2026 Medicare Advantage Plans in Dodge County, WI
Last update: . Enrollment data updated: June 13, 2026
For 2026, Dodge County, WI includes 35 Medicare Advantage plans. Enrollment across these plans totals approximately 8,548, with 20 $0 premium options and 42% rated 4 stars or higher.
Totals on this page exclude Medicare Advantage Special Needs Plans (SNPs). SNP plans for Dodge County, WI are provided separately. Or you can discover all Medicare Options in Dodge County, WI.
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
- 21
- Average Monthly Premium
- $34.15/mo
- Total PPO Enrollment
- 5,743
- $0 Premium PPO Plans
- 13
- Average MOOP
- $5,455
- Top PPO by Enrollment
- Network Health Select (PPO) — 2,312 enrollees
- PPO Plans Without Drug Coverage
- 6
What is the typical premium for PPO plans available in Dodge?
PPO plans in Dodge cost $34.15 per month on average.
Which PPO plan do most beneficiaries choose in Dodge?
The most popular PPO plan in Dodge is Network Health Select (PPO), with 2,312 enrollees.
How many PPO options are offered without drug coverage in Dodge?
6 PPO plans in Dodge 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 3
- Average Monthly Premium $85.33/mo
- Total HMO Enrollment 231
- $0 Premium HMO Plans 2
- Average MOOP $4,567
- Top HMO by Enrollment Dean Advantage Essential (HMO) — 171 enrollees
- HMO Plans Without Drug Coverage 0
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| Dean Advantage Complete | $256 | $2,750 | $100 | H9096-005-0 | |
| Dean Advantage Essential | $0 | $6,750 | $615 | H9096-004-0 | |
| Humana Gold Plus H6622-001 | $0 | $4,200 | $615 | H6622-001-0 |
What is the total number of HMO plans offered in Dodge?
In 2026, Dodge County has 3 HMO plans with 231 enrollees.
How much do HMO plans cost in Dodge?
The typical HMO premium in Dodge is $85.33, and 2 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
- 8
- Average Monthly Premium
- $33.38/mo
- Total HMO-POS Enrollment
- 2,459
- $0 Premium HMO-POS Plans
- 4
- Average MOOP
- $5,175
- Top HMO-POS by Enrollment
- AARP Medicare Advantage from UHC WI-0011 (HMO-POS) — 1,142 enrollees
- HMO-POS Plans Without Drug Coverage
- 2
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| 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 | |
| AARP Medicare Advantage Patriot No Rx WI-MA02 | $0 | $6,700 | N/A | H5253-021-0 | |
| Anthem Medicare Advantage | $39 | $4,300 | $350 | H9525-006-0 | |
| Dean Advantage Assurance | $50 | $5,000 | $380 | H9096-001-0 | |
| Dean Advantage Balance | $119 | $4,200 | $300 | H9096-002-0 | |
| Dean Advantage Harmony | $0 | $5,000 | N/A | H9096-010-0 |
- What is the average monthly premium for HMO-POS plans?
- HMO-POS plans in Dodge cost $33.38 per month on average.
- Which HMO-POS plan is most popular in Dodge?
- The most popular HMO-POS plan in Dodge is AARP Medicare Advantage from UHC WI-0011 (HMO-POS), with 1,142 enrollees.
- How many HMO-POS plans in Dodge do not include drug coverage?
- There are 2 HMO-POS plans in Dodge without prescription drug coverage.
Medicare Advantage PFFS Plans
Private Fee-for-Service (PFFS) plans allow members to visit any Medicare-approved provider that accepts the plan’s payment terms. This provides flexibility in choosing doctors and hospitals, but provider acceptance should be confirmed before receiving care.
- Total PFFS Plans 1
- Average Monthly Premium $37.00/mo
- Total PFFS Enrollment 81
- $0 Premium PFFS Plans 0
- Average MOOP $6,800
- Top PFFS by Enrollment Humana Gold Choice H8145-006 (PFFS) — 81 enrollees
- PFFS Plans Without Drug Coverage 0
| 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 Dodge?
There are 1 PFFS plans in 2026, covering 81 enrollees.
How much do PFFS plans cost in Dodge?
The average PFFS premium in Dodge is $37.00 per month, with 0 plans offering $0 premiums.
What is the top PFFS plan in Dodge?
Humana Gold Choice H8145-006 (PFFS) is the top PFFS in Dodge, with 81 enrollees.
What is the number of PFFS plans without Part D coverage in Dodge?
0 PFFS plans in Dodge do not include prescription drug coverage.
CMS quality ratings for Medicare Advantage plans in Dodge 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 | 42% |
| 3 Stars | 19 | 58% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 1 | 3% |
| Average Rating | 3.8 | |
* Star ratings are based on CMS quality measures and reflect plan performance for the 2026 rating period.
- CMS.gov, Medicare Advantage Landscape Source Files — Last accessed June 13, 2026
- CMS.gov, Medicare Part C & D Performance Data — Last accessed June 13, 2026
- CMS.gov, Medicare Advantage & Part D Contract and Enrollment Data — Last accessed June 13, 2026
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
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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.