Medicare Advantage · 1876 Cost · 2027
Medical Associates SmartPlan (Cost)
No referral needed to see a specialist
At a glance: $170 monthly premium and $0 primary care visits.
This plan does not include Part D drug coverage. Before enrolling, confirm how your prescriptions will be covered. Read before you enroll
- Monthly premium
- $170
- Part B premium separate
- Yearly limit
- Not published
- Most you’d pay for in-network care
- Vision
- Included
- Routine vision benefit
- Doctor visits
- $0
- Primary care · specialists $0
Check this plan for you
Add your doctors to see if they’re in this plan’s network.
- VisionRoutine vision benefit
- Included
This is a supplemental benefit with plan-specific limits. See plan documents for details.
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A licensed agent can review this plan and other plans in your area that fit your needs.
TTY: 711 · Monday to Friday, 8:00 AM to 6:00 PM CST
Before you enroll
Prescription coverage and who this plan may fit
This plan does not include Part D drug coverage
Who this type of plan may fit
MA-Only plans are generally considered by people who already have creditable prescription drug coverage, such as coverage from the VA, TRICARE, or a current or former employer or union. Your coverage provider (not this page) must tell you whether your current drug coverage is creditable.
Before you enroll
- Find your current plan's annual Notice of Creditable Coverage or ask its benefits administrator.
- Do not drop existing drug coverage until you understand how the change affects both coverages.
Costs and copays
Deductible, visits and drug coverage
- Medical deductiblePer year
- $0
- Drug coveragePart D
- Not included
- Primary doctorPer visit
- $0
- SpecialistPer visit · no referral needed
- $0
- Outpatient surgeryPer procedure
- $0
- Emergency roomPer visit
- $0
- Urgent carePer visit
- $0
Similar plans
Other Medicare Advantage plans offered in Wisconsin
Browse the full 2027 Medicare Advantage without drug coverage directory. This plan is offered in Wisconsin. Plan availability can vary by county.
More Medicare Advantage without drug coverage options
These plans are offered in at least one of the same states. Check your ZIP or county before choosing a plan.
- Medical Associates Community Plan (Cost)Medical Associates Clinic Health Plan of Wisconsin · H5256-002Offered in Wisconsin
- Medical Associates Freedom Plan (Cost)Medical Associates Clinic Health Plan of Wisconsin · H5256-004Offered in Wisconsin
- AARP Medicare Advantage Patriot No Rx WI-MA01 (PPO)UnitedHealthcare · H0294-014Offered in Wisconsin
- AARP Medicare Advantage Patriot No Rx WI-MA02 (HMO-POS)UnitedHealthcare · H5253-021Offered in Wisconsin
- Aetna Medicare Eagle (PPO)Aetna Medicare · H5521-286Offered in Wisconsin
- Anthem Veteran (PPO)Anthem Blue Cross and Blue Shield · H4036-024Offered in Wisconsin
Common questions
6 answers about this plan
What does Medical Associates SmartPlan (Cost) (1876 Cost) cover?
Medical Associates SmartPlan (Cost) (1876 Cost) is a Medicare Advantage plan that the current plan record identifies as not including Part D prescription drug coverage. The plan record does not identify Part D prescription drug coverage. Published supplemental benefits include vision (Routine vision benefit). Review the plan documents for covered services, limits, and rules. Coverage can change each plan year.
Learn about Medicare AdvantageHow much does Medical Associates SmartPlan (Cost) (1876 Cost) cost in 2027?
The published 2027 monthly plan premium for Medical Associates SmartPlan (Cost) (1876 Cost) is $170. Any Medicare premiums you owe are separate from the listed plan premium. The listed medical deductible is $0. Published visit costs include primary care $0 and specialist visits $0. These figures are plan data, not a personal yearly-cost estimate.
Can I use my current doctors with Medical Associates SmartPlan (Cost) (1876 Cost)?
CMS lists Medical Associates SmartPlan (Cost) (1876 Cost) as a 1876 Cost plan. The plan record says specialist referrals are not required. A network label alone does not confirm that a specific doctor participates. Use the doctor lookup tool, then confirm with the doctor's office and the plan before receiving care. Provider networks and member costs can change. Emergency care and travel coverage can follow different network rules.
Check your doctorsDoes Medical Associates SmartPlan (Cost) (1876 Cost) include prescription drug coverage?
Medical Associates SmartPlan (Cost) (1876 Cost) is listed in the current plan record as a Medicare Advantage plan without Part D prescription drug coverage. You can add a separate Part D plan to this plan. Confirm how your prescriptions will be covered before enrolling.
Browse standalone Part D plansWhat extra benefits does Medical Associates SmartPlan (Cost) (1876 Cost) offer beyond Original Medicare?
The current plan record for Medical Associates SmartPlan (Cost) (1876 Cost) lists vision (Routine vision benefit). The current data does not list dental, hearing, over-the-counter (OTC), fitness, transportation, and meals as offered benefits. Benefit allowances, frequency, eligibility, and participating providers can have additional limits, so review the Summary of Benefits or Evidence of Coverage for the complete rules.
When can I enroll in Medical Associates SmartPlan (Cost) (1876 Cost)?
Medical Associates SmartPlan (Cost) (1876 Cost) is a 2027 Medicare Advantage plan. The Annual Enrollment Period runs from October 15 through December 7, with changes taking effect January 1. The Medicare Advantage Open Enrollment Period runs from January 1 through March 31 for people already enrolled in Medicare Advantage. A qualifying circumstance may create a Special Enrollment Period outside those dates. Confirm the enrollment window and effective date that apply to you before changing coverage.
Review Medicare enrollment periodsPlan documents
Summary of Benefits and Evidence of Coverage
- Summary of Benefits (PDF)Download the plan's official Summary of Benefits document
- Evidence of Coverage (PDF)Complete plan details and rules
- Check Your DoctorsSee if your doctors accept this plan
- Documentos en españolLlame a The Pocket Protector al 1-866-764-3312 (TTY: 711) para recibir ayuda con documentos en español
Talk to a licensed agent
Talk with a licensed advisor
A licensed agent can review this plan and other plans in your area that fit your needs.
TTY: 711 · Monday to Friday, 8:00 AM to 6:00 PM CST
