2026 Medicare Advantage Plans in Winnebago County, IA
Last update: . Enrollment data updated: May 2, 2026
Winnebago County, IA has 16 Medicare Advantage plans available in 2026. These include 12 plans with no monthly premium, and roughly 40% are rated at least 4 stars based on CMS data.
Medicare Advantage Special Needs Plans (SNPs) are not included in the figures shown above. View Special Needs Plans in Winnebago County, IA. Or explore all Medicare Options available in Winnebago County, IA.
Medicare Advantage PPO Plans
Preferred Provider Organization (PPO) plans allow access to both in-network and out-of-network providers. Out-of-network care usually costs more, but PPOs offer greater flexibility in choosing doctors and hospitals.
- Total PPO Plans 9
- Average Monthly Premium $8.33/mo
- Total PPO Enrollment 272
- $0 Premium PPO Plans 7
- Average MOOP $5,922
- Top PPO by Enrollment Blue Medicare Advantage PPO (PPO) — 109 enrollees
- PPO Plans Without Drug Coverage 3
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| MercyOne Health Plan Choice | $0 | $4,400 | $200 | H1846-007-0 | |
| AARP Medicare Advantage from UHC IA-0003 | $37 | $5,900 | $600 | H8768-017-2 | |
| AARP Medicare Advantage Patriot No Rx IA-MA01 | $0 | $8,900 | N/A | H8768-018-0 | |
| Blue Medicare Advantage PPO | $0 | $4,150 | $300 | H5900-001-0 | |
| Blue Medicare Advantage Valor PPO | $0 | $6,750 | N/A | H5900-006-0 | |
| Humana Full Access H5216-411 | $0 | $4,250 | $400 | H5216-411-0 | |
| Humana USAA Honor Giveback | $0 | $4,700 | N/A | H5216-278-1 | |
| HumanaChoice Giveback H5216-340 | $0 | $5,000 | $600 | H5216-340-0 | |
| HumanaChoice H5216-014 | $38 | $9,250 | $615 | H5216-014-0 |
What is the most popular PPO plan in Winnebago?
Blue Medicare Advantage PPO (PPO) is the top PPO in Winnebago, with 109 enrollees.
What is the number of PPO plans without Part D coverage in Winnebago?
There are 3 PPO plans in Winnebago without prescription drug coverage.
Medicare Advantage HMO Plans
HMO plans typically require members to use in-network providers and facilities, except in emergencies. In return, HMOs often offer lower monthly premiums and reduced cost-sharing.
- Total HMO Plans
- 5
- Average Monthly Premium
- $4.56/mo
- Total HMO Enrollment
- 41
- $0 Premium HMO Plans
- 4
- Average MOOP
- $5,020
- Top HMO by Enrollment
- MercyOne Health Plan No Premium (HMO) — 41 enrollees
- HMO Plans Without Drug Coverage
- 1
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| MercyOne Health Plan Cash Back | $0 | $6,900 | $250 | H3668-031-0 | |
| MercyOne Health Plan Glory No RX | $0 | $5,900 | N/A | H3668-029-0 | |
| MercyOne Health Plan No Premium | $0 | $4,200 | $150 | H3668-025-0 | |
| MercyOne Health Plan Plus | $23 | $3,900 | $100 | H3668-026-0 | |
| Humana Gold Plus H0028-053 | $0 | $4,200 | $615 | H0028-053-1 |
What is the typical premium for HMO plans in Winnebago?
HMO plans in Winnebago cost $4.56 per month on average.
Which HMO plan do most beneficiaries choose in Winnebago?
The most popular HMO plan in Winnebago is MercyOne Health Plan No Premium (HMO), with 41 enrollees.
How many HMO options are offered without prescription drug coverage in Winnebago?
There are 1 HMO plans in Winnebago without prescription drug coverage.
Medicare Advantage HMO-POS Plans
HMO Point-of-Service (HMO-POS) plans combine HMO network requirements with limited out-of-network access. Care outside the network typically costs more, but HMO-POS plans provide added flexibility compared with standard HMOs.
- Total HMO-POS Plans 2
- Average Monthly Premium $27.50/mo
- Total HMO-POS Enrollment 75
- $0 Premium HMO-POS Plans 1
- Average MOOP $5,150
- Top HMO-POS by Enrollment Wellcare Simple (HMO-POS) — 59 enrollees
- HMO-POS Plans Without Drug Coverage 0
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| AARP Medicare Advantage from UHC IA-0002 | $55 | $5,900 | $520 | H5253-108-2 | |
| Wellcare Simple | $0 | $4,400 | $615 | H1862-005-0 |
What is the total number of HMO-POS plans in Winnebago?
In 2026, Winnebago has 2 HMO-POS plans with 75 enrollees.
How much do HMO-POS plans cost in Winnebago?
The typical HMO-POS premium in Winnebago is $27.50, and 1 plans have no monthly premium.
Below is a breakdown of CMS star ratings for Medicare Advantage plans available in Winnebago County, IA for 2026.
| Rating Category | Number of Plans | Percent of Plans |
|---|---|---|
| 5 Stars | No 5-star plans available. | 0% |
| 4 Stars (includes 5 Stars) | 6 | 40% |
| 3 Stars | 9 | 60% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 1 | 6% |
| Average Rating | 3.83 | |
* Medicare Advantage star ratings are determined by CMS each year using a standardized 5-star rating system.
- CMS.gov, Medicare Advantage Landscape Source Files — Last accessed May 2, 2026
- CMS.gov, Medicare Part C & D Performance Data — Last accessed May 2, 2026
- CMS.gov, Medicare Advantage & Part D Contract and Enrollment Data — Last accessed May 2, 2026
County-level figures shown on this page, including plan counts, enrollment totals, averages, and percentage distributions, reflect standard Medicare Advantage (MA/MAPD) plans only and are derived from CMS datasets using a standardized aggregation methodology.
Data sources and methodology documentation .
- CMS.gov, "Medicare Advantage Plan Fact Sheet" — Last accessed 25 May, 2025
- Medicare.gov, "Your coverage options" — Last accessed 25 May, 2025
- Medicare.gov, "Joining a plan" — Last accessed 25 May, 2025
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Data provenance documentation is maintained in alignment with the U.S. Core Data for Interoperability (USCDI) Provenance standard .
Page content independently curated and maintained by David W. Bynon, Editorial Steward, using a standardized, data-driven methodology for accurate, non-commercial Medicare plan interpretation and resolution.