Find 2019 Medicare Part D (Prescription Drug) Plans in Wisconsin

Medicare Insurance in Wisconsin

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Wisconsin Medicare Insurance

Wisconsin Medical Insurance Stats

How to get drug coverage?

Medicare beneficiaries can obtain prescription drug coverage by enrolling in a Medicare stand alone prescription drug plan (Part D) or by enrolling in a Medicare Advantage plan (Part C) with a drug component.

Enrollment in 2016

In 2016, 444,519 enrolled in a Stand Alone Wisconsin Prescription Drug Plan and 317,675 enrolled in an Wisconsin Medicare Advantage Plan with prescription drug coverage.

Costs for Medicare drug coverage

Medicare drug plans cover a portion of all covered prescription drug costs after the enrollee has paid their annual drug deductible. However an enrollee’s actual drug costs will depend on their drug plan’s cost-sharing requirements for each drug tier, whether they use a preferred pharmacy in the plan’s network, whether their drugs are listed in the plan’s formulary (and if so, the tier in which the drugs are listed), and whether the enrollee is eligible for income-based subsidies.

Wisconsin 2017 Medicare Part D Plans at a glance

Using CMS data HealthPocket found that:

  • The average monthly premium for a 2017 Medicare prescription drug plan in Wisconsin is $64.52, 21.24% higher than the national average of $53.22. The lowest available Medicare Part D monthly premium in the state of Wisconsin in 2017 is $17.00.
  • The maximum possible annual drug deductible in any 2017 Medicare drug plan is $400, but in Wisconsin the average annual drug deductible for Medicare Part D plans is $212.50. 45.45% of Medicare Part D insurance plans in Wisconsin have a $0 annual drug deductible.

To assist seniors in choosing Medicare plans, CMS assigns star ratings to Medicare Part C and Part D plans each year based on preventive care, chronic condition management, customer service, member satisfaction, and drug pricing. Ratings range from 1 star (a poor plan) to 5 stars (an excellent plan).

  • The average CMS star rating assigned to Medicare Part D insurance plans in Wisconsin was 3.4 stars in 2017.
  • Among Wisconsin's 2017 Medicare prescription drug plans with CMS star ratings:
    • 40.91% earned a score of 4 or 4.5 stars
    • 40.91% earned a score of 3 or 3.5 stars
    • 18.18% earned a score of 2.5 stars

Sources:

Medicare Enrollment Dashboard:

https://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/CMSProgramStatistics/Dashboard.html

There are 15 Part D insurance providers that offer affordable and comprehensive Part D insurance in Wisconsin. Of these, the companies that offer the largest variety of plans to choose from are WellCare, SilverScript, and Medco Medicare. In Wisconsin,Medica has the largest selection of Medicare Advantage plans while Humana offers the most Medicare Part D plans. The following are all medicare insurance providers in Wisconsin:

WellCare

3 Plans

Humana

3 Plans

Cigna

3 Plans

BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY

3 Plans

UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY

2 Plans

OMAHA HEALTH INSURANCE COMPANY

2 Plans

Aetna

2 Plans

WPS MedicareRx Plan 1 (PDP)
TYPE:PDPCOST:from $68
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WPS MedicareRx Plan 2 (PDP)
TYPE:PDPCOST:from $112
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Prescription Blue Select (PDP)
TYPE:PDPCOST:from $35
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Prescription Blue Preferred (PDP)
TYPE:PDPCOST:from $73
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Prescription Blue Premium (PDP)
TYPE:PDPCOST:from $89
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Express Scripts Medicare - Saver (PDP)
TYPE:PDPCOST:from $24
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Humana Walmart Rx Plan (PDP)
TYPE:PDPCOST:from $26
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SilverScript Choice (PDP)
TYPE:PDPCOST:from $30
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Humana Preferred Rx Plan (PDP)
TYPE:PDPCOST:from $33
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Express Scripts Medicare - Value (PDP)
TYPE:PDPCOST:from $33
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Mutual of Omaha Rx Plus (PDP)
TYPE:PDPCOST:from $49Not Rated
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Mutual of Omaha Rx Value (PDP)
TYPE:PDPCOST:from $31Not Rated
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Cigna-HealthSpring Rx Secure-Extra (PDP)
TYPE:PDPCOST:from $49
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Cigna-HealthSpring Rx Secure (PDP)
TYPE:PDPCOST:from $32
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Cigna-HealthSpring Rx Secure-Essential (PDP)
TYPE:PDPCOST:from $21
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Mutual of Omaha Rx Plus (PDP)
TYPE:PDPCOST:from $49Not Rated
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Mutual of Omaha Rx Value (PDP)
TYPE:PDPCOST:from $31Not Rated
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Cigna-HealthSpring Rx Secure-Extra (PDP)
TYPE:PDPCOST:from $49
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Cigna-HealthSpring Rx Secure (PDP)
TYPE:PDPCOST:from $32
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Cigna-HealthSpring Rx Secure-Essential (PDP)
TYPE:PDPCOST:from $21
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HealthPocket is a free information source designed to help consumers find medical coverage. Whether you are looking for Medicare, Medicaid or an individual health insurance plan, we will help you find the right healthcare option and save on your out of pocket healthcare costs. We receive our data from government, non-profit and private sources, and you should confirm key provisions of your coverage with your selected health plan. If you select a plan presented on our site, you will be directed (via a click or a call) to one of our partners who can help you with your application. Our website is not a health insurance agency and not affiliated with and does not represent or endorse any health plan.