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8 am – 8 pm, seven days a week (October 1 – March 31), 8 am – 8 pm, Monday – Friday (April 1 – September 30)

Your Medicare Advantage Partner in Central Wisconsin

You want care for the whole you, from head to toe. Our Medicare Advantage plans help you get it, without breaking your budget.

Choose a $0 premium plan (you will continue to pay your Medicare Part B premium) and pay a little more for care if you need it. Or pay a little more in premium and save on out-of-pocket costs when you need care.


Among the benefits you’ll enjoy:

  • Dental, hearing aids and eyewear coverage
  • Coverage anywhere in the U.S. when you see a Medicare provider
  • Lower costs through the Aspirus Health network

Extra benefits for your health and wellness

  • Rewards and incentives. Earn rewards for taking care of your health.
  • One Pass. Be healthy, feel stronger, and have fun with the One Pass fitness benefit, including a free fitness club membership at over 23,000 participating locations.
  • Quit Smoking and Vaping Program. Get started on a tobacco- and nicotine-free life. Quit line coaches help you learn to live without tobacco or nicotine at no charge.
  • Healthy Savings®. Eligible members can save up to $50 a week on pre-qualified healthy foods including milk, whole-grain bread, lean meat, eggs, yogurt, fruits, vegetables and more.
  • Over-the-counter (OTC) allowance through Healthy Savings. Use the allowance to buy eligible health items including cough drops, first aid supplies, pain relievers and more at participating stores.
  • Aspirus 24/7 Nurse Line. For reliable health information 24 hours a day, seven days a week, Aspirus members can call the Aspirus 24/7 Nurse Line.
  • Medication Therapy Management (MTM). An annual review of your prescriptions, over-the-counter medications and supplements with a specially trained Aspirus Health Plan pharmacist at no additional cost for members with prescription drug coverage.

Understanding Medicare

Learn the basics of Medicare, including the four parts of Medicare, what they cover, when to enroll, and how to enroll.

Learn the basics


2023 Plans

Ready to enroll?

Enroll Now

Shop and Compare

Need more info?

Request a Kit

Attend a Meeting



Important plan documents

Is your doctor in-network?
Provider and Pharmacy directory

Are your drugs covered?
Formulary (list of covered drugs)

Learn about our 2023 Plans
Summary of benefits

Essential Rx (PPO)

$0.00

2023 Monthly Premium
*You must continue to pay your Part B premium

Doctor visits
Primary: $0 copay
Specialist: $40 copay

Out-of-pocket maximum
In and Out-of-network combined: $4,500

Preventive care
$0 copay for many services

Inpatient hospital
$300 copay per day (days 1–5); then 100% covered

Outpatient surgery/services
and observation stay

$395 copay

Emergency care (worldwide)
$100 copay

Dental coverage
Includes routine dental with optional coverage available

Lab services
$0 copay

Out-of-network coverage with any provider that accepts Medicare
30% of the cost of services; cost-sharing is the same both in- and out-of-network for some services

Over-the-counter (OTC) allowance
$100 twice a year (does not rollover)

One Pass™ fitness program
Includes basic health club membership

Medicare Part D prescription drug coverage
Annual deductible:
Tier 1 & 2 = $0
Tiers 3–5 = $245
Copays based on drug tiers, as low as $3

Vision coverage
$0 copay for routine eye exam
$45 copay for diagnostic eye exam
$100 eyewear/contacts allowance

SHINGRIX® vaccine
$3 copay at a preferred pharmacy^

Hearing coverage (routine exam and hearing aids from TruHearing)
$0 copay for routine hearing exam
$45 copay for diagnostic hearing exam
$699 copay Advanced Hearing Aid
$999 copay Premium Hearing Aid

^Aspirus Health Plan preferred pharmacies offer lower cost sharing.



Elite Rx (PPO)

$77.00

2023 Monthly Premium
*You must continue to pay your Part B premium

Doctor visits
Primary: $0 copay
Specialist: $40 copay

Out-of-pocket maximum
In and Out-of-network combined: $3,200

Preventive care
$0 copay for many services

Inpatient hospital
$300 copay per stay; then 100% covered

Outpatient surgery/services
and observation stay

$195 copay

Emergency care (worldwide)
$100 copay

Dental coverage
Includes routine dental with optional coverage available

Lab services
$0 copay

Out-of-network coverage with any provider that accepts Medicare
30% of the cost of services; cost-sharing is the same both in- and out-of-network for some services

Over-the-counter (OTC) allowance
$75 twice a year (does not rollover)

One Pass™ fitness program
Includes basic health club membership

Medicare Part D prescription drug coverage
Annual deductible:
Tier 1 & 2 = $0
Tiers 3–5 = $245
Copays based on drug tiers, as low as $2

Vision coverage
$0 copay for routine eye exam
$40 copay for diagnostic eye exam
$175 eyewear/contacts allowance

SHINGRIX® vaccine
$2 copay at a preferred pharmacy^

Hearing coverage (routine exam and hearing aids from TruHearing)
$0 copay for routine hearing exam
$40 copay for diagnostic hearing exam
$599 copay Advanced Hearing Aid
$899 copay Premium Hearing Aid

^Aspirus Health Plan preferred pharmacies offer lower cost sharing.



Elite (PPO)

$0.00

2023 Monthly Premium
*You must continue to pay your Part B premium

Doctor visits
Primary: $0 copay
Specialist: $40 copay

Out-of-pocket maximum
In and Out-of-network combined: $3,200

Preventive care
$0 copay for many services

Inpatient hospital
$300 copay per stay; then 100% covered

Outpatient surgery/services
and observation stay

$195 copay

Emergency care (worldwide)
$100 copay

Dental coverage
Includes routine dental with optional coverage available

Lab services
$0 copay

Out-of-network coverage with any provider that accepts Medicare
30% of the cost of services; cost-sharing is the same both in- and out-of-network for some services

Over-the-counter (OTC) allowance
$75 twice a year (does not rollover)

One Pass™ fitness program
Includes basic health club membership

Medicare Part D prescription drug coverage
Not covered

Vision coverage
$0 copay for routine eye exam
$40 copay for diagnostic eye exam
$175 eyewear/contacts allowance

SHINGRIX® vaccine
Not covered

Hearing coverage (routine exam and hearing aids from TruHearing)
$0 copay for routine hearing exam
$40 copay for diagnostic hearing exam
$599 copay Advanced Hearing Aid
$899 copay Premium Hearing Aid



Aspirus Health Plan, Inc. is a PPO plan with a Medicare contract. Enrollment in Aspirus Health Plan, Inc. depends on contract renewal.
Healthy Savings is a registered trademark of Solutran, Inc.