UnitedHealthcare Medicare Advantage Plans Wisconsin 2025

With UnitedHealthcare Medicare Advantage plans, you have access to a network of healthcare options that go beyond Original Medicare.

This article outlines the range of UnitedHealthcare Medicare Advantage plans in Wisconsin available, including HMO, PPO, and Special Needs Plans, their benefits, and how to effectively manage your healthcare expenses. Whether you live in Eau Claire, Fond du Lac, or anywhere in between, find your ideal coverage here.


Key Takeaways


  • Various additional benefits, such as vision, dental, and hearing coverage, along with the Optum Home Delivery Pharmacy and virtual visit services, are included with UnitedHealthcare Medicare Advantage plans to enhance member healthcare beyond Original Medicare.


  • To manage out-of-pocket costs effectively, members must consider deductibles, copays, prescription drug coverage, and the plan’s out-of-pocket maximum when assessing the cost-effectiveness of Medicare Advantage plans and should check plan availability during enrollment periods.

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Understanding UnitedHealthcare Medicare Advantage Plans in Wisconsin


UnitedHealthcare Medicare Advantage Plans Wisconsin 2025, Understanding UnitedHealthcare Medicare Advantage Plans in Wisconsin


UnitedHealthcare serves Wisconsin residents diligently, providing Medicare Advantage plans that cater to diverse healthcare needs. These plans offer a versatile alternative to Original Medicare, with options ranging from HMOs to PPOs that are designed to meet specific healthcare requirements.

For individuals with chronic conditions, UnitedHealthcare goes a step further by providing specific Medicare Advantage plans that ensure comprehensive access to necessary preventive care.

The geographical coverage of these plans is widespread, ensuring that residents across Wisconsin can reap the benefits of UnitedHealthcare’s services. From Eau Claire to Fond du Lac, the reach of UnitedHealthcare’s Medicare Advantage plans extends to key areas, reinforcing their commitment to delivering quality healthcare services throughout the state.


UnitedHealthcare Insurance Company

Established in 1977 as United HealthCare Corporation, UnitedHealthcare Insurance Company has grown into an industry leader.

The company’s origins lie in Charter Med Incorporated, which was characterized by a strong focus on healthcare innovation. This has been a defining factor in initiatives such as drug formularies and hospital admission pre-certification systems.

Medicare Advantage Plans


UnitedHealthcare Medicare Advantage Plans Wisconsin 2025


Medicare Advantage Plans, also known as “Part C” or “MA plans,” are health plans offered by private companies like UnitedHealthcare. These plans must follow Medicare’s rules, and individuals with both Medicare Part A and Part B are eligible to join. However, it’s essential to consult with an employer or union before joining a Medicare Advantage Plan, as it may affect existing employer or union health coverage.

Insurance companies can limit their plans by state or county and can offer multiple plans with varying benefits and costs within an area. Moreover, insurance companies can choose to participate in or exit from Medicare each year, affecting the availability of plans for enrollees.

Medicare Advantage Plans, provided by private insurers like UnitedHealthcare, serve as an alternative to Original Medicare. These comprehensive plans bundle Medicare Part A (hospital coverage), Part B (medical coverage), and often include Medicare Part D (prescription drug coverage).

A unique aspect of Medicare Advantage Plans lies in their use of healthcare provider networks, which members must use to receive full plan benefits. Some plans are even tailored to members with specific needs or circumstances, such as those who have both Medicare and Medicaid.

If an individual becomes ineligible for a Special Needs Plan due to a change in circumstances like losing Medicaid eligibility, they can be dis enrolled unless they regain eligibility within the plan’s grace period.

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Comparing Popular UnitedHealthcare Medicare Advantage Plans in Wisconsin


UnitedHealthcare Medicare Advantage Plans Wisconsin 2025


UnitedHealthcare offers a diverse range of Medicare Advantage Plans in Wisconsin, including HMOs, PPOs, and special needs plans. This ensures that every Wisconsin resident can find a plan that fits their unique healthcare needs.

The PPO plans by UnitedHealthcare provide Wisconsin members with the flexibility of using contracted local physicians and hospitals or opting for out-of-network services at a higher cost, without requiring referrals for specialty care.

Moreover, UnitedHealthcare has designed Group Medicare Advantage plans for groups like employers and unions, providing retirees with additional benefits beyond those included in Original Medicare.

A national PPO plan is also available for employers who qualify under a CMS Employer Group Waiver, offering extended options to group Medicare beneficiaries.


AARP Medicare Advantage

One of the standouts plans in 2025 offered by UnitedHealthcare in Wisconsin is the AARP Medicare Advantage plan. This plan boasts a monthly premium of $37 and does not require an annual medical deductible.

Members can take advantage of the ‘Doctor Lookup’ tool provided by UnitedHealthcare, which allows them to find in-network providers or verify if their current doctor is included. This tool streamlines the process of finding and choosing healthcare providers, thereby enhancing the overall healthcare experience for members.



Another popular plan offered by UnitedHealthcare in Wisconsin is the HMO POS plan. This plan requires members to use a distinct network of local physicians and hospitals for covered services.

The HMO POS plan is designed with structure in mind. Except for emergency situations, members must utilize network providers in order to receive coverage for specialty care services. This ensures that members receive quality healthcare from trusted providers within UnitedHealthcare’s network.


Chronic Conditions Special Needs Plan

UnitedHealthcare’s commitment to providing tailored healthcare solutions is evident in its Chronic Conditions Special Needs Plan (C-SNP). Designed for individuals with specific severe or disabling chronic conditions, this plan offers extra benefits such as meal delivery, transportation to medical appointments, and over-the-counter health items.

Members of a UnitedHealthcare C-SNP also have access to a care coordinator who assists in managing healthcare services and navigating the healthcare system, including skilled nursing facility options. Specialized provider networks composed of professionals experienced in treating the chronic conditions of the plan members are also provided.

These C-SNPs incorporate the coverage of Medicare Part A, Part B, and Part D, offering a comprehensive care solution to their members.

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Fitness and Wellness Programs Offered by UnitedHealthcare


UnitedHealthcare Medicare Advantage Plans Wisconsin 2025, Fitness and Wellness Programs Offered by UnitedHealthcare


UnitedHealthcare doesn’t just focus on traditional healthcare; they also emphasize fitness and wellness. They offer a fitness program, Renew Active®, designed for both body and mind wellness, available with select Medicare Advantage plans.

The Renew Active program includes a no-extra-cost membership at participating fitness locations and provides access to online exercises and activities aimed at promoting brain health. This comprehensive approach towards fitness and wellness ensures that UnitedHealthcare members can lead healthier, more active lives.


Renew Active Program

The Renew Active® program by UnitedHealthcare offers more than just a standard fitness membership. It includes personalized fitness plans and caregiver access, ensuring that members receive a well-rounded fitness experience tailored to their needs.

Furthermore, the program offers:

  • An in-person fitness orientation


  • The opportunity to participate in classes and events


  • An online community for social well-being, fostering a sense of camaraderie and support among its members.


However, it is recommended that participants consult their doctor before starting the Renew Active® program or making changes to their lifestyle or healthcare routine.


Medicare Fitness Programs

UnitedHealthcare collaborates with various third-party services to enhance their fitness program offerings for Medicare Advantage plan members. These partnerships allow UnitedHealthcare to offer:

  • Discounts


  • Fitness classes


  • Special events


  • Online fitness resources


As part of their exercise program, individuals often include various activities in their fitness programs, such as taking advantage of a free gym membership.

Partnerships with names like SilverSneakers and Fitbit reflect UnitedHealthcare’s commitment to offering diverse and comprehensive fitness options to their Medicare Advantage plan members.

However, UnitedHealthcare is not responsible for the services or content provided by third-party partners, which remain subject to the third parties’ terms and policies.

Additional Benefits and Services


UnitedHealthcare Medicare Advantage Plans Wisconsin 2025


In addition to fitness and wellness programs, UnitedHealthcare Medicare Advantage plans also include additional benefits like vision, dental, and hearing coverage beyond Original Medicare. These additional benefits aim to provide a comprehensive healthcare solution for members.

Members of UnitedHealthcare Medicare Advantage plans can receive the following benefits:

  • An allowance for contacts or designer frames


  • Standard lenses with coverage varying yearly or biennially


  • Support for brain health, including online health assessments and activities in partnership with AARP Staying Sharp


To access these benefits and reward funds, UnitedHealthcare provides a UCard.


Optum Home Delivery Pharmacy

One such additional benefit is the OptumRx home delivery service. This service provides safe, affordable access to medications and includes a broader network that connects to community, specialty, and infusion pharmacies, offering pharmacy benefits.

Being UnitedHealthcare’s pharmacy service provider, OptumRx offers a large network of retail and independent pharmacies, in addition to home delivery and specialty pharmacy services.

OptumRx manages procurement and negotiates with pharmaceutical manufacturers to ensure low net drug costs, which contributes to cost savings for those using the home delivery service.

Members with UnitedHealthcare Medicare Advantage plans that include drug coverage may benefit from $0 copays for medications using Optum Home Delivery during the initial coverage phase.


Virtual Visits


UnitedHealthcare Medicare Advantage Plans Wisconsin 2025, Additional Benefits and Services


Virtual visits are another additional service offered by UnitedHealthcare Medicare Advantage plans, allowing members to access various medical services remotely. Members have access to 24/7 virtual urgent care visits, allowing them to address immediate health concerns at any time, with the possibility of same-day consultations.

Virtual primary care visits are also available, enabling members to have regular health checkups with their primary care provider for continuous care management. For specialized medical concerns such as migraines or musculoskeletal issues, UnitedHealthcare provides quicker access to virtual specialty care.

UnitedHealthcare also offers virtual therapy, connecting members with psychiatrists or therapists for confidential behavioral health care without leaving home.

How to Enroll in a UnitedHealthcare Medicare Advantage Plan in Wisconsin

Enrolling in a UnitedHealthcare Medicare Advantage Plan is a straightforward process for Wisconsin residents. Individuals are typically eligible to enroll when they first become eligible for Medicare at age 65, during their Initial Enrollment Period.

Residents may also be eligible to enroll or change plans outside of the standard enrollment periods if they experience a qualifying life event.

To begin enrollment, individuals can verify their eligibility and explore plan details on the UnitedHealthcare website. The Medicare Annual Enrollment Period for UnitedHealthcare Medicare Advantage Plans is from October 15 to December 7 each year.


Provider Directory


UnitedHealthcare Medicare Advantage Plans Wisconsin 2025, How to Enroll in a UnitedHealthcare Medicare Advantage Plan in Wisconsin


Before enrolling in a Medicare Advantage Plan, it’s crucial to consult the provider directory to verify that your preferred healthcare providers are part of UnitedHealthcare’s network. UnitedHealthcare provides a ‘Doctor Lookup’ tool for Medicare Advantage plan members to search for doctors and specialists.

Residents of Wisconsin can utilize the ‘Doctor Lookup’ tool to confirm that their preferred providers are within the plan’s service area, ensuring access to care. Consulting the provider directory doctor prior to enrolling can help you maintain continuity of care with your chosen doctors and pharmacies.


Service Area

UnitedHealthcare Medicare Advantage Plans are available in various Wisconsin counties, notably Eau Claire and Fond du Lac. However, the service areas of UnitedHealthcare Medicare Advantage Plans in Wisconsin might extend beyond these counties, as they can be broad and differ depending on the specific plan.


In conclusion, UnitedHealthcare stands out as a comprehensive provider of Medicare Advantage Plans in Wisconsin. From the diverse range of plans tailored to individual healthcare needs to the additional benefits and services like fitness and wellness programs, home delivery pharmacy, and virtual visits, UnitedHealthcare proves to be a reliable partner in securing your health.

The company’s commitment to innovation and customer-centric approach makes it a top choice for those seeking comprehensive, personalized healthcare solutions.


Frequently Asked Questions


Is AARP Medicare Advantage the same as UnitedHealthcare?

Yes, AARP Medicare Advantage is endorsed by AARP and insured by UnitedHealthcare Insurance Company.


Is UnitedHealthcare a good insurance for Medicare?

Yes, UnitedHealthcare is a good insurance for Medicare, as it offers a wide range of benefits, including $0 premiums, copays, and deductibles, and has an overall above-average star rating. It is also the biggest Medicare Advantage provider with a large network.


What is the average cost of a Medicare Advantage Plan in Wisconsin?

The average cost of a Medicare Advantage plan in Wisconsin is $21.46 per month for 2025, but individual plan costs may vary based on location and specific plan details.


What is the most highly rated Medicare Advantage Plan?

The most highly rated Medicare Advantage Plan is “our Top-Rated Medicare Advantage Plans.” These plans have received high ratings for their quality and coverage.


What is the difference between Original Medicare and Medicare Advantage Plans?

The main difference between Original Medicare and Medicare Advantage Plans is that Original Medicare is provided by the federal government.

It includes Part A and Part B, whereas Medicare Advantage Plans are offered by private companies and often include additional benefits like prescription drug coverage.

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