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HealthPartners Cedar (PPO) Medicare Advantage Plan H6309-002 • 2027 • Shawano County, WI

CMS Rating: Not yet rated by CMS.
Monthly Premium
$0.00Plus Part B premium.
Medical Deductible
$0.00
Maximum Out-of-Pocket
$9850.00In-network
Part B Giveback
−$50.00 reduction
Prescription Coverage
Enhanced, $700.00 deductible
Additional Benefits
Dental, Vision, Hearing
Service Area
Shawano County, WI
Local Enrollment
0 beneficiaries in Shawano County
Last update:

HealthPartners Cedar (PPO) Introduction

HealthPartners Cedar is a Medicare Advantage PPO plan offered by HealthPartners. It uses a Preferred Provider Organization (PPO) provider network and comes with prescription drug coverage. For the 2027 plan year it has a $0.00 monthly premium, $0.00 medical deductible, and $9850.00 in-network maximum out-of-pocket. CMS Plan ID H6309-002 identifies this plan. The 2027 Part D prescription drug deductible is $700.00.

You must live in Shawano County, Wisconsin to enroll in this plan. CMS reports 0 beneficiaries enrolled in this plan in Shawano County. For assistance with this plan, new members can call (833)256-7046 (TTY 711).

Compare Similar Plans in Shawano County

Compare this plan with the two most-enrolled PPO plans available in Shawano County, Wisconsin. Enrollment is based on CMS local enrollment data.

PPO plan comparison for Shawano County, Wisconsin
Plan Detail HealthPartners Cedar Network Health Select Network Health Choice
CMS Plan ID H6309-002-0 H5215-008-0 H5215-011-0
Local Enrollment 0 1,479 1,040
Monthly Premium $0.00 $0.00 $0.00
Medical Deductible $0.00 $200 $500
Maximum Out-of-Pocket $9,850.00 $4,450.00 $5,100.00
Part B Giveback −$50.00 reduction Not offered Not offered
Primary Care $0 copay $0 copay $0 copay
Specialist $0-$60 copay $60 copay $50 copay
Part D Deductible $700.00 $330.00 $300.00
CMS Star Rating Not yet rated Not yet rated Not yet rated
Dental Not covered $0 copay $0 copay
Vision $0 copay $10 copay $10 copay
Hearing $0 copay $0 copay $0 copay

Plan Benefits

HealthPartners Cedar has cost-sharing, meaning there are out-of-pocket costs when receiving covered healthcare services. The tables below detail the most common in-network out-of-pocket expenses for plan H6309-002.

You can also compare 2027 costs and coverage with last year, side-by-side: Plan H6309-002-0 Cost Compare.

Office Visits

Primary care
In-network: $0 copay
Out-of-network: $0 copay, 0% coinsurance
Specialist
In-network: $0-$60 copay
Out-of-network: $0-$60 copay

Preventive and Wellness Services

Annual wellness exam
In-network: $0 copay
Out-of-network: $0 copay, 0% coinsurance
Telehealth benefit
Not covered
Routine chiropractic
Not covered
Fitness benefits
Coming soon
Health education
Not covered
Counseling services
Not covered
Over-the-counter drug benefits
Not covered
Health transportation (non-emergency)
Coming soon

Diagnostic, Lab, and Imaging Services

Diagnostic radiology services
In-network: $0-$500 copay
Out-of-network: $0-$500 copay
Lab services
In-network: 10% coinsurance
Out-of-network: 10% coinsurance
Outpatient x-rays
In-network: $125 copay
Out-of-network: $125 copay
Diagnostic tests and procedures
In-network: $100 copay
Out-of-network: $100 copay

Emergency and Urgent Care Services

Emergency room care
$115 copay
Worldwide emergency care
Coming soon
Urgent care
$40 copay
Inpatient hospital care
In-network:
Tier 1
$600 per day for days 1-4
$0 per day for days 5-90
$0 per stay
Out-of-network:
$600 per day for days 1-4
$0 per day for days 5-90
$0 per stay
Skilled Nursing Facility
In-network:
Tier 1
$0 per day for days 1-20
$221 per day for days 21-100
Out-of-network:
$0 per day for days 1-20
$221 per day for days 21-100
$0 per stay
Ground ambulance
In-network: $300 copay
Out-of-network: $300 copay

Mental Health Services

Outpatient individual therapy
In-network: $50 copay
Out-of-network: $50 copay
Outpatient group therapy
In-network: $50 copay
Out-of-network: $50 copay
Inpatient psychiatric hospital care
In-network:
Tier 1
$600 per day for days 1-4
$0 per day for days 5-90
$0 per stay
Out-of-network:
$600 per day for days 1-4
$0 per day for days 5-90
$0 per stay

Rehabilitation Services

Physical therapy and speech and language therapy
In-network: $35 copay
Out-of-network: $35 copay
Occupational therapy
In-network: $35 copay
Out-of-network: $35 copay

Medical Equipment and Supplies

Diabetes supplies
In-network: 0%-20% coinsurance
Out-of-network: 0%-20% coinsurance
Durable medical equipment
In-network: 20% coinsurance
Out-of-network: 20% coinsurance
Prosthetics
In-network: 20% coinsurance
Out-of-network: 20% coinsurance

Medicare Part B Drugs

Chemotherapy
In-network: 0%-20% coinsurance
Out-of-network: 0%-20% coinsurance
Other Part B drugs (Medicare-covered)
In-network: 0%-20% coinsurance
Out-of-network: 0%-20% coinsurance

Dental Services

Oral exam
Not covered
Dental x-rays
Not covered
Cleaning
Not covered
Periodontics
Not covered
Endodontics
Not covered
Restorative services
Not covered
Implant services
Not covered
Orthodontics
Not covered
Oral/Maxillofacial surgery
Not covered

Vision Services

Routine eye exam
In-network: $0 copay
Out-of-network: $0 copay, 0% coinsurance
Contact lenses
Not covered
Eyeglass frames only
Not covered
Eyeglass lenses only
Not covered
Eyeglasses (frames & lenses)
Not covered
Upgrades
Not covered

Hearing Services

Hearing exam
In-network: $0 copay
Out-of-network: $0 copay, 0% coinsurance
Fitting/evaluation
Not covered
Prescription hearing aids
Not covered
OTC hearing aids
Not covered

Additional and Special Needs Services

Adult day health services
Not covered
Home-based palliative care
Not covered
Personal emergency response system
Coming soon
Weight management programs
Not covered
Wigs for chemotherapy-related hair loss
Coming soon
Alternative therapies
Not covered
Massage therapy
Not covered
Home/bathroom safety devices
Not covered

Certain preventive services are covered 100% by HealthPartners Cedar as a Part B benefit.

Prescription Drug Coverage

HealthPartners Cedar includes a Medicare Part D prescription drug plan (PDP). Plan type and coverage level are defined by CMS and may vary between basic and enhanced benefit designs.

This plan includes an enhanced benefit Medicare Part D plan (PDP), providing coverage beyond the standard CMS-defined minimum.

Prescription Drug Plan Premium

The Part D prescription drug plan premium is included in the overall Medicare Advantage plan cost. Additional adjustments may apply through the Low-Income Subsidy (LIS) program, also known as Extra Help, administered by Social Security. LIS benefits are separate from Medicare Special Needs Plan coverage.

HealthPartners Cedar (H6309-002-0) Prescription Drug Plan Premium Details
Part D Premium Component Amount
Basic Part D Premium:$0.00
Supplemental Part D Premium:$$0.00
Total Part D Premium:$0.00
Low-Income Premium Subsidy:$6.27
Low-Income Premium Subsidy Paid by CMS:$0.00
Low-Income Subsidy Premium:$0.00

For more details, visit the Social Security Extra Help program .

Prescription Drug Plan Deductible

This plan has a $700.00 annual Part D deductible. You'll pay this deductible at the pharmacy before HealthPartners starts contributing towards your prescription costs.

Prescription Drug Plan Out-of-Pocket Costs

Beyond premiums and deductibles, HealthPartners Cedar may have additional costs at pharmacies. The table below outlines out-of-pocket expenses by drug tier.

HealthPartners Cedar (H6309-002-0) Pharmacy Out-of-Pocket Costs by Drug Tier
Drug Tier Retail Mail Order
Preferred Generic$0.00 copayComing soon
Generic$0.00 copayComing soon
Preferred Brand25% coinsuranceComing soon
Non-Preferred Drug30% coinsuranceComing soon
Specialty Tier25% coinsuranceComing soon
*Deductible does not apply.

CMS 5-Star Performance Ratings (Contract ID: H6309)

The Centers for Medicare & Medicaid Services (CMS) rates Medicare Advantage (Part C) and Part D prescription drug plans each year using a 5-star system. These ratings measure plan performance in areas such as preventive care, management of chronic conditions, and member experience.

2027 Medicare Star Ratings for Contract H6309
CMS Measure Star Rating
2027 Overall Rating ☆☆☆☆☆
Staying Healthy: Screenings, Tests, Vaccines Plan too new to be measured
Managing Chronic (Long Term) Conditions Plan too new to be measured
Member Experience with Health Plan Plan too new to be measured
Complaints and Changes in Plans Performance Plan too new to be measured
Health Plan Customer Service Plan too new to be measured
Drug Plan Customer Service Plan too new to be measured
Complaints and Changes in the Drug Plan Plan too new to be measured
Member Experience with the Drug Plan Plan too new to be measured
Drug Safety and Accuracy of Drug Pricing Plan too new to be measured

Contact Information for HealthPartners

Website
HealthPartners Plan Page
Providers
HealthPartners Providers Page
Formulary
HealthPartners Formulary Page
Pharmacy
HealthPartners Pharmacy Page
New Member Health Plan Help
(833)256-7046
New Member Health Plan TTY
711
New Member Part D Help
(833)256-7046
New Member Part D TTY Users
711

Enrollment status and eligibility information are available through the Social Security Administration. Additional information about Medicare Advantage is available at Medicare.gov.

Medicare Plan Data Sources and Methodology
Primary CMS datasets used for this Medicare Advantage Plan resource.
Data Source Publisher Last Accessed
Landscape Source Files Centers for Medicare & Medicaid Services October 5, 2026
Medicare Part C & D Performance Centers for Medicare & Medicaid Services October 5, 2026
Plan Benefits Package Centers for Medicare & Medicaid Services October 5, 2026
Monthly Enrollment by Contract/Plan/State/County Centers for Medicare & Medicaid Services October 5, 2026

Data sources and methodology documentation.

Official plan information and secondary Medicare references.
Publisher Reference Last Accessed
HealthPartners (official source) http://healthpartners.com/ExploreMedi October 4, 2026
Medicare.gov Understanding Medicare Advantage Plans 25 May, 2025
NCOA.org 5 Steps to Choosing the Right Medicare Plan for You 25 May, 2025
Medicare.gov Compare Original Medicare & Medicare Advantage 25 May, 2025

MedicarePlans.com is an independent, non-government informational resource and is not affiliated with or endorsed by the U.S. Government or the federal Medicare program.

Data provenance is documented in accordance with the U.S. Core Data for Interoperability (USCDI) Provenance standard.