Best Stoughton, Wisconsin Medicare Companies & Plans (2024)
Stoughton, Wisconsin Medicare plans include Advantage plans from private health insurance companies as well as standalone Part D prescription drug coverage. For those that prefer original Medicare, Stoughton, WI supplemental plans are also available. Medicare plans in Stoughton, Wisconsin are sold by both large national companies and local insurers.
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UPDATED: Dec 4, 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 provider and cannot guarantee quotes from any single provider.
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 on this page to use the free quote tool. The more quotes you compare, the more chances to save.
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UPDATED: Dec 4, 2023Fact Checked
The Highlights
- Medicare Advantage plans are available in Stoughton with both PPO and HMO networks
- Stoughton, WI Medicare options include Advantage, standalone Part D, and Medicare supplement
- You can buy Medicare supplement coverage in Stoughton, Wisconsin if you have original Medicare and want coverage for out-of-pocket costs
If you’re eligible for Medicare in Stoughton, Wisconsin, you have a lot of choices. Major health insurance companies provide Stoughton, Wisconsin Medicare Advantage plans with a variety of coverage options to choose from. You can choose a plan that includes Stoughton, WI Part D coverage or buy prescription coverage as a standalone policy.
Stoughton, Wisconsin Medicare supplement plans are available from a number of companies if you choose to stick with original Medicare. These plans can pay for the out-of-pocket costs that Stoughton original Medicare plans don’t cover, like coinsurance and deductibles.
Ready to buy Stoughton, Wisconsin Medicare coverage? Enter your ZIP code to compare Stoughton, WI Medicare options available to you right now.
Medicare Advantage Companies in Stoughton, Wisconsin
Medicare Advantage in Stoughton, Wisconsin is offered by some of the same local health insurance companies you may have been covered by before. Take a look at which companies in Stoughton, WI offer Medicare Advantage as well as which plans they offer to find the coverage and provider network that’s best for you.
Read More: Best Medicare Companies
Medicare Advantage Companies in Stoughton, 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 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 Open Plan 2 (PPO) – H0294-016-0 | $29.00 | $290 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 27% | $4,200 |
| AARP Medicare Advantage Patriot Plan 1 (PPO) – H0294-014-0 | $0.00 | No Rx Coverage | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $6,700 |
| 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 |
| Assurance Rx (HMO-POS) – H5211-007-0 | $0.00 | $330 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $7.00, Generic: $20.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 26%, Vaccines: $0.00 | $6,500 |
| Dean Advantage Assurance (HMO-POS) – H9096-001-0 | $40.00 | $150 . 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: 30%, Vaccines: $0.00 | $4,500 |
| Dean Advantage Balance (HMO-POS) – H9096-002-0 | $82.00 | $100 . 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: 31%, Vaccines: $0.00 | $3,500 |
| Dean Advantage Complete (HMO) – H9096-005-0 | $241.00 | $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 | $2,000 |
| Dean Advantage Essential (HMO) – H9096-004-0 | $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 | $6,500 |
| Dean Advantage Harmony (HMO-POS) – H9096-010-0 | $0.00 | No Rx Coverage | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,500 |
| DeanCare Gold Basic (Cost) – H5264-003-0 | $139.00 | No Rx Coverage | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
| DeanCare Gold Enhanced (Cost) – H5264-002-0 | $146.00 | No Rx Coverage | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
| DeanCare Gold Shared Value (Cost) – H5264-005-0 | $88.00 | No Rx Coverage | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 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 |
| 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 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 H5216-006 (PPO) – H5216-006-0 | $48.00 | $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% | $6,000 |
| HumanaChoice H5216-168 (PPO) – H5216-168-0 | $120.00 | $250 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $4.00, Generic: $15.00, Preferred Brand: $47.00, Non-Preferred Drug: 50%, Specialty Tier: 28% | $3,900 |
| 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 |
| 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 |
| My Choice Wisconsin Partnership Plan (HMO D-SNP) – H5209-002-0 | $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: $0.00 | 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 |
| UW Health Quartz Med Advantage Core D (w/Rx) (HMO) – H5262-023-0 | $0.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $3.00, Generic: $15.00, Preferred Brand: $45.00, Non-Preferred Drug: 40%, Specialty Tier: 30% | $5,600 |
| UW Health Quartz Med Advantage Elite (HMO) – H5262-010-0 | $50.00 | No Rx Coverage | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,450 |
| UW Health Quartz Med Advantage Elite D (w/Rx) (HMO) – H5262-007-0 | $100.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $3.00, Generic: $15.00, Preferred Brand: $45.00, Non-Preferred Drug: 40%, Specialty Tier: 30% | $3,450 |
| UW Health Quartz Med Advantage Value (HMO) – H5262-009-0 | $0.00 | No Rx Coverage | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 |
| UW Health Quartz Med Advantage Value D (w/Rx) (HMO) – H5262-008-0 | $50.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $3.00, Generic: $15.00, Preferred Brand: $45.00, Non-Preferred Drug: 40%, Specialty Tier: 30% | $4,900 |
| 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 |
| iCare Family Care Partnership (HMO D-SNP) – H2237-007-0 | $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 | Generic: $11.00, Brand: $46.00, Specialty Tier: 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 Supplement Companies in Stoughton, Wisconsin
Original Medicare leaves you with some out-of-pocket costs such as deductibles and coinsurance. With a Stoughton, Wisconsin Medicare supplement plan, you can get coverage for some or all of those costs. Medicare supplement plans in Wisconsin are standardized, but companies can choose which plans they will sell. Take a look at which companies sell Medicare supplement (Medigap) insurance and which plans they offer.
Medicare Supplement Companies in Stoughton, 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 |
Stoughton, Wisconsin Standard Medicare Plan Coverage
Wondering what’s covered by each of the standard Wisconsin Medicare supplement plans? Take a look at all of the Stoughton, Wisconsin Medicare supplement plans with coverage details.
Stoughton, Wisconsin Standard Medicare Plan Coverage
| 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 |
Standalone Medicare Part D Plans in Stoughton, Wisconsin
Prescription drug coverage for Medicare in Stoughton, Wisconsin is covered by a Part D plan. You can purchase Part D coverage in Stoughton, Wisconsin as a standalone plan if it’s not included in your Medicare Advantage coverage. Take a look at the options for standalone Part D plans here.
Standalone Medicare Part D Plans in Stoughton, Wisconsin
| Plan | Details | Tiers |
|---|---|---|
| SilverScript SmartRx (PDP) S5601 – 191 – 0 by Aetna Medicare |
Monthly Premium: $7.30 Annual Deductable: $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 Deductable: $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 Deductable: $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 Deductable: $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 Deductable: $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 Deductable: $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 Deductable: $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 Deductable: $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 Deductable: $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 Deductable: $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 Deductable: $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 Deductable: $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 Deductable: $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 Deductable: $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 Deductable: $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 Deductable: $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 Deductable: $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 Deductable: $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 Deductable: $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 Deductable: $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 Deductable: $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 Deductable: $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 Deductable: $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 Deductable: $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 Deductable: $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 Deductable: $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 Deductable: $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 Deductable: $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 Deductable: $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 Deductable: $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 Deductable: $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% |
Compare Medicare Rates in Stoughton, Wisconsin
If you’re ready to buy Stoughton, Wisconsin Medicare coverage, we’re here to help. Enter your ZIP code to see Medicare rates in Stoughton, WI and find the coverage that’s right for you.
Frequently Asked Questions
What types of Medicare plans are available in Stoughton, Wisconsin?
In Stoughton, Wisconsin, you can choose from Medicare Advantage plans offered by private health insurance companies, standalone Part D prescription drug coverage plans, and Medicare supplement plans for those who prefer original Medicare.
Are there local insurance companies that offer Medicare plans in Stoughton, Wisconsin?
Yes, both large national companies and local insurers sell Medicare plans in Stoughton, Wisconsin.
What are Medicare Advantage plans?
Medicare Advantage plans are offered by private health insurance companies and provide an alternative way to receive Medicare benefits. These plans often include additional benefits beyond what original Medicare offers, such as prescription drug coverage and dental or vision care. They are available in Stoughton with both PPO and HMO networks.
Can I buy Medicare supplement coverage in Stoughton, Wisconsin?
Yes, if you have original Medicare and want coverage for out-of-pocket costs, you can purchase Medicare supplement plans in Stoughton, Wisconsin. These plans help pay for expenses like coinsurance and deductibles that original Medicare doesn’t fully cover.
Can you provide examples of Medicare Advantage plans and their costs in Stoughton, Wisconsin?
Here are some examples of Medicare Advantage plans available in Stoughton, Wisconsin, along with their monthly premiums and coverage details:
- AARP Medicare Advantage Open Plan 1 (PPO): Monthly premium of $47.00, $325 deductible, preferred pharmacy copay/co-insurance, and a maximum out-of-pocket limit of $5,900.
- AARP Medicare Advantage Open Plan 2 (PPO): Monthly premium of $29.00, $290 deductible, preferred pharmacy copay/co-insurance, and a maximum out-of-pocket limit of $4,200.
- AARP Medicare Advantage Patriot Plan 1 (PPO): No monthly premium, no prescription drug coverage, and a maximum out-of-pocket limit of $6,700.
- Allwell Dual Medicare (HMO D-SNP): No monthly premium for individuals who qualify for both Medicare and Medicaid, $0 deductible, preferred pharmacy copay/co-insurance, and no additional gap coverage.
- Assurance Rx (HMO-POS): No monthly premium, $330 deductible, preferred pharmacy copay/co-insurance, and a maximum out-of-pocket limit of $6,500.
What are standalone Medicare Part D plans?
Standalone Medicare Part D plans provide prescription drug coverage to individuals with original Medicare. These plans can be purchased separately to add drug coverage to your Medicare benefits.
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