Medicare Plans

  • The Centers for Medicare and Medicaid Services (CMS) has made significant changes to Medicare Part D plan design for prescription drug coverage starting January 2025. The changes are intended to make drugs more affordable and accessible. Key highlights include monthly payment options for covered high-cost medications and the elimination of the coverage gap after patients reach certain thresholds, reducing out-of-pocket cap on drug spending from $8,000 to $2,000. For higher cost medications, depending on plan coverage, some patients may see substantial increases to charges for the first refills of the year. The new monthly payment option can mitigate this situation.

    We encourage patients to review their plan options to ensure their needs are met. You can learn more about what the changes may mean for you through your Medicare Part D plan using the contact information located on back of your insurance card. Patients who are insured by Network Health can contact advisors there at 866-845-1803. For general information, visit medicare.gov or call 1-800-Medicare. Pharmacy team members can also provide a broad overview of the changes.

As your trusted health care provider, we want to make sure you have the resources you need to explore your Medicare plan options. Medicare is health insurance for people age 65 and older and you are first eligible to sign up for Medicare three months before you turn 65.

You can find more information about Medicare basics, how Medicare works, Medicare plan types and when and how to sign up at medicare.gov.

Get Started With Medicare

Connect With a Medicare Expert

For person-to-person assistance reviewing your Medicare plan options and help enrolling in a plan, call a local Medicare advisor, right here in Wisconsin.

 FHK Insurance
Milwaukee
866-642-0493
fhkinsurance.com
 Transition Health Benefits
Brookfield
844-556-6854
transitionhealthbenefits.com
 ePlatinumHealth
Menomonee Falls
844-725-1382
eplatinumhealth.com
 McNamara & Thiel Insurance
Fond du Lac
920-923-2626
mtins.net
 Midwest Insurance Brokerage
Appleton
920-731-2100
mibsga.com
 Next Step Insurance
Plymouth
920-268-1600
nextstep-insurance.com

See a list of local Medicare insurance agencies.

Network Health Medicare Advantage Plans

Network Health, a Wisconsin-based health plan, provides a patient-centric, fully integrated approach to Medicare health insurance.

  • Owned by Froedtert Health
  • The largest provider-owned Medicare Advantage plan in Wisconsin (70,000+ Medicare Advantage members)
  • Founded in 1982 by a small group of physicians

For more information about Network Health Medicare Advantage Plans, visit networkhealth.com, schedule an appointment or call 844-201-0047.

Schedule an Appointment

Accepted Medicare Insurance

Froedtert & the Medical College of Wisconsin health network accepts most Medicare insurance. Holy Family Memorial is part of the Froedtert & the Medical College of Wisconsin health network.

See Lists of Accepted Insurance Plans

We contract with Medicare Advantage plans and Part D sponsors. The provider network may change at any time. You will receive notice when necessary. Enrollment in any Medicare plan depends upon contract renewal. For a complete listing of available Medicare plans, please contact 1-800-Medicare (TTY users should call 1-877-486-2048), 24 hours a day/7 days a week or consult medicare.gov.