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Wisconsin Plan Benefit Comparison 

Find the plan that's right for you. We offer two flexible levels of coverage to fit a variety of needs. Take a moment to compare the different plans below and learn what nearly 100,000 members across Minnesota and western Wisconsin already know. UCare for Seniors gives you more from your Medicare plan. 
Essentials Rx 
Value​
Monthly premium† ​
$50
$32​
Primary care doctor office visits​
$15
$0​
Specialist office visits​
$40
$30​
Inpatient hospital care ​
$300 per day (days 1-5)​
$400 per admission​
Emergency care

$65 co-pay

$65 co-pay

Deductible: $75
 
Copays based on drug tiers 
 Not covered​
Vision coverage ​
$0 copay for annual routine eye exam.
 
$0 copay for Medicare-covered glaucoma screening.
 
$40 copay for diagnostic eye exams.
$0 copay for annual routine eye exam.
 
$0 copay for Medicare-covered glaucoma screening.
 
$30 copay for diagnostic eye exams.​
Hearing device discounts​

$0 copay for annual routine hearing test. 

$40 copay for diagnostic hearing exams.​

$0 copay for annual routine hearing test.​

$30 copay for diagnostic hearing exams.

Fitness Programs - choose one:
SilverSneakers® OR
Health Club Savings
Out-of-pocket maximum ($3,400 per year)††​
 
For more plan comparison information, check out A Guide to Comparing Your Options - Wisconsin (PDF).
The benefit information provided is a brief summary, not a complete description of benefits. For more information contact the plan.
Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January of each year.
Limitations, co-payments, and restrictions may apply.
†You must continue to pay your Medicare Part B premium.
††Out-of-pocket maximum refers to the out-of-pocket limit for in-network, Medicare-covered services.