Wisconsin Medicare Advantage plans that fit your needs and budget
If you want more from your Medicare plan, it might be time to make a change. HealthPartners® (PPO) plans are an affordable choice: $0 premiums, low drug costs, and benefits and extras that go beyond Original Medicare. Our Midwest-based Medicare experts are here to support you, so it’s easy to shop and compare to find which plan works best for you.
Highlights of our 2026 Medicare Advantage plans in Wisconsin
Unless otherwise indicated, the chart below lists what you pay:
| Plan details | Cedar plan | Birch plan |
|---|---|---|
| Where available in Wisconsin | Northeast Wisconsin | Northeast Wisconsin |
| Monthly premium | $0 | $0 |
| Might be a good fit if | You want a $0 premium plan with a monthly | You want a $0 premium plan with lower cost sharing and a Choice Card |
| Part D included – $0 for covered generics | Part D included – $0 for covered generics | |
| Providers you can see | You can also see out-of-network providers who accept Medicare and are willing to see you. You’ll pay the same costs as if they were in network. | You can also see out-of-network providers who accept Medicare and are willing to see you. You’ll pay the same costs as if they were in network. |
| Doctor visits | $0 (primary) / $60 (specialty) | $0 (primary) / $50 (specialty) |
| Outpatient care | Diagnostic procedures and tests: $90 Lab work: 10% X-rays: $90 MRIs/CTs/PET scans: $350 | Diagnostic procedures and tests: $65 Lab work: 10% X-rays: $75 MRIs/CTs/PET scans: $300 |
| Out-of-pocket maximum | $6,000 in-network / $10,000 combined in- and out-of-network | $5,000 in-network / $10,000 combined in- and out-of-network |
| You’ll get a $1,000 allowance for certain preventive, restorative and periodontic care, like routine exams, cleanings, fillings and gum disease care You can also purchase a | You’ll get a $1,000 allowance for certain preventive, restorative and periodontic care, like routine exams, cleanings, fillings and gum disease care You can also purchase a | |
| Featured | You’ll get a $30 | You’ll get a $215 |
| Learn more |
For complete details on plan features and differences, refer to our
Included with all HealthPartners Wisconsin Medicare Advantage plans
- In-network cost sharing for up to nine months of domestic travel
- Worldwide emergency and urgent care coverage
- Additional assistance through Assist America®*
- SilverSneakers® fitness perks
- Coverage for routine vision and hearing exams
- Hearing aid options through TruHearing®
- 24/7 CareLine℠ nurse support when you need advice fast
- Friendly, Midwest-based Member Services ready to answer your questions
- Nurse Navigators℠ and behavioral health navigators to help you make informed decisions about your health care
Questions? We’ve got answers.
Legal information
*Assist America services are only available during the first 90 consecutive days that you're away from your home, and all arrangements must be made through Assist America.
Out-of-network/non-contracted providers are under no obligation to treat Plan members, except in emergency situations. Please call our customer service number or see your Evidence of Coverage for more information, including the cost-sharing that applies to out-of-network services.
All content © 2025 TruHearing, Inc. All Rights Reserved. TruHearing® is a registered trademark of TruHearing, Inc.
SilverSneakers® is a registered trademark of Tivity Health, Inc. © 2025 Tivity Health, Inc. All rights reserved.
Last updated November 2025
Y0095 H6309_005091_M Accepted
H2422_005091_M Accepted