- Entity
- county:wisconsin-buffalo-55011
- Digest
- 2027-county-ma-aggregate
- Population Scope
- Standard Medicare Advantage plans only; Special Needs Plans (SNPs) excluded
- Source URL
- https://www.medicareplans.com/medicare-advantage/wisconsin/buffalo/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-county-plan-index
- Total Standard Medicare Advantage Plans
- 19
- PPO Plans
- 6
- HMO Plans
- 9
- HMO-POS Plans
- 3
- PFFS Plans
- 0
- Average Monthly Premium
- 52.53
- Average MOOP
- 5922.22
- Average Part D Deductible
- 358.18
- $0 Premium Plans
- 10
- Plans Without Part D Coverage
- 8
- Average CMS Star Rating
- 3.94
- $0 Premium Plan Share
- 52.63
- 5-Star Plan Share
- 0
- 4+ Star Plan Share
- 82
- 3-Star Plan Share
- 18
- Below 3-Star Plan Share
- 0
- Not-Rated Plan Share
- 11
- PPO Average Monthly Premium
- 24.5
- PPO Average MOOP
- 7141.67
- PPO Enrollment
- 192
- PPO $0 Premium Plans
- 4
- PPO Plans Without Part D Coverage
- 4
- HMO Average Monthly Premium
- 40.11
- HMO Average MOOP
- 5472.22
- HMO Enrollment
- 728
- HMO $0 Premium Plans
- 5
- HMO Plans Without Part D Coverage
- 3
- HMO-POS Average Monthly Premium
- 163.33
- HMO-POS Average MOOP
- 4833.33
- HMO-POS Enrollment
- 0
- HMO-POS $0 Premium Plans
- 0
- HMO-POS Plans Without Part D Coverage
- 0
- Entity
- county:wisconsin-buffalo-55011
- Digest
- 2027-county-ma-aggregate
- Population Scope
- Standard Medicare Advantage plans only; Special Needs Plans (SNPs) excluded
- Source URL
- https://www.medicareplans.com/medicare-advantage/wisconsin/buffalo/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-wisconsin-buffalo-55011-landscape-stats
- Plans Indexed
- 19
- Standard Medicare Advantage Plans
-
-
Humana USAA Honor Giveback
H7617-022-0 -
HumanaChoice H7617-007
H7617-007-0 -
Compass
H5211-003-0 -
Esteem Rx
H5211-012-0 -
Esteem Rx Gold
H5211-015-0 -
Esteem Rx Silver
H5211-014-0 -
Gundersen Quartz Med Advantage Basic D (w/Rx)
H5262-032-0 -
Gundersen Quartz Med Advantage Core D (w/Rx)
H5262-021-0 -
Gundersen Quartz Med Advantage Elite
H5262-005-0 -
Gundersen Quartz Med Advantage Elite D (w/Rx)
H5262-001-0 -
Gundersen Quartz Med Advantage Value
H5262-004-0 -
Gundersen Quartz Med Advantage Value D (w/Rx)
H5262-003-0 -
Humana USAA Honor Giveback
H5216-355-0 -
Legacy Rx
H5211-004-0 -
Humana USAA Honor Giveback
R5361-001-0 -
HumanaChoice R5361-002
R5361-002-0 -
AARP Medicare Advantage Patriot No Rx WI-MA01
H0294-014-0 -
Cooperative Medicare Advantage
H7598-004-0 -
Network Health Prime
H1181-001-0
-
Humana USAA Honor Giveback
- Total Standard Medicare Advantage Enrollment
- 920
2027 Medicare Advantage Plans in Buffalo County, WI
Last update: .
For 2027, Buffalo County, WI includes 19 Medicare Advantage plans. Enrollment across these plans totals approximately 920, with 10 $0 premium options and 82% rated 4 stars or higher.
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
- 6
- Average Monthly Premium
- $24.50/mo
- Total PPO Enrollment
- 192
- $0 Premium PPO Plans
- 4
- Average MOOP
- $7,142
- Top PPO by Enrollment
- Humana USAA Honor Giveback (PPO) — 65 enrollees
- PPO Plans Without Drug Coverage
- 4
| PPO Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| Humana USAA Honor Giveback | $0 | $6,000 | N/A | H7617-022-0 | |
| HumanaChoice H7617-007 | $60 | $9,250 | $700 | H7617-007-0 | |
| 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 | $87 | $7,700 | $700 | R5361-002-0 | |
| AARP Medicare Advantage Patriot No Rx WI-MA01 | $0 | $7,150 | N/A | H0294-014-0 |
What is the typical premium for PPO plans available in Buffalo?
PPO plans in Buffalo cost $24.50 per month on average.
Which PPO plan do most beneficiaries choose in Buffalo?
The most popular PPO plan in Buffalo is Humana USAA Honor Giveback (PPO), with 65 enrollees.
How many PPO options are offered without drug coverage in Buffalo?
4 PPO plans in Buffalo 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 9
- Average Monthly Premium $40.11/mo
- Total HMO Enrollment 728
- $0 Premium HMO Plans 5
- Average MOOP $5,472
- Top HMO by Enrollment Esteem Rx (HMO) — 358 enrollees
- HMO Plans Without Drug Coverage 3
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| Security Health Plan of Wisconsin, Inc. Compass | $0 | $5,000 | N/A | H5211-003-0 | |
| Esteem Rx | $20 | $7,150 | $550 | H5211-012-0 | |
| Gundersen Quartz Med Advantage Basic D (w/Rx) | $0 | $7,150 | $270 | H5262-032-0 | |
| Gundersen Quartz Med Advantage Core D (w/Rx) | $42 | $5,900 | $270 | H5262-021-0 | |
| Gundersen Quartz Med Advantage Elite | $0 | $4,000 | N/A | H5262-005-0 | |
| Gundersen Quartz Med Advantage Elite D (w/Rx) | $202 | $4,000 | $200 | H5262-001-0 | |
| Gundersen Quartz Med Advantage Value | $0 | $4,450 | N/A | H5262-004-0 | |
| Gundersen Quartz Med Advantage Value D (w/Rx) | $97 | $4,900 | $225 | H5262-003-0 | |
| Cooperative Medicare Advantage | $0 | $6,700 | $275 | H7598-004-0 |
What is the total number of HMO plans offered in Buffalo?
In 2027, Buffalo County has 9 HMO plans with 728 enrollees.
How much do HMO plans cost in Buffalo?
The typical HMO premium in Buffalo is $40.11, and 5 plans have no monthly premium.
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
- 3
- Average Monthly Premium
- $163.33/mo
- Total HMO-POS Enrollment
- 0
- $0 Premium HMO-POS Plans
- 0
- Average MOOP
- $4,833
- Top HMO-POS by Enrollment
- — 0 enrollees
- HMO-POS Plans Without Drug Coverage
- 0
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| Esteem Rx Gold | $125 | $5,000 | $300 | H5211-015-0 | |
| Esteem Rx Silver | $65 | $6,500 | $450 | H5211-014-0 | |
| Legacy Rx | $300 | $3,000 | $0 | H5211-004-0 |
- What is the average monthly premium for HMO-POS plans?
- HMO-POS plans in Buffalo cost $163.33 per month on average.
- Which HMO-POS plan is most popular in Buffalo?
- The most popular HMO-POS plan in Buffalo is , with 0 enrollees.
- How many HMO-POS plans in Buffalo do not include drug coverage?
- There are 0 HMO-POS plans in Buffalo without prescription drug coverage.
CMS quality ratings for Medicare Advantage plans in Buffalo County, WI (2027) 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 | 82% |
| 3 Stars | 3 | 18% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 2 | 11% |
| Average Rating | 3.94 | |
* Star ratings are based on CMS quality measures and reflect plan performance for the 2027 rating period.
Medicare Advantage plans listed on this page are available to eligible beneficiaries residing in Buffalo County, Wisconsin, including communities such as Alma, Cochrane, Fountain City, Mondovi, and other areas throughout the county. Plan availability is determined by county of residence, not by city.
- 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: 2026-09
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, "Explore your Medicare coverage options" — 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.