- Entity
- county:wisconsin-douglas-55031
- 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/douglas/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-county-plan-index
- Total Standard Medicare Advantage Plans
- 16
- PPO Plans
- 9
- HMO Plans
- 1
- HMO-POS Plans
- 5
- PFFS Plans
- 0
- Average Monthly Premium
- 33.57
- Average MOOP
- 5663.33
- Average Part D Deductible
- 414.38
- $0 Premium Plans
- 10
- Plans Without Part D Coverage
- 8
- Average CMS Star Rating
- 3.93
- $0 Premium Plan Share
- 62.5
- 5-Star Plan Share
- 0
- 4+ Star Plan Share
- 50
- 3-Star Plan Share
- 50
- Below 3-Star Plan Share
- 0
- Not-Rated Plan Share
- 13
- PPO Average Monthly Premium
- 20.12
- PPO Average MOOP
- 7005.56
- PPO Enrollment
- 495
- PPO $0 Premium Plans
- 5
- PPO Plans Without Part D Coverage
- 5
- HMO Average Monthly Premium
- 0
- HMO Average MOOP
- 6000
- HMO Enrollment
- 32
- HMO $0 Premium Plans
- 1
- HMO Plans Without Part D Coverage
- 0
- HMO-POS Average Monthly Premium
- 71.2
- HMO-POS Average MOOP
- 3180
- HMO-POS Enrollment
- 1322
- HMO-POS $0 Premium Plans
- 3
- HMO-POS Plans Without Part D Coverage
- 2
- Entity
- county:wisconsin-douglas-55031
- 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/douglas/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-wisconsin-douglas-55031-landscape-stats
- Plans Indexed
- 16
- Standard Medicare Advantage Plans
-
-
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 Patriot No Rx WI-MA01
H0294-014-0 -
Humana USAA Honor Giveback
H5216-355-0 -
Humana USAA Honor Giveback
H5216-258-0 -
Humana Value Plus H5216-173
H5216-173-0 -
HumanaChoice H5216-359
H5216-359-0 -
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
-
Compass
- Total Standard Medicare Advantage Enrollment
- 1862
2026 Medicare Advantage Plans in Douglas County, WI
Last update: .
In Douglas County, WI, there are 16 Medicare Advantage plans available for 2026. Of these, 10 offer a $0 monthly premium, and about 50% are rated 4 stars or higher based on CMS quality ratings.
Medicare Advantage Special Needs Plans (SNPs) are not included in the figures shown above. View Special Needs Plans in Douglas County, WI. Or explore all Medicare Options available in Douglas County, WI.
Medicare Advantage PPO Plans
Preferred Provider Organization (PPO) plans allow members to use both in-network and out-of-network providers. Out-of-network care typically costs more, but PPOs offer greater flexibility in how care is accessed.
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| Humana USAA Honor Giveback | $0 | $6,000 | N/A | H7617-022-0 | |
| HumanaChoice H7617-007 | $47 | $9,250 | $615 | H7617-007-0 | |
| AARP Medicare Advantage Patriot No Rx WI-MA01 | $0 | $6,700 | N/A | H0294-014-0 | |
| Humana USAA Honor Giveback | $0 | $6,000 | N/A | H5216-355-0 | |
| Humana USAA Honor Giveback | $0 | $6,000 | N/A | H5216-258-0 | |
| Humana Value Plus H5216-173 | $21 | $9,250 | $615 | H5216-173-0 | |
| HumanaChoice H5216-359 | $10 | $5,900 | $615 | H5216-359-0 | |
| 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 total number of PPO plans offered in Douglas?
Douglas County has 9 PPO plans for 2026, with 495 enrolled.
How much do PPO plans cost in Douglas?
The typical PPO premium in Douglas is $20.12, and 5 plans have no monthly premium.
Medicare Advantage HMO Plans
HMO plans typically require members to use in-network providers and facilities, except in emergencies. In return, HMOs often offer lower monthly premiums and reduced cost-sharing.
- Total HMO Plans
- 1
- Average Monthly Premium
- $0.00/mo
- Total HMO Enrollment
- 32
- $0 Premium HMO Plans
- 1
- Average MOOP
- $6,000
- Top HMO by Enrollment
- Cooperative Medicare Advantage (HMO) — 32 enrollees
- HMO Plans Without Drug Coverage
- 0
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| Cooperative Medicare Advantage | $0 | $6,000 | $275 | H7598-004-0 |
- What is the average monthly premium for HMO plans?
- HMO plans in Douglas cost $0.00 per month on average.
- Which HMO plan is most popular in Douglas?
- The most popular HMO plan in Douglas is Cooperative Medicare Advantage (HMO), with 32 enrollees.
- How many HMO plans in Douglas do not include drug coverage?
- There are 0 HMO plans in Douglas 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 5
- Average Monthly Premium $71.20/mo
- Total HMO-POS Enrollment 1,322
- $0 Premium HMO-POS Plans 3
- Average MOOP $3,180
- Top HMO-POS by Enrollment Esteem Rx (HMO-POS) — 1,058 enrollees
- HMO-POS Plans Without Drug Coverage 2
| 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 |
What is the total number of HMO-POS plans in Douglas?
There are 5 HMO-POS plans in 2026, covering 1,322 enrollees.
How much do HMO-POS plans cost in Douglas?
The average HMO-POS premium in Douglas is $71.20 per month, with 3 plans offering $0 premiums.
What is the leading HMO-POS plan in Douglas?
Esteem Rx (HMO-POS) is the top HMO-POS in Douglas, with 1,058 enrollees.
What is the number of HMO-POS plans without Part D coverage in Douglas?
2 HMO-POS plans in Douglas do not include prescription drug coverage.
The table below shows CMS star ratings for Medicare Advantage plans in Douglas 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) | 7 | 50% |
| 3 Stars | 7 | 50% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 2 | 13% |
| Average Rating | 3.93 | |
* Medicare Advantage star ratings are determined by CMS each year using a standardized 5-star rating system.
- 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
This page presents county-level Medicare Advantage (MA/MAPD) data, including plan counts, enrollment totals, averages, and percentage distributions, derived from CMS datasets using a standardized aggregation approach.
Data sources and methodology documentation .
- Medicare.gov, "Compare types of Medicare Advantage Plans" — Last accessed 25 May, 2025
- Medicare.gov, "Your coverage options" — Last accessed 25 May, 2025
- AARP.org, "The Big Choice: Original Medicare vs. Medicare Advantage" — 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 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.