Find 2018 Medicare Part D (Prescription Drug) Plans in Wisconsin

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Wisconsin Part D Plans

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

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Wisconsin Medicare Part D Insurance Companies

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, UnitedHealthcare, and Medco Medicare. In Wisconsin,. The following are all medicare insurance providers in Wisconsin:

WellCare

3 Plans

Humana

3 Plans

Cigna

2 Plans

Blue Cross Blue Shield of Michigan

2 Plans

Aetna

2 Plans

MERIT HEALTH INSURANCE COMPANY

1 Plans

2018 Featured Medicare Part D Plans in Wisconsin

There are 30 medicare part d plans in Wisconsin. The following are the 10 highest rated part d plans in Wisconsin based on their CMS rating for the plan's overall quality.

Monthly CostPlan NameCMS Rating
from $73Blue Cross Blue Shield of Michigan - Prescription Blue Option A (PDP)
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from $76WPS Health Insurance - WPS MedicareRx Plan 1 (PDP)
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from $102Blue Cross Blue Shield of Michigan - Prescription Blue Option B (PDP)
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from $141WPS Health Insurance - WPS MedicareRx Plan 2 (PDP)
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from $22Medco Medicare - Express Scripts Medicare - Saver (PDP)
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from $34SilverScript - SilverScript Choice (PDP)
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from $40Medco Medicare - Express Scripts Medicare - Value (PDP)
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from $68SilverScript - SilverScript Plus (PDP)
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from $81UnitedHealthcare - AARP MedicareRx Preferred (PDP)
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from $95Medco Medicare - Express Scripts Medicare - Choice (PDP)
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See all Part D plans in Wisconsin

Wisconsin Featured Part D Plans for patients with High Blood Pressure

The following are the 5 highest rated medicare part d plans in Wisconsin based on their CMS rating of the plan's medication adherence for hypertension.

Monthly CostPlan NameCMS Rating
from $24Select Account - Basic Blue Rx (PDP)Not Rated
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from $61MERIT HEALTH INSURANCE COMPANY - Magellan Rx Medicare Basic (PDP)
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from $57Cigna - Cigna-HealthSpring Rx Secure-Extra (PDP)
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from $38Cigna - Cigna-HealthSpring Rx Secure (PDP)
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from $59WellCare - WellCare Extra (PDP)
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Wisconsin Featured Part D Plans for patients with High Cholesterol

The following are the 5 highest rated medicare part d plans in Wisconsin based on their CMS rating of the plan's medication adherence for cholesterol.

Monthly CostPlan NameCMS Rating
from $24Select Account - Basic Blue Rx (PDP)Not Rated
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from $61MERIT HEALTH INSURANCE COMPANY - Magellan Rx Medicare Basic (PDP)
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from $57Cigna - Cigna-HealthSpring Rx Secure-Extra (PDP)
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from $38Cigna - Cigna-HealthSpring Rx Secure (PDP)
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from $59WellCare - WellCare Extra (PDP)
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Wisconsin Featured Part D Plans for patients with Diabetes

The following are the 5 highest rated medicare plans in Wisconsin based on their CMS rating for the plan's ability for diabetes treatment and the plan's medication adherence for oral diabetes medications.

Monthly CostPlan NameCMS Rating
from $24Select Account - Basic Blue Rx (PDP)Not Rated
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from $61MERIT HEALTH INSURANCE COMPANY - Magellan Rx Medicare Basic (PDP)
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from $57Cigna - Cigna-HealthSpring Rx Secure-Extra (PDP)
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from $38Cigna - Cigna-HealthSpring Rx Secure (PDP)
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from $59WellCare - WellCare Extra (PDP)
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Most Popular Medicare Doctors in Wisconsin

The following are the most popular medicare doctors in Wisconsin based on the provider utilization and payment data published by the U.S. Department of Health & Human Services.

NameSpecialtyLocation
Pain MedicineNIAGARA, WI
RadiologyST FRANCIS, WI
Neurological SurgeryMILWAUKEE, WI
Thoracic Surgery (Cardiothoracic Vascular Surgery)MILWAUKEE, WI
Internal MedicineMILWAUKEE, WI
DermatologyMANITOWOC, WI
Internal MedicineMILWAUKEE, WI
RadiologyMILWAUKEE, WI
Internal MedicineMILWAUKEE, WI
Internal MedicineAPPLETON, WI
See all doctors accepting Medicare in Wisconsin

Browse Part D Plans by Cities

  1. Milwaukee, WI
  2. Madison, WI
  3. Green Bay, WI
  4. Kenosha, WI
  5. Racine, WI
  6. Appleton, WI
See all cities in Wisconsin

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