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Medicare Part D
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Wisconsin

23 Best Medicare Part D Plans in Wisconsin for 2023

by , last updated

We found the 23 best Medicare Part D Plans in Wisconsin for 2023. Sign-up for 2024 Medicare Part D plan notification HERE.

Key Facts

  1. The average premium is $46.68 per month, however the lowest premium is just $6.60.
  2. The average drug plan deductible is $384 per year, but 4 plans have a zero-dollar deductible.
  3. Medicare rated 0% of all plans available in Wisconsin 4 stars or higher.
  4. There are 9 basic benefit plans and 14 enhanced benefit plans.
  5. A total of 7 plans offer full low-income subsidy (LIS) for those who qualify.
  6. There are 4 plans that have additional coverage in the coverage gap phase (aka, "donut hole").
  7. 2024 Medicare Prescription Drug Plans (PDP) will be published in early October. Sign-up to be notified.

We also ranked the best Medicare Advantage plans with Part D in Wisconsin for 2023.

Wisconsin Medicare Part D Plans

Medicare Part D Plans available in Wisconsin for 2023
Plan Name Premium Deductible Benefit Type LIS Gap
Coverage		 Senior
Savings		 Rating
AARP MedicareRx Preferred $113.00 $0 Enhanced No Yes Yes
☆☆☆☆☆
AARP MedicareRx Saver Plus $39.10 $505 Basic Yes No No
☆☆☆☆☆
AARP MedicareRx Walgreens $21.60 $350 Enhanced No No No
☆☆☆☆☆
Anthem MediBlue Rx Plus $60.20 $0 Enhanced No No No
☆☆☆☆☆
Anthem MediBlue Rx Standard $67.60 $505 Basic No No No
☆☆☆☆☆
Cigna Extra Rx $55.90 $100 Enhanced No Yes Yes
☆☆☆☆☆
Cigna Saver Rx $12.50 $505 Enhanced No No No
☆☆☆☆☆
Cigna Secure Rx $40.80 $505 Basic Yes No No
☆☆☆☆☆
Clear Spring Health Premier Rx $19.50 $505 Enhanced No No No
☆☆☆☆☆
Clear Spring Health Value Rx $28.30 $505 Basic Yes No No
☆☆☆☆☆
Elixir RxSecure $42.00 $505 Basic Yes No No
☆☆☆☆☆
Humana Basic Rx Plan $42.50 $505 Basic Yes No No
☆☆☆☆☆
Humana Premier Rx Plan $84.30 $300 Enhanced No Yes Yes
☆☆☆☆☆
Humana Walmart Value Rx Plan $31.20 $505 Enhanced No No No
☆☆☆☆☆
Mutual of Omaha Rx Essential $18.30 $505 Enhanced No No No
☆☆☆☆☆
Mutual of Omaha Rx Plus $90.40 $505 Basic No No No
☆☆☆☆☆
Mutual of Omaha Rx Premier $60.30 $505 Enhanced No No Yes
☆☆☆☆☆
SilverScript Choice $39.50 $505 Basic Yes No No
☆☆☆☆☆
SilverScript Plus $83.70 $0 Enhanced No Yes No
☆☆☆☆☆
SilverScript SmartSaver $6.60 $505 Enhanced No No No
☆☆☆☆☆
Wellcare Classic $35.40 $505 Basic Yes No No
☆☆☆☆☆
Wellcare Medicare Rx Value Plus $71.30 $0 Enhanced No No No
☆☆☆☆☆
Wellcare Value Script $9.60 $505 Enhanced No No Yes
☆☆☆☆☆
If you qualify for Medicare but don't know where to begin, we have licensed insurance agents[1] at 1-855-728-0510 (TTY 711) who can answer your questions (Mon-Fri, 8am-9pm , Sat 8am-8pm EST) and help you get enrolled. There's no obligation.

Please note that 2024 Medicare Part D plan information for Wisconsin beneficiaries will not be available until early October.
Sign-Up for 2024 Medicare Part D Plan Notification

The Four Phases of Every Wisconsin Medicare Part D Plan

Wisconsin Medicare prescription drug plans help beneficiaries pay for their prescription medications. If you are new to Medicare, some of the Part D plan concepts may be foreign to you. So we'll start with an overview of the four cost-sharing phases.

Phase 1 is the Deductible

A Medicare Part D plan's deductible is the amount you pay out-of-pocket before the initial coverage phase begins and the plan begins paying its share. So, if you enroll in a plan with a $225 deductible, you'll spend that much at the pharmacy for your prescriptions. After that amount, you will pay the copay amount only until you reach the coverage gap. Most Medicare prescription drug plans have a deductible, however, many plans exclude Tier 1 drugs from the deductible, which gives you first-dollar coverage on most lower-cost medications.

NOTE: The maximum Part D plan deductible in 2023 is $505.

The 2nd Phase is the Initial Coverage Limit (ICL)

The Part D ICL (Initial Coverage Limit) for 2023 is $4,660. During the ICL phase, your Part D plan will cover the majority of your prescription costs. If your prescription costs exceed $4,660 you go into the coverage gap phase ("donut hole")

The Coverage Gap is the Third Phase

After your gross drug costs have reached $4,660, you will enter the Coverage Gap phase. This is where you will pay 25% of your medication's retail cost. While the price of generic drugs might not be much different, what you pay for brand-name drugs will be higher (because you're paying 25% of the full price). This will continue until you reach $7,400 in True Out Of Pocket Costs (TrOOP).

Some plans offer additional gap coverage, so look for it on the plan information pages.

Catastrophic Coverage is the Fourth Phase

After you have spent $7,400 in true out-of-pocket costs on your medications, you get out of the coverage gap phase and you automatically receive "catastrophic coverage". In this phase, you will only have to pay a small percentage of coinsurance or payment on covered drugs for the rest of the year.

The out-of-pocket costs that help you get catastrophic coverage include:

  1. Your plan's deductible;
  2. What you paid during the initial coverage limit period;
  3. Most of the full cost of brand-name drugs (and the manufacturer’s discount) purchased in the coverage gap;
  4. The amount paid by others, including family members, most charities, and other persons on your behalf; and
  5. The amount paid by State Pharmaceutical Assistance Programs (SPAPs), AIDS Drug Assistance Programs, and the Indian Health Service.

Choose Your Part D Plan with Care

Choose from the available Part D Medicare plans carefully, and don't settle on a Part D plan until you know that your most expensive medications are covered at a price you can afford. This information is available in the plan's formulary. You'll find links to the formulary information, pharmacy information, and the customer service phone number on each PDP page (above).

IMPORTANT: Identifying the best Medicare Part D Plans for you takes a bit of research. What's best for you is personal and must consider multiple factors, including your regular prescriptions, your health, and your finances.

Did you Know Most Medicare Advantage Plans Include Prescription Benefits?

Your Medicare benefits are flexible, and there's more than one way to get prescription drug coverage. If you want to keep your Original Medicare, you can enroll in one of the stand-alone prescription drug plans available in Wisconsin. The other way to get Part D coverage is to enroll in one of the many Medicare Advantage Plans available in Wisconsin that include Part D benefits.

Using Supplemental Medicare Insurance with Part D

Are you thinking about supplemental Medicare insurance that can offer you more coverage? It's a smart move. Original Medicare only covers about 80 percent of your major medical bills, leaving you to cover the rest. We make it easy to find the lowest rates on Wisconsin Medicare Supplements, also known as Medigap plans. The choice is yours because all Part D plans are compatible with the full range of Wisconsin Medicare Supplements.

Wisconsin Medicaid and Your Medicare Part D

Wisconsin beneficiaries who qualify for both Medicare and Medicaid (aka, "dual eligible" or "Medi-Medi") may be enrolled in a Wisconsin Medicare Prescription Drug Plan automatically, as well as Social Security's Extra Help program. The Extra Help program pays for most of your prescriptions, but only if you meet the strict eligibility requirements. If the dual eligible option does not meet your needs, you have the option to enroll in a Wisconsin Part D plan that does. If you are already receiving Medicaid, contact your local Medicaid office for assistance in the transition to Medicare.

Plans Offered

Medicare Advantage and Part D plans and benefits offered by the following carriers: Aetna Medicare, Anthem Blue Cross Blue Shield, Aspire Health Plan, Centene Corporation, Dean Health Plan, Devoted Health, GlobalHealth, Health Care Service Corporation, Cigna-HealthSpring, Humana, Molina Healthcare, Mutual of Omaha, Oscar Health Insurance, Premera Blue Cross, Medica Central Health Plan, SCAN Health Plan, Scott and White Health Plan now part of Baylor Scott & White Health, and UnitedHealthcare.

Citations & References

  1. Medicare.gov, "Drug coverage (part D)", Last Accessed September 21, 2022
  2. Medicare.gov, "How Part D works with other insurance", Last Accessed July 14, 2022
  3. Medicare.gov, "Catastrophic coverage", Last Accessed June 13, 2022
  4. Medicare.gov, "Are prescription drugs covered in Medicare Advantage plans?", Last Accessed June 6, 2022
  5. SSA.gov, "Extra Help with Medicare Prescription Drug Plan Costs", Last Accessed June 1, 2022
  6. CMS.gov, "Landscape Source Files", Last Accessed January 15, 2023
  7. CMS.gov, "Medicare Part C & D Performance", Last Accessed January 15, 2023