◊ Wisconsin · WI

Learn more about your Medicare plan options in Wisconsin.

In Wisconsin we represent both Medicare Supplement and Medicare Advantage plans from a wide variety of insurance carriers. We price off Wisconsin carrier filings and ZIP-level plan availability rather than national averages — and there is never a charge for the consultation.

Wisconsin Medicare at a glance

1,250,000
Medicare beneficiaries statewide (approx.)
50%
Enrolled in Medicare Advantage — about 625,000 people
21%
Of the Wisconsin population is on Medicare

Approximate statewide estimates based on publicly reported CMS Medicare enrollment data.

◊ Medigap in WI

Wisconsin Medicare Supplement plans.

Roughly 50% of Wisconsin beneficiaries stay on Original Medicare, and most of them pair it with a Medicare Supplement (Medigap) policy. While well-known carriers such as Anthem Blue Cross and Blue Shield have Medigap options here, several other A-rated carriers offer competitive prices. Because Medigap benefits are standardized by plan letter, identical coverage from a lesser-known carrier can save hundreds of dollars a year — and when you are living on a fixed income, every dollar counts.

Keep in mind that every health insurance company is subject to annual rate increases. Your Wisconsin Medigap plan will see premium adjustments over time, which is why we review your policy each year at renewal and re-shop the market for you at no cost.

Medigap plans available in Wisconsin

Wisconsin offers all of the standardized Medigap plans available in nearly every other state: Plan A, B, C, D, F, G, K, L, M, and N, plus high-deductible options. If you became eligible for Medicare on or after January 1, 2020, Plans C and F are not available to you — but do not worry about missing Plan F. Plan G is usually the more cost-effective option anyway, and Plan N is worth a look if you are comfortable with small copays at the doctor's office.

Most-purchased Wisconsin Medigap plans and what they cover
PlanPart A deductiblePart B deductiblePart B excessBest fit in WI
Plan GCoveredYou payCoveredMost popular — full coverage after one deductible
High-Deductible GAfter deductibleYou payAfter deductibleLowest premium, highest out-of-pocket ceiling
Plan NCoveredYou payNot coveredLower premium with small office/ER copays
Plan FCoveredCoveredCoveredOnly if Medicare-eligible before 2020
Plan K / LPartialYou payNot coveredCost-sharing plans with an annual out-of-pocket limit

◊ Medicare Advantage in WI

Wisconsin Medicare Advantage plans.

For Wisconsin residents interested in Medicare Advantage, there are many plan options. HMO plans generally carry the lowest premiums — many at $0 per month — but there are reasonably priced PPO options as well for people who want out-of-network flexibility. More than 625,000 Medicare beneficiaries are enrolled in Advantage plans across the state, about 50% of everyone on Medicare in Wisconsin.

Most Wisconsin Medicare Advantage plans include prescription drug coverage. For people choosing Medigap instead, standalone Part D drug plans are available statewide. The right answer is rarely about premium — it is about whether your doctors, hospitals, and prescriptions are inside the plan's Wisconsin network and formulary.

Carriers writing Medicare business in Wisconsin

  • Anthem Blue Cross and Blue Shield
  • Security Health Plan
  • Humana
  • Quartz

Carrier availability varies by county and ZIP code. We do not offer every plan available in your area.

◊ Wisconsin ZIP coverage

5 markets. Each a different plan menu.

Medicare Advantage networks and Part D formularies are built county by county, and Medigap rates are set by ZIP code. A retiree in 53202 Milwaukee is shopping a genuinely different list than a retiree in 53703 Madison. Here is how the Wisconsin market breaks down.

53202

Milwaukee, WI

Milwaukee County

Dense urban market with the widest carrier network access in the state — expect the largest slate of Medicare Advantage plans and the most competitive Medigap rating.

53703

Madison, WI

Dane County

State capital and government-retiree hub, where employer and TRS retiree coverage often coordinates with Medicare Parts A and B.

54301

Green Bay, WI

Brown County

Legacy manufacturing market with a large share of union and retiree group plans that need to be compared against individual Medicare options.

53140

Kenosha, WI

Kenosha County

Established suburban market with strong hospital coverage and competitive Advantage premiums, many at $0 per month.

54911

Appleton, WI

Outagamie County

Rural service area where provider networks thin out — Medigap's any-provider-that-accepts-Medicare access is often the deciding factor.

◊ Wisconsin Medicare FAQ

Frequently asked questions.

Do I need a Part D plan in Wisconsin?

If you pair Original Medicare with a Wisconsin Medicare Supplement plan, yes — Medigap does not include prescription coverage, so you add a standalone Part D plan. Most Wisconsin Medicare Advantage plans already bundle Part D, so a separate plan is usually unnecessary and can actually disenroll you from your Advantage plan.

Which Medigap plans are available in Wisconsin?

Wisconsin offers the full set of standardized Medigap plans — A, B, C, D, F, G, K, L, M, and N, plus high-deductible F and G. Plans C and F are only available to people who became eligible for Medicare before January 1, 2020. For everyone newly eligible, Plan G and Plan N are the two most commonly purchased options.

How much do Medicare Supplement plans cost in Wisconsin?

Medigap premiums in Wisconsin vary by carrier, age, gender, tobacco use, and ZIP code — two people in different parts of the state can pay meaningfully different rates for identical coverage. Because Medigap benefits are standardized by letter, the smartest move is to compare every A-rated carrier writing in your ZIP rather than defaulting to the best-known brand.

When can I enroll in a Medigap plan in Wisconsin without health questions?

Your one-time, six-month Medigap Open Enrollment Period begins the month you are 65 or older and enrolled in Medicare Part B. During that window, Wisconsin carriers cannot decline you or rate you up for health history. Outside it, you generally have to answer medical underwriting questions unless a guaranteed-issue right applies.

Can I switch from Medicare Advantage to Medigap in Wisconsin?

You can drop a Medicare Advantage plan during the Annual Election Period (October 15 – December 7) or the Medicare Advantage Open Enrollment Period (January 1 – March 31), then apply for a Medigap plan. Keep in mind you may be subject to underwriting in Wisconsin if you are outside your Medigap Open Enrollment window.

Need help exploring Wisconsin Medicare plan options?

Meet one-on-one with a licensed advisor to compare Wisconsin Medicare Supplement, Medicare Advantage, and Part D plans side by side. Meet by phone or in person. There is no charge for this service.

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Wisconsin Medicare plan information reviewed for 2026. Enrollment and penetration figures are approximate statewide estimates from publicly reported CMS Medicare enrollment data.