Many Wisconsinites prefer Medicare Advantage plans because they bring medical and prescription drug coverage together. But the best Medicare plan is one that meets your unique needs. That’s why we make it easy to get the details of your options so you can choose a plan that works best for your health and budget.
Wondering if you should consider a HealthPartners Wisconsin Medicare Advantage plan? Let’s review the specifics.
Unless otherwise indicated, the chart below lists what you pay:
| Plan details | Cedar plan | Birch plan |
|---|---|---|
| Monthly premium | $0 | $0 |
| Might be a good fit if | You want a plan with a $50/month | You’d prefer more comprehensive coverage, like lower out-of-pocket maximums, dental care and an allowance for non-Medicare-covered eyewear |
| Drug coverage (Part D) | Part D drug coverage included, starting at $0 for covered generics – | Part D drug coverage included, starting at $0 for covered generics – |
| Providers you can see | ||
| Doctor visits | $0 copay (primary) / $60 copay (specialty) | $0 copay (primary) / $55 copay (specialty) |
| Outpatient care (example services) | $100 diagnostic procedures and tests / 10% lab work / $125 X-rays | $75 diagnostic procedures and tests / 10% lab work / $100 X-rays |
| Out-of-pocket maximum | $9,850 in-network / $14,800 combined in and out of network | $6,750 in-network / $10,000 combined in and out of network |
| Medicare dental coverage | Coverage not included. But you can purchase a | Partial coverage included for certain preventive care and certain comprehensive care, like one annual routine exam and cleaning. You can also purchase a |
| Learn more |
For more details on plan features and differences, refer to our HealthPartners® (PPO) Summary of Benefits (PDF).
Get care where you like. With all plans, you can 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.
Enjoy in-network cost sharing for up to nine months of U.S. travel, coverage for travel counseling from a health care provider, and worldwide emergency and urgent care coverage.
Stay healthy and happy by staying active. That’s why all plans include SilverSneakers, a fitness program for HealthPartners Medicare members that offers access to thousands of gyms and fitness centers nationwide, on-demand workout videos and much more.
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.
SilverSneakers® is a registered trademark of Tivity Health, Inc. © 2026 Tivity Health, Inc. All rights reserved.
Last updated October 2026
Y0095_005698_M Accepted 09/26/26
H2422_005698_M Accepted 09/26/26
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