2026 Medicare Advantage Plans in Door County, WI
Last update: . Enrollment data updated: June 13, 2026
Door County, WI has 29 Medicare Advantage plans available in 2026. These include 18 plans with no monthly premium, and roughly 65% 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 Door County, WI. Or explore all Medicare Options available in Door County, WI.
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 19
- Average Monthly Premium $37.74/mo
- Total PPO Enrollment 3,778
- $0 Premium PPO Plans 11
- Average MOOP $5,505
- Top PPO by Enrollment Network Health Choice (PPO) — 1,161 enrollees
- PPO Plans Without Drug Coverage 5
What is the most popular PPO plan in Door?
Network Health Choice (PPO) is the top PPO in Door, with 1,161 enrollees.
What is the number of PPO plans without Part D coverage in Door?
There are 5 PPO plans in Door 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 9
- Average Monthly Premium $46.11/mo
- Total HMO-POS Enrollment 476
- $0 Premium HMO-POS Plans 6
- Average MOOP $4,311
- Top HMO-POS by Enrollment AARP Medicare Advantage from UHC WI-0014 (HMO-POS) — 189 enrollees
- HMO-POS Plans Without Drug Coverage 3
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS 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 | |
| AARP Medicare Advantage Patriot No Rx WI-MA02 | $0 | $6,700 | N/A | H5253-021-0 |
What is the total number of HMO-POS plans in Door?
In 2026, Door has 9 HMO-POS plans with 476 enrollees.
How much do HMO-POS plans cost in Door?
The typical HMO-POS premium in Door is $46.11, and 6 plans have no monthly premium.
Below is a breakdown of CMS star ratings for Medicare Advantage plans available in Door County, WI for 2026.
| Rating Category | Number of Plans | Percent of Plans |
|---|---|---|
| 5 Stars | No 5-star plans available. | 0% |
| 4 Stars (includes 5 Stars) | 17 | 65% |
| 3 Stars | 9 | 35% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 3 | 10% |
| Average Rating | 4.02 | |
* 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 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
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.