- Entity
- county:wisconsin-adams-55001
- Digest
- 2026-county-ma-aggregate
- Population Scope
- Standard Medicare Advantage plans only; Special Needs Plans (SNPs) excluded
- Source URL
- https://www.medicareplans.com/medicare-advantage/wisconsin/adams/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-county-plan-index
- Total Standard Medicare Advantage Plans
- 26
- PPO Plans
- 15
- HMO Plans
- 1
- HMO-POS Plans
- 8
- PFFS Plans
- 1
- Average Monthly Premium
- 32.38
- Average MOOP
- 5416
- Average Part D Deductible
- 457.19
- $0 Premium Plans
- 16
- Plans Without Part D Coverage
- 10
- Average CMS Star Rating
- 3.96
- $0 Premium Plan Share
- 61.54
- 5-Star Plan Share
- 0
- 4+ Star Plan Share
- 58
- 3-Star Plan Share
- 42
- Below 3-Star Plan Share
- 0
- Not-Rated Plan Share
- 8
- PPO Average Monthly Premium
- 26
- PPO Average MOOP
- 6033.33
- PPO Enrollment
- 1025
- PPO $0 Premium Plans
- 9
- PPO Plans Without Part D Coverage
- 7
- HMO Average Monthly Premium
- 0
- HMO Average MOOP
- 6000
- HMO Enrollment
- 0
- HMO $0 Premium Plans
- 1
- HMO Plans Without Part D Coverage
- 0
- HMO-POS Average Monthly Premium
- 51.88
- HMO-POS Average MOOP
- 4012.5
- HMO-POS Enrollment
- 1200
- HMO-POS $0 Premium Plans
- 5
- HMO-POS Plans Without Part D Coverage
- 2
- PFFS Average Monthly Premium
- 37
- PFFS Average MOOP
- 6800
- PFFS Enrollment
- 235
- PFFS $0 Premium Plans
- 0
- PFFS Plans Without Part D Coverage
- 0
- Entity
- county:wisconsin-adams-55001
- Digest
- 2026-county-ma-aggregate
- Population Scope
- Standard Medicare Advantage plans only; Special Needs Plans (SNPs) excluded
- Source URL
- https://www.medicareplans.com/medicare-advantage/wisconsin/adams/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-wisconsin-adams-55001-landscape-stats
- Plans Indexed
- 26
- Standard Medicare Advantage Plans
-
-
Aetna Medicare Eagle
H5521-286-0 -
Aetna Medicare Premier
H5521-388-0 -
Aetna Medicare Signature
H5521-289-0 -
Compass
H5211-003-0 -
Essence Rx
H5211-002-0 -
Esteem Rx
H5211-012-0 -
Humana USAA Honor Giveback
H7617-022-0 -
HumanaChoice H7617-007
H7617-007-0 -
Legacy Rx
H5211-004-0 -
Spirit
H5211-001-0 -
AARP Medicare Advantage CareFlex from UHC WI-18
H5253-198-0 -
AARP Medicare Advantage from UHC WI-0011
H5253-011-0 -
AARP Medicare Advantage from UHC WI-0014
H5253-034-0 -
Anthem Medicare Advantage 3
H4036-008-0 -
AARP Medicare Advantage from UHC WI-0002
H0294-004-0 -
AARP Medicare Advantage from UHC WI-6
H0294-015-0 -
AARP Medicare Advantage Patriot No Rx WI-MA01
H0294-014-0 -
Aspirus Health Plan Elite
H6874-003-0 -
Aspirus Health Plan Essential Rx
H6874-001-0 -
Humana Gold Choice H8145-006
H8145-006-0 -
Humana USAA Honor Giveback
H5216-258-0 -
Humana USAA Honor Giveback
H5216-355-0 -
Humana USAA Honor Giveback
R5361-001-0 -
HumanaChoice R5361-002
R5361-002-0 -
Cooperative Medicare Advantage
H7598-004-0 -
Network Health Prime
H1181-001-0
-
Aetna Medicare Eagle
- Total Standard Medicare Advantage Enrollment
- 2476
2026 Medicare Advantage Plans in Adams County, WI
Last update: .
For 2026, Adams County, WI includes 26 Medicare Advantage plans. Enrollment across these plans totals approximately 2,476, with 16 $0 premium options and 58% rated 4 stars or higher.
This page and its statistics exclude Medicare Advantage Special Needs Plans (SNPs). Special Needs Plans in Adams County, WI are summarized separately. Visit Medicare Options in Adams County, WI to see more options.
Medicare Advantage PPO Plans
Preferred Provider Organization (PPO) plans allow members to choose care from both in-network and out-of-network providers. Out-of-network care usually costs more, but PPOs offer greater flexibility in how members access care.
- Total PPO Plans
- 15
- Average Monthly Premium
- $26.00/mo
- Total PPO Enrollment
- 1,025
- $0 Premium PPO Plans
- 9
- Average MOOP
- $6,033
- Top PPO by Enrollment
- AARP Medicare Advantage from UHC WI-0002 (PPO) — 268 enrollees
- PPO Plans Without Drug Coverage
- 7
| PPO Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| Aetna Medicare Eagle | $0 | $4,900 | N/A | H5521-286-0 | |
| Aetna Medicare Premier | $27 | $5,200 | $615 | H5521-388-0 | |
| Aetna Medicare Signature | $0 | $5,900 | $615 | H5521-289-0 | |
| Humana USAA Honor Giveback | $0 | $6,000 | N/A | H7617-022-0 | |
| HumanaChoice H7617-007 | $47 | $9,250 | $615 | H7617-007-0 | |
| Anthem Medicare Advantage 3 | $68 | $4,500 | $275 | H4036-008-0 | |
| AARP Medicare Advantage from UHC WI-0002 | $95 | $6,700 | $600 | H0294-004-0 | |
| AARP Medicare Advantage from UHC WI-6 | $50 | $6,700 | $600 | H0294-015-0 | |
| AARP Medicare Advantage Patriot No Rx WI-MA01 | $0 | $6,700 | N/A | H0294-014-0 | |
| Aspirus Health Plan Elite | $0 | $3,200 | N/A | H6874-003-0 | |
| Aspirus Health Plan Essential Rx | $0 | $5,500 | $350 | H6874-001-0 | |
| Humana USAA Honor Giveback | $0 | $6,000 | N/A | H5216-258-0 | |
| Humana USAA Honor Giveback | $0 | $6,000 | N/A | H5216-355-0 | |
| Humana USAA Honor Giveback | $0 | $6,750 | N/A | R5361-001-0 | |
| HumanaChoice R5361-002 | $103 | $7,200 | $615 | R5361-002-0 |
What is the average monthly premium for PPO plans in Adams?
PPO plans in Adams cost $26.00 per month on average.
Which PPO plan has the highest enrollment in Adams?
The most popular PPO plan in Adams is AARP Medicare Advantage from UHC WI-0002 (PPO), with 268 enrollees.
How many PPO plans in Adams do not include prescription drug coverage?
7 PPO plans in Adams do not include prescription drug coverage.
Medicare Advantage HMO Plans
Health Maintenance Organization (HMO) plans generally require members to use in-network doctors, hospitals, and other providers, except in emergencies. Because of this structure, HMOs often have lower premiums and out-of-pocket costs than other plan types.
- Total HMO Plans 1
- Average Monthly Premium $0.00/mo
- Total HMO Enrollment 0
- $0 Premium HMO Plans 1
- Average MOOP $6,000
- Top HMO by Enrollment — 0 enrollees
- HMO Plans Without Drug Coverage 0
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| Cooperative Medicare Advantage | $0 | $6,000 | $275 | H7598-004-0 |
What is the top HMO by enrollment in Adams?
is the top HMO in Adams, with 0 enrollees.
What is the number of HMO plans without Part D coverage in Adams?
0 HMO plans in Adams do not include prescription drug coverage.
Medicare Advantage HMO-POS Plans
HMO-POS plans are structured like HMOs, requiring in-network care for the lowest costs, while allowing limited out-of-network access at higher cost. This provides added flexibility compared with standard HMO plans.
- Total HMO-POS Plans
- 8
- Average Monthly Premium
- $51.88/mo
- Total HMO-POS Enrollment
- 1,200
- $0 Premium HMO-POS Plans
- 5
- Average MOOP
- $4,013
- Top HMO-POS by Enrollment
- Esteem Rx (HMO-POS) — 429 enrollees
- HMO-POS Plans Without Drug Coverage
- 2
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| Security Health Plan of Wisconsin, Inc. Compass | $0 | $3,400 | N/A | H5211-003-0 | |
| Essence Rx | $87 | $3,800 | $330 | H5211-002-0 | |
| Esteem Rx | $0 | $5,000 | $250 | H5211-012-0 | |
| Legacy Rx | $269 | $2,200 | $0 | H5211-004-0 | |
| Security Health Plan of Wisconsin, Inc. Spirit | $0 | $1,500 | N/A | H5211-001-0 | |
| AARP Medicare Advantage CareFlex from UHC WI-18 | $0 | $6,700 | $600 | H5253-198-0 | |
| AARP Medicare Advantage from UHC WI-0011 | $59 | $4,100 | $440 | H5253-011-0 | |
| AARP Medicare Advantage from UHC WI-0014 | $0 | $5,400 | $520 | H5253-034-0 |
What is the typical premium for HMO-POS plans in Adams?
HMO-POS plans in Adams cost $51.88 per month on average.
Which HMO-POS plan has the most members in Adams?
The most popular HMO-POS plan in Adams is Esteem Rx (HMO-POS), with 429 enrollees.
How many HMO-POS options are offered without prescription drug coverage in Adams?
There are 2 HMO-POS plans in Adams without prescription drug coverage.
Medicare Advantage PFFS Plans
PFFS, or Private Fee-for-Service plans, allow access to any Medicare-approved doctor or hospital that accepts the plan’s terms. They provide wide flexibility in choosing providers, but it’s essential to verify that your preferred healthcare professionals agree to the plan’s payment rules before scheduling care.
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| Humana Gold Choice H8145-006 | $37 | $6,800 | $615 | H8145-006-0 |
What is the total number of PFFS plans in Adams?
In 2026, Adams has 1 PFFS plans with 235 enrollees.
How much do PFFS plans cost in Adams?
The typical PFFS premium in Adams is $37.00, and 0 plans have no monthly premium.
CMS quality ratings for Medicare Advantage plans in Adams County, WI (2026) are summarized below.
| Rating Category | Number of Plans | Percent of Plans |
|---|---|---|
| 5 Stars | No 5-star plans available. | 0% |
| 4 Stars (includes 5 Stars) | 14 | 58% |
| 3 Stars | 10 | 42% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 2 | 8% |
| Average Rating | 3.96 | |
* CMS assigns Medicare Advantage star ratings annually based on plan quality and performance measures.
- CMS.gov, Medicare Advantage & Special Needs Plan Landscape Source Files — Version: 202608
- CMS.gov, Medicare Part C & D Performance Data — Version: 2026
- CMS.gov, Medicare Advantage & Part D Contract and Enrollment Data — Version: 2026-08
All plan counts, enrollment totals, averages, and percentage distributions are calculated at the county level using CMS data and include standard Medicare Advantage (MA/MAPD) plans only, based on a consistent aggregation methodology.
Data sources and methodology documentation .
- Medicare.gov, "Understanding Medicare Advantage Plans" — Last accessed 25 May, 2025
- Medicare.gov, "Compare Original Medicare & Medicare Advantage" — Last accessed 25 May, 2025
- NCOA.org, "5 Steps to Choosing the Right Medicare Plan for You" — Last accessed 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 .
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.