There are 205,982 people in Madison, Wisconsin, enrolled in a Medicare plan. Only 34.44% of those beneficiaries have supplemental coverage from a Medicare Advantage plan.
Medicare plans in Madison, Wisconsin
A Supplemental Medicare plan benefits Part A and Part B coverage. These plans will help pay for the additional costs that Original Medicare in Madison, Wisconsin, won’t cover.
The following quotes for the supplemental Medicare plans are for a 70-year-old female living in Madison, Wisconsin.
Medicare Advantage plans
A total of 70,936 people in Madison, Wisconsin, benefit from Medicare Advantage plan. There are 34 different plans available to residents of Dane County.
Humana is one of the plans available in Madison. It has a $0 monthly premium and a four-star quality rating and is a local PPO with a maximum out-of-pocket (MOOP) cost of $5,900.
Another available plan in the area is Dean Advantage. This one is an HMO plan with a five-star quality rating from Medicare. The MOOP of this plan is higher at $6,500, and it has no monthly premium.
Quartz Medicare, an HMO plan, is also available in the area. It has a much lower MOOP of $4,900. This plan also has a five-star rating and a $0 monthly premium.
The average cost of Medicare Advantage plans in Madison, Wisconsin
| PLAN | PREMIUM | MOOP | Plan Type | Star Rating |
| Humana | $0 | $5,900 | LOCAL PPO | 4 |
| UnitedHealthcare | $0 | $6,700 | LOCAL PPO | 5 |
| Dean Advantage | $0 | $6,500 | HMO | 5 |
| Security Health | $0 | $5,000 | HMO-POS | 4 |
| Quartz Medicare | $0 | $4,900 | HMO | 5 |
Medicare Supplement plans
Private companies sell Medigap plans to Medicare beneficiaries in Madison, Wisconsin. Because Medicare doesn’t pay for all health care expenses, a Madison, Wisconsin Medicare Supplement plan helps to cover the remaining costs. The premiums of Medigap plans vary throughout the US, but the benefits of these plans don’t.
The Wisconsin Basic plan has all the essential benefits. It adds a limited number of days of mental health coverage and extra home health care visits to the standard Medicare plan. The premiums fall anywhere between $98.29 and $309.47.
Another plan is the Wisconsin 50% plan. This cost-sharing plan is similar to Medigap’s Plan K because it covers 50% of the Part A deductible and Part B copay. Other riders are available for this plan, covering Part B expenses or the Part B deductible.
There is also a Wisconsin High Deductible plan. This plan has all the same features as the other 50% plan. The only difference is that it has a much higher deductible of $2,340.
The average cost of Medicare Supplement plans in Madison, Wisconsin
| PLAN | LOWEST PREMIUM | HIGHEST PREMIUM |
| WISCONSIN 50% | $98.33 | $104.63 |
| WISCONSIN 75% | $132.58 | $132.88 |
| WISCONSIN BASE | $98.29 | $309.47 |
| WISCONSIN HDED | $56.98 | $79.06 |
Medicare Part D prescription drug plans
Not all Medicare Advantage plans cover prescriptions, so many beneficiaries choose a Medicare Part D plan. These plans cover medications that Medicare beneficiaries need.
One of the Medicare Part D plans available in Madison, Wisconsin, is Wellcare. It has a monthly premium of $9.80 and a deductible of $480. Medicare rates this plan three out of five stars.
Aetna is another available plan in Wisconsin. The premium for this plan is slightly lower at only $6.60 per month. The deductible for this plan is also $480 and has a three-star rating.
UnitedHealthcare is a prevalent option across the nation. It has a much higher rating of four stars and a low deductible of $310. The monthly premium is significantly higher at $25.20.
The average cost of Medicare Part D plans in Madison, Wisconsin
| PLAN | PREMIUM | DEDUCTIBLE | STAR RATING |
| Aetna | $6.60 | $480 | 3 |
| Wellcare | $9.80 | $480 | 3 |
| Clear Spring | $16.70 | $480 | 2 |
| Humana | $22.70 | $480 | 4 |
| UnitedHealthcare | $25.20 | $310 | 4 |
Special Needs plans
Medicare Special Needs Plans (SNPs) in Madison, Wisconsin, constitute a subset of Medicare Advantage plans. They help people with chronic disabilities and special needs, though they aren’t available in all areas.
My Choice is available in Madison. This option has a high MOOP of $7,550 and a $0 monthly premium. This HMO plan is open to anyone eligible for both Medicare and Medicaid.
iCare is another Medicare SNP available to Madison residents. It has a significantly lower MOOP of $3,450 and a $ 0 monthly premium. iCare is an HMO and has dual eligibility.
UnitedHealthcare is available in the area. It also has a monthly premium of $14. It’s a Local PPO plan with a MOOP of $5,900. This plan is only available to those with chronic or disabling conditions.
The average cost of Medicare Special Needs plans in Madison, Wisconsin
| PLAN | PREMIUM | MOOP | Plan Type | Eligibility |
| My Choice | $0 | $7,550 | HMO | Dual |
| iCare | $0 | $3,450 | HMO | Dual |
| Wellcare | $0 | $3,450 | HMO | Dual |
| UnitedHealthcare | $14.00 | $5,900 | LOCAL PPO | Chronic or Disabling |
| Humana | $24.40 | $1,600 | HMO | Institutional |
How to sign up for Medicare plans in Madison, Wisconsin
We understand that signing up for supplemental Medicare coverage can be difficult. That’s why our team of experts is here to help you every step of the way.
Our agents work with the best carriers in Wisconsin so that you can find a plan that matches your medical expense coverage needs and budget. Plus, our professionals offer accurate plan detail explanations and can walk you through the signup process.
So what are you waiting for? Call us today, or fill out our online rate form to receive the best rates in Madison, Wisconsin.
