Medicare Advantage plans in Waushara County, WI: what changed for 2027
For 2027, Waushara County in Wisconsin has 22 Medicare Advantage plans that include drug coverage, compared with 27 in 2026, according to the CMS plan landscape files.
Companies no longer offering Advantage plans here in 2027
- Aspirus, Inc.
- UnitedHealth Group, Inc.
If you are in one of their plans, you should have received a notice. You can choose a new plan during Open Enrollment, and special enrollment rules can apply when a plan leaves your area.
12 Advantage plan IDs (not counting Special Needs or Cost plans) listed here for 2026 are not in the 2027 file and 3 plan IDs are new. Some of these are the same plan renamed or merged, so check the Annual Notice of Change from your plan.
How many people here are in Medicare Advantage
In October 2026, 5,410 of the 7,903 people eligible for Medicare in Waushara County were enrolled in a Medicare Advantage or other Medicare health plan, 68.5%. A year earlier it was 5,324 of 7,734 (68.8%).
CMS counts enrollees in all Medicare health plans, including Advantage, cost and PACE plans, by the county where they live.
Before you choose a plan
Compare plans for your ZIP code, drugs and doctors on the official Medicare Plan Finder, or call 1-800-MEDICARE (1-800-633-4227). Free, unbiased counselling is available from your State Health Insurance Assistance Program at shiphelp.org.
Advantage plans with drug coverage for 2027 (22)
| Plan | Company | Type | Monthly premium | In-network out-of-pocket limit | Star rating |
|---|---|---|---|---|---|
| Aetna Medicare Signature (PPO) | Aetna Medicare | PPO | $0 | $5,900 | 4 of 5 |
| Cooperative Medicare Advantage (HMO) | Group Health Cooperative of Eau Claire | HMO | $0 | $6,700 | Not Enough Data Available |
| Humana Essentials Plus Giveback (PPO) | Humana | PPO | $0 | $5,250 | 4.5 of 5 |
| Humana Full Access (PPO) | Humana | PPO | $0 | $6,400 | 4 of 5 |
| Humana Full Access (PPO) | Humana | PPO | $0 | $6,100 | 4.5 of 5 |
| Humana Total Complete (HMO) | Humana | HMO | $0 | $4,200 | 4 of 5 |
| Humana Value Choice (PPO) | Humana | PPO | $0 | $4,450 | Plan Too New To Be Measured |
| Humana Value Choice (PPO) | Humana | PPO | $0 | $4,450 | 4 of 5 |
| HumanaChoice Giveback H5216-252 (PPO) | Humana | PPO | $0 | $5,250 | 4 of 5 |
| Network Health Choice (PPO) | Network Health Medicare Advantage Plans | PPO | $0 | $5,100 | 4 of 5 |
| Network Health Select (PPO) | Network Health Medicare Advantage Plans | PPO | $0 | $4,450 | 4 of 5 |
| Humana Value Plus H5216-173 (PPO) | Humana | PPO | $6.30 | $9,850 | 4 of 5 |
| Esteem Rx (HMO) | Security Health Plan of Wisconsin, Inc. | HMO | $20.00 | $7,150 | 4 of 5 |
| Aetna Medicare Enhanced (PPO) | Aetna Medicare | PPO | $37.00 | $5,500 | 4 of 5 |
| Esteem Rx Silver (HMO-POS) | Security Health Plan of Wisconsin, Inc. | HMO-POS | $65.00 | $6,500 | 4 of 5 |
| Anthem Medicare Advantage 3 (PPO) | Anthem Blue Cross and Blue Shield | PPO | $84.00 | $7,150 | 4.5 of 5 |
| HumanaChoice R5361-002 (Regional PPO) | Humana | Regional PPO | $87.00 | $7,700 | 3.5 of 5 |
| HumanaChoice H5216-001 (PPO) | Humana | PPO | $94.00 | $4,200 | 4 of 5 |
| Network Health PlusRx (PPO) | Network Health Medicare Advantage Plans | PPO | $105.00 | $3,400 | 4 of 5 |
| Esteem Rx Gold (HMO-POS) | Security Health Plan of Wisconsin, Inc. | HMO-POS | $125.00 | $5,000 | 4 of 5 |
| Network Health PremierRx (PPO) | Network Health Medicare Advantage Plans | PPO | $257.00 | $3,400 | 4 of 5 |
| Legacy Rx (HMO-POS) | Security Health Plan of Wisconsin, Inc. | HMO-POS | $300.00 | $3,000 | 4 of 5 |
Advantage plans without drug coverage for 2027 (7)
| Plan | Company | Type | Monthly premium | In-network out-of-pocket limit | Star rating |
|---|---|---|---|---|---|
| Aetna Medicare Eagle (PPO) | Aetna Medicare | PPO | Not listed | $5,200 | 4 of 5 |
| Compass (HMO) | Security Health Plan of Wisconsin, Inc. | HMO | Not listed | $5,000 | 4 of 5 |
| Humana USAA Honor Giveback (PPO) | Humana | PPO | Not listed | $6,000 | 4 of 5 |
| Humana USAA Honor Giveback (PPO) | Humana | PPO | Not listed | $6,000 | 4.5 of 5 |
| Humana USAA Honor Giveback (Regional PPO) | Humana | Regional PPO | Not listed | $6,750 | 3.5 of 5 |
| Network Health Armor (PPO) | Network Health Medicare Advantage Plans | PPO | Not listed | $4,900 | 4 of 5 |
| Network Health Prime (MSA) | Network Health Medicare Advantage Plans | MSA | Not listed | Not listed | Not Applicable |
Special Needs Plans for 2027 (15)
| Plan | Company | Type | Monthly premium | In-network out-of-pocket limit | Star rating |
|---|---|---|---|---|---|
| Anthem Dual Advantage Plus (HMO D-SNP) | Anthem Blue Cross and Blue Shield | HMO D-SNP · Dual-Eligible | $0 | $9,850 | 3.5 of 5 |
| Anthem Full Dual Advantage (HMO D-SNP) | Anthem Blue Cross and Blue Shield | HMO D-SNP · Dual-Eligible | $0 | $9,850 | 3.5 of 5 |
| Cooperative Advantage (HMO D-SNP) | Group Health Cooperative of Eau Claire | HMO D-SNP · Dual-Eligible | $0 | $9,850 | Not Enough Data Available |
| HumanaChoice - Diabetes and Heart (PPO C-SNP) | Humana | PPO C-SNP · Chronic or Disabling Condition | $0 | $4,400 | 4.5 of 5 |
| HumanaChoice SNP-DE H5216-420 (PPO D-SNP) | Humana | PPO D-SNP · Dual-Eligible | $0 | $9,850 | 4 of 5 |
| Molina My Choice Dual Advantage (HMO D-SNP) | Molina Healthcare of Wisconsin | HMO D-SNP · Dual-Eligible | $0 | $9,850 | 3.5 of 5 |
| Molina My Choice Partnership (HMO D-SNP) | Molina Healthcare of Wisconsin | HMO D-SNP · Dual-Eligible | $0 | $9,850 | 3.5 of 5 |
| UHC Dual Advantage WI-V1 (HMO-POS D-SNP) | UnitedHealthcare | HMO-POS D-SNP · Dual-Eligible | $0 | $5,400 | 3.5 of 5 |
| UHC Dual Complete WI-Q1 (HMO-POS D-SNP) | UnitedHealthcare | HMO-POS D-SNP · Dual-Eligible | $0 | $9,850 | 3.5 of 5 |
| UHC Dual Complete WI-S1 (HMO-POS D-SNP) | UnitedHealthcare | HMO-POS D-SNP · Dual-Eligible | $0 | $9,850 | 3.5 of 5 |
| Wellcare MHS Health Wisconsin Dual Liberty Sync (HMO-POS D-SNP) | Wellcare | HMO-POS D-SNP · Dual-Eligible | $0 | $9,850 | 3 of 5 |
| Wellcare MHS Health Wisconsin Dual Select (HMO-POS D-SNP) | Wellcare | HMO-POS D-SNP · Dual-Eligible | $0 | $5,100 | 3 of 5 |
| iCare Family Care Partnership (HMO D-SNP) | iCare | HMO D-SNP · Dual-Eligible | $0 | $9,250 | 3.5 of 5 |
| Network Health Cares (PPO D-SNP) | Network Health Medicare Advantage Plans | PPO D-SNP · Dual-Eligible | $6.30 | $9,850 | 4 of 5 |
| UHC Dual Advantage WI-V2 (PPO D-SNP) | UnitedHealthcare | PPO D-SNP · Dual-Eligible | $6.30 | $9,850 | 3 of 5 |
Stand-alone Part D drug plans are offered statewide: see Wisconsin drug plans.
Sources
- Centers for Medicare & Medicaid Services, CY2027 Medicare Advantage and Part D Landscape file (data last updated 18 October 2026)
- Centers for Medicare & Medicaid Services, CY2026 Medicare Advantage and Part D Landscape file (September 2026 release)
- Centers for Medicare & Medicaid Services, MA State/County Penetration files, October 2026 and October 2025
Checked 29 October 2026. Plans and premiums can change before 1 January 2027. Confirm any plan on Medicare.gov before you enrol.