare plan in Waupaca County, Wisconsin, you should consider factors such as your healthcare needs, budget, and preferences for doctor and hospital networks. It’s also important to compare the costs and benefits of different plans to find one that meets your individual needs.
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Dani Best
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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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