You trust Aspirus Health for your care. Now you can trust Aspirus Health Plan for your Medicare coverage. We offer all the benefits you need without leaving the network you know.
Need help? Call 715-631-7437 (TTY users call 1-855-931-4852)
8 am – 8 pm, seven days a week (Oct. 1 – March 31), 8 am – 8 pm, Monday – Friday (April 1 – Sept. 30)
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.
Learn the basics of Medicare, including the four parts of Medicare, what they cover, when to enroll, and how to enroll.
Is your doctor in-network?
Provider and Pharmacy directory
Primary Care Clinic List
Are your drugs covered?
Formulary (list of covered drugs)
Learn about our 2022 Plans
Summary of benefits
*You must continue to pay your Part B premium
Primary: $0 copay
Specialist: $45 copay
In-network: $5,900
Out-of-network combined with in-network: $6,000
$0 copay for many services
$350 copay per day (days 1–5); then 100% covered
$295 copay
$90 copay
Includes routine dental with optional coverage available
$0 copay
30% of the cost of services
$60 twice a year on January 1st and July 1st (does not rollover)
Includes basic health
club membership
Annual deductible:
Tier 1 & 2 = $0
Tiers 3–5 = $295
Copays based on drug tiers, as low as $3
$0 copay for routine eye exam
$45 copay for diagnostic eye exam
$100 eyewear/contacts allowance
$3 copay at a preferred pharmacy^
$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.
*You must continue to pay your Part B premium
Primary: $0 copay
Specialist: $40 copay
In-network: $4,000
Out-of-network combined with in-network: $4,000
$0 copay for many services
$300 copay per stay; then 100% covered
$195 copay
$90 copay
Includes routine dental with optional coverage available
$0 copay
30% of the cost of services
$75 twice a year on January 1st and July 1st (does not rollover)
Includes basic health
club membership
Annual deductible:
Tier 1 & 2 = $0
Tiers 3–5 = $295
Copays based on drug tiers, as low as $2
$0 copay for routine eye exam
$40 copay for diagnostic eye exam
$175 eyewear/contacts allowance
$2 copay at preferred pharmacy^
$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.
*You must continue to pay your Part B premium
Primary: $0 copay
Specialist: $40 copay
In-network: $4,000
Out-of-network combined with in-network: $4,000
$0 copay for many services
$300 copay stay; then 100% covered
$195 copay
$90 copay
Includes routine dental with optional coverage available
$0 copay
30% of the cost of services
$75 twice a year on January 1st and July 1st (does not rollover)
Includes basic health club membership
Not covered
$0 copay for routine eye exam
$40 copay for diagnostic eye exam
$175 eyewear/contacts allowance
Not covered
$0 copay for routine hearing exam
$40 copay for diagnostic hearing exam
$599 copay Advanced Hearing Aid
$899 copay Premium Hearing Aid
*You must continue to pay your Part B premium
Primary: $0 copay
Specialist: $45 copay
In-network: $5,900
Out-of-network combined with in-network: $6,500
$0 copay for many services
$350 copay per day (days 1–5); then
100% covered
$395 copay
$90 copay
Includes routine dental with optional coverage available
$0 copay
30% of the cost of services
$50 semiannually
Includes basic health
club membership
Annual deductible:
Tier 1 & 2 = $0
Tiers 3–5 = $295
Copays based on drug tiers, as low as $3
$0 copay for routine eye exam
$45 copay for diagnostic eye exam
$100 eyewear/contacts allowance
Copays shown at preferred pharmacy rates^
$3 copay
$0 copay for routine hearing exam
$45 copay for diagnostic hearing exam
$699 per Advanced Hearing Aid
$999 per Premium Hearing Aid
^Aspirus Health Plan preferred pharmacies offer lower cost sharing.
*You must continue to pay your Part B premium
Primary: $0 copay
Specialist: $40 copay
In-network: $4,000
Out-of-network combined with in-network: $4,500
$0 copay for many services
$300 copay per stay; then 100% covered
$295 copay
$90 copay
Includes routine dental with optional coverage available
$0 copay
30% of the cost of services
$50 semiannually
Includes basic health
club membership
Annual deductible:
Tier 1 & 2 = $0
Tiers 3–5 = $295
Copays based on drug tiers, as low as $2
$0 copay for routine eye exam
$40 copay for diagnostic eye exam
$175 eyewear/contacts allowance
Copays shown at preferred pharmacy rates^
$2 copay
$0 copay for routine hearing exam
$40 copay for diagnostic hearing exam
$599 per Advanced Hearing Aid
$899 per Premium Hearing Aid
^Aspirus Health Plan preferred pharmacies offer lower cost sharing.
*You must continue to pay your Part B premium
Primary: $0 copay
Specialist: $40 copay
In-network: $4,000
Out-of-network combined with in-network: $4,500
$0 copay for many services
$300 copay stay; then 100% covered
$295 copay
$90 copay
Includes routine dental with optional coverage available
$0 copay
30% of the cost of services
$50 semiannually
Includes basic health club membership
Not covered
$0 copay for routine eye exam
$40 copay for diagnostic eye exam
$175 eyewear/contacts allowance
Not covered
$0 copay for routine hearing exam
$40 copay for diagnostic hearing exam
$599 per Advanced Hearing Aid
$899 per 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.
H6874_50261_092021
10/2021
