2027 Medicare Advantage Plans in Wisconsin by County
This 2027 Medicare Advantage research resource provides statewide plan statistics and comparisons for Wisconsin. Review plan counts, average premiums, out-of-pocket limits, CMS ratings, and enrollment-ranked plans organized by network type. For geographically specific coverage information, select your County using the directory below.
Explore Plans in your area using your ZIP Code
Wisconsin Medicare Advantage Plan Research and Facts
How do Medicare Advantage plans compare across Wisconsin in 2027? CMS data identifies 75 distinct plans statewide, excluding Special Needs Plans. Among them, 44 have no monthly plan premium, and the average premium across all plans is $40.92. The statewide average maximum out-of-pocket (MOOP) limit is $5,727.72. Plans with published CMS star ratings average 3.95 out of 5. Below, we break down the available PPO, HMO, HMO-POS, and PFFS plans separately, highlighting those with the highest reported beneficiary enrollment.
Enrollment figures reflect reported beneficiary participation and should not be interpreted as a measure of plan quality or suitability. Enrollment is influenced by factors such as local plan availability, market competition, and historical participation. Higher enrollment does not necessarily indicate a better plan.
Most-Enrolled PPO Plans in Wisconsin
For 2027, Wisconsin has 37 PPO Medicare Advantage plans, including 24 with a $0 monthly plan premium. The average monthly premium is $30.49, and the average maximum out-of-pocket (MOOP) limit is $5,900.03. Among rated PPO plans, the average CMS star rating is 3.97 out of 5. The following table identifies up to 10 PPO plans with the highest reported statewide enrollment.
| Provider | Plan ID | Plan Name | Premium | MOOP | Stars | Enrollment |
|---|---|---|---|---|---|---|
| Network Health Medicare Advantage Plans | H5215-008-0 | Network Health Select | $0.00 | $4,450 | 4.0 / 5 | 43,292 |
| Network Health Medicare Advantage Plans | H5215-011-0 | Network Health Choice | $0.00 | $5,100 | 4.0 / 5 | 36,756 |
| Network Health Medicare Advantage Plans | H5215-010-0 | Network Health Anywhere | $0.00 | $4,500 | 4.0 / 5 | 23,381 |
| Humana | H7617-020-0 | Humana Full Access | $0.00 | $6,100 | 4.5 / 5 | 13,021 |
| Humana | H7617-022-0 | Humana USAA Honor Giveback | $0.00 | $6,000 | 4.5 / 5 | 9,812 |
| Network Health Medicare Advantage Plans | H5215-009-0 | Network Health Go | $0.00 | $5,000 | 4.0 / 5 | 9,459 |
| Humana | H5216-355-0 | Humana USAA Honor Giveback | $0.00 | $6,000 | 4.0 / 5 | 8,746 |
| Aetna Medicare | H5521-195-0 | Aetna Medicare Signature | $0.00 | $5,500 | 4.0 / 5 | 8,216 |
| Humana | H5216-253-0 | Humana Value Choice | $0.00 | $4,450 | 4.0 / 5 | 7,696 |
| Humana | H5216-252-0 | HumanaChoice Giveback H5216-252 | $0.00 | $5,250 | 4.0 / 5 | 6,200 |
Most-Enrolled HMO Plans in Wisconsin
HMO Medicare Advantage plans account for 18 of the plans offered across Wisconsin in 2027. Of these, 10 have a $0 monthly plan premium. The average monthly premium is $53.83, with an average maximum out-of-pocket (MOOP) limit of $5,519.44. Rated HMO plans average 4 CMS stars out of 5. Below are the 10 most-enrolled HMO plans, or all available plans if fewer than 10 qualify.
| Provider | Plan ID | Plan Name | Premium | MOOP | Stars | Enrollment |
|---|---|---|---|---|---|---|
| Security Health Plan of Wisconsin, Inc. | H5211-012-0 | Esteem Rx | $20.00 | $7,150 | 4.0 / 5 | 32,457 |
| Humana | H6622-001-0 | Humana Total Complete | $0.00 | $4,200 | 4.0 / 5 | 29,836 |
| Security Health Plan of Wisconsin, Inc. | H5211-003-0 | Compass | $0.00 | $5,000 | 4.0 / 5 | 15,060 |
| Quartz Medicare Advantage (HMO) | H5262-003-0 | Gundersen Quartz Med Advantage Value D (w/Rx) | $97.00 | $4,900 | 4.0 / 5 | 5,717 |
| Dean Advantage | H9096-004-0 | Dean Advantage Essential | $0.00 | $7,150 | 4.0 / 5 | 4,191 |
| Quartz Medicare Advantage (HMO) | H5262-007-0 | UW Health Quartz Med Advantage Elite D (w/Rx) | $171.00 | $6,500 | 4.0 / 5 | 2,820 |
| Quartz Medicare Advantage (HMO) | H5262-001-0 | Gundersen Quartz Med Advantage Elite D (w/Rx) | $202.00 | $4,000 | 4.0 / 5 | 2,684 |
| Quartz Medicare Advantage (HMO) | H5262-023-0 | UW Health Quartz Med Advantage Core D (w/Rx) | $47.00 | $6,500 | 4.0 / 5 | 2,036 |
| Quartz Medicare Advantage (HMO) | H5262-021-0 | Gundersen Quartz Med Advantage Core D (w/Rx) | $42.00 | $5,900 | 4.0 / 5 | 1,180 |
| Group Health Cooperative of Eau Claire | H7598-004-0 | Cooperative Medicare Advantage | $0.00 | $6,700 | Not Rated | 922 |
Most-Enrolled HMO-POS Plans in Wisconsin
In 2027, Wisconsin offers 18 HMO-POS Medicare Advantage plans, which may allow certain out-of-network services under plan-specific rules. Among these plans, 9 have a $0 monthly premium. The average monthly premium is $50.67, and the average maximum out-of-pocket (MOOP) limit is $5,466.67. The average CMS star rating among rated HMO-POS plans is 3.86 out of 5. The table below ranks up to 10 plans by reported statewide enrollment.
| Provider | Plan ID | Plan Name | Premium | MOOP | Stars | Enrollment |
|---|---|---|---|---|---|---|
| UnitedHealthcare | H5253-004-0 | AARP Medicare Advantage from UHC WI-0010 | $57.00 | $4,450 | 4.0 / 5 | 52,063 |
| UnitedHealthcare | H5253-033-0 | AARP Medicare Advantage Essentials from UHC WI-13 | $0.00 | $5,400 | 4.0 / 5 | 21,503 |
| UnitedHealthcare | H5253-034-0 | AARP Medicare Advantage from UHC WI-0014 | $0.00 | $7,150 | 4.0 / 5 | 11,813 |
| UnitedHealthcare | H5253-011-0 | AARP Medicare Advantage from UHC WI-0011 | $69.00 | $4,450 | 4.0 / 5 | 10,139 |
| Anthem Blue Cross and Blue Shield | H9525-004-0 | Anthem Medicare Advantage | $0.00 | $4,900 | 3.5 / 5 | 7,022 |
| UnitedHealthcare | H5253-021-0 | AARP Medicare Advantage Patriot No Rx WI-MA02 | $0.00 | $7,150 | 4.0 / 5 | 5,883 |
| UnitedHealthcare | H5253-199-0 | AARP Medicare Advantage Extras from UHC WI-19 | $0.00 | $7,150 | 4.0 / 5 | 4,602 |
| UnitedHealthcare | H5253-030-0 | AARP Medicare Advantage from UHC WI-0012 | $59.00 | $5,900 | 4.0 / 5 | 4,579 |
| Security Health Plan of Wisconsin, Inc. | H5211-004-0 | Legacy Rx | $300.00 | $3,000 | 4.0 / 5 | 4,228 |
| Dean Advantage | H9096-002-0 | Dean Advantage Balance | $139.00 | $4,200 | 4.0 / 5 | 3,356 |
Most-Enrolled PFFS Plans in Wisconsin
Wisconsin has 1 Private Fee-for-Service (PFFS) Medicare Advantage plans for 2027. Of these, 0 have a $0 monthly plan premium. The average monthly premium is $60.00, and the average maximum out-of-pocket (MOOP) limit is $7,800.00. Among rated plans, the average CMS star rating is 4 out of 5. The following table lists up to 10 PFFS plans ranked by reported statewide enrollment.
| Provider | Plan ID | Plan Name | Premium | MOOP | Stars | Enrollment |
|---|---|---|---|---|---|---|
| Humana | H8145-006-0 | Humana Gold Choice H8145-006 | $60.00 | $7,800 | 4.0 / 5 | 3,863 |
- CMS.gov, Medicare Advantage & Special Needs Plan Landscape Source Files — Version: 202609
- CMS.gov, Medicare Part C & D Performance Data — Version: 2026
- CMS.gov, Medicare Advantage & Part D Contract and Enrollment Data — Version: 2026-10
MedicarePlans.com is an independent informational resource and is not affiliated with or endorsed by the U.S. Government or the federal Medicare program.
Data sources and methodology documentation.
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.
Last updated on