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Information for Wisconsin

Medicare Advantage Plans: Part C in Wisconsin

Medicare Part C is also called Medicare Advantage (MA). Wisconsin Medicare Advantage Plans include all the coverage of Parts A and B plus extra benefits for things like dental, vision, and hearing. You’ll have $0 copays for preventive care, and get $0 copays for dental and vision benefits. Most MA plans also include Medicare Part D (prescription drug coverage), combining health insurance and prescription drug coverage in one convenient and low-cost plan. Anthem offers coverage for things Original Medicare doesn’t have. You’ll also get 24/7 access to doctors and therapists with LiveHealth® online. And you can stay fit and healthy with access to our popular SilverSneakers® fitness program.

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Is a Wisconsin Medicare Advantage Plan right for you?


  • You’re enrolled in Original Medicare (Parts A and B) in Wisconsin.
  • You want the simplicity of fewer bills to pay.
  • You’d like to keep premiums and copays as low as possible.
  • You want to combine medical and prescription coverage in one easy plan.
  • You want access to benefits that Original Medicare doesn’t cover like extra dental and vision 


  • You’re enrolling separately in Medicare Part D for prescription drug coverage.
  • You have coverage from an employer that pays all or some of the costs that Original Medicare doesn’t cover.
  • You have coverage through your union that pays all or some of the costs that Original Medicare doesn’t cover.
  • You’re going to sign up for a Wisconsin Medicare Supplement plan (Medigap).

When should you enroll in a Medicare Advantage Plan?

As soon as you enroll in Original Medicare

The best time to enroll in a Medicare Advantage Plan is right after you enroll in Original Medicare Parts A and B.  This could be during the three months before your 65th birthday, your birthday month and the three months after, or later when you retire. Each year, you can add or change a Medicare Advantage Plan during the Annual Election Period (AEP), which lasts from October 15 to December 7. Sometimes you can qualify for a Special Enrollment Period (SEP).

Wisconsin Medicare Advantage Plans

Medicare Advantage Plans work like traditional HMOs and PPOs. You may already be familiar with these types of plans. We also offer Dual Eligible Special Needs plans for those who qualify for both Medicare and Medicaid. All our Medicare Advantage Plans come with preventive care benefits to help keep you healthy and on the go.


With Anthem HMOs, you benefit from our leading network of doctors and care providers. You’ll save on monthly premiums with rates as low as $0 and save on doctor visits, too. On an HMO plan, you’ll choose a primary care physician (PCP) who you’ll see for all your check-ups and regular exams. Your PCP also directs you to the right specialists when you need them.

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On an Anthem PPO, you’ll have lots of flexibility. You’ll still pick a primary care physician for check-ups, but you can also choose to see any doctor or specialist in your network without needing a referral. At Anthem, our network is always growing to serve you better. You can also see doctors outside your network but services may cost more.

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Special Needs Plans

Anthem’s Dual Eligible Special Needs Plans (DSNPs) in Wisconsin are designed for people with both Medicare and Medicaid. Special Needs Plans are there to help you manage your health or health conditions. They’re HMO plans with prescription drug coverage that’s included. So you’ll get Medicare coverage and prescription drug coverage, plus lots of extra benefits to help keep you healthy. These Anthem plans also have premiums for $0 with no medical copays or deductibles.

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Medicare preventive services included with Anthem plans

Preventive care is one of the best things you can do for your overall health. Regular check-ups, tests, shots and screenings can protect you from disease or injury, or lead to early detection and more effective treatment. Here’s a list of preventive services included with all of our Medicare Advantage Plans in Wisconsin at no extra cost.

Hepatitis B (for people at medium to high risk)

One-Time “Welcome to Medicare” preventive visit (within the first 12 months of having Part B)
Yearly “Wellness” visits

Abdominal aortic aneurysm (for people at risk)
Alcohol misuse (screening and counseling)
Bone mass measurement
Breast cancer (mammograms)
Cardiovascular disease
Cervical and vaginal cancer
Colorectal cancer
Diabetes (for people at risk)
Glaucoma (for people at high risk)
Hepatitis C (for certain ages and people at high risk)
HIV (for people at increased risk)
Pap test
Prostate cancer
Sexually transmitted infections (screening and counseling)

Cardiovascular disease (intensive behavioral therapy)
Diabetes self-management training
Medical nutrition therapy (for people with diabetes or renal disease)
Obesity (intensive behavioral therapy)

Y0114_16_29148_U CMS ACCEPTED 9/29/2016

Benefits, premiums, copays and plans may vary by county. Medicare Advantage plans may not be available in all counties.

Anthem Blue Cross and Blue Shield is a Medicare Advantage Plan with a Medicare contract. Enrollment in Anthem Blue Cross and Blue Shield depends on contract renewal.

This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments, and restrictions may apply. Benefits, premiums and/or co-payments/co-insurance may change on January 1 of each year. You must continue to pay your Medicare Part B premium. The provider network may change at any time. You wll recieve notice when necessary.

Anthem Blue Cross and Blue Shield is the trade name of: In Colorado: Rocky Mountain Hospital and Medical Service, Inc. HMO products underwritten by HMO Colorado, Inc. In Connecticut: Anthem Health Plans, Inc. In Indiana: Anthem Insurance Companies, Inc. In Kentucky: Anthem Health Plans of Kentucky, Inc. In Maine: Anthem Health Plans of Maine, Inc. In Missouri (excluding 30 counties in the Kansas City area): RightCHOICE® Managed Care, Inc. (RIT), Healthy Alliance® Life Insurance Company (HALIC), and HMO Missouri, Inc. RIT and certain affiliates administer non-HMO benefits underwritten by HALIC and HMO benefits underwritten by HMO Missouri, Inc. RIT and certain affiliates only provide administrative services for self-funded plans and do not underwrite benefits. In Nevada: Rocky Mountain Hospital and Medical Service, Inc. HMO products underwritten by HMO Colorado, Inc., dba HMO Nevada. In New Hampshire: Anthem Health Plans of New Hampshire, Inc. HMO plans are administered by Anthem Health Plans of New Hampshire, Inc. and underwritten by Matthew Thornton Health Plan, Inc. In Ohio: Community Insurance Company. In Virginia: Anthem Health Plans of Virginia, Inc. trades as Anthem Blue Cross and Blue Shield in Virginia, and its service area is all of Virginia except for the City of Fairfax, the Town of Vienna, and the area east of State Route 123. In Wisconsin: Blue Cross Blue Shield of Wisconsin (BCBSWi), underwrites or administers PPO and indemnity policies and underwrites the out of network benefits in POS policies offered by Compcare Health Services Insurance Corporation (Compcare) or Wisconsin Collaborative Insurance Corporation (WCIC). Compcare underwrites or administers HMO or POS policies; WCIC underwrites or administers Well Priority HMO or POS policies. Independent licensees of the Blue Cross and Blue Shield Association. ANTHEM is a registered trademark of Anthem Insurance Companies, Inc. The Blue Cross and Blue Shield names and symbols are the registered marks of the Blue Cross and Blue Shield Association. The SilverSneakers® Fitness Program is provided by Healthways, Inc., an independent company. Healthways and SilverSneakers® are registered trademarks of Healthways, Inc. and/or its subsidiaries.

For Dual-Eligible Special Needs Plans: This plan is available to anyone who has both Medical Assistance from the State and Medicare.

Attention: If you speak any language other than English, language assistance services, free of charge, are available to you. Call our Customer Service number, (TTY: 711). ATENCIÓN: Si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame a nuestro número de Servicio de Atención al Cliente (TTY: 711). 注意:如果您使用非英語的其他語言,您可以免費獲得語言援助服務。請致電聯絡客戶服務部(聽語障用戶請致電:711)。