2026 Medicare Advantage Plans in Fond Du Lac County, WI
Last update: . Enrollment data updated: May 2, 2026
For 2026, Fond Du Lac County, WI includes 33 Medicare Advantage plans. Enrollment across these plans totals approximately 13,909, with 18 $0 premium options and 45% rated 4 stars or higher.
Totals on this page exclude Medicare Advantage Special Needs Plans (SNPs). SNP plans for Fond Du Lac County, WI are provided separately. Or you can discover all Medicare Options in Fond Du Lac 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
- 19
- Average Monthly Premium
- $37.74/mo
- Total PPO Enrollment
- 10,458
- $0 Premium PPO Plans
- 11
- Average MOOP
- $5,485
- Top PPO by Enrollment
- Network Health Select (PPO) — 5,818 enrollees
- PPO Plans Without Drug Coverage
- 6
What is the typical premium for PPO plans available in Fond Du Lac?
PPO plans in Fond Du Lac cost $37.74 per month on average.
Which PPO plan do most beneficiaries choose in Fond Du Lac?
The most popular PPO plan in Fond Du Lac is Network Health Select (PPO), with 5,818 enrollees.
How many PPO options are offered without drug coverage in Fond Du Lac?
6 PPO plans in Fond Du Lac 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 969
- $0 Premium HMO Plans 2
- Average MOOP $4,567
- Top HMO by Enrollment Humana Gold Plus H6622-001 (HMO) — 914 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 Fond Du Lac?
In 2026, Fond Du Lac County has 3 HMO plans with 969 enrollees.
How much do HMO plans cost in Fond Du Lac?
The typical HMO premium in Fond Du Lac 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
- 2,422
- $0 Premium HMO-POS Plans
- 4
- Average MOOP
- $5,175
- Top HMO-POS by Enrollment
- AARP Medicare Advantage from UHC WI-0014 (HMO-POS) — 1,004 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 Fond Du Lac cost $33.38 per month on average.
- Which HMO-POS plan is most popular in Fond Du Lac?
- The most popular HMO-POS plan in Fond Du Lac is AARP Medicare Advantage from UHC WI-0014 (HMO-POS), with 1,004 enrollees.
- How many HMO-POS plans in Fond Du Lac do not include drug coverage?
- There are 2 HMO-POS plans in Fond Du Lac 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 29
- $0 Premium PFFS Plans 0
- Average MOOP $6,800
- Top PFFS by Enrollment Humana Gold Choice H8145-006 (PFFS) — 29 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 Fond Du Lac?
There are 1 PFFS plans in 2026, covering 29 enrollees.
How much do PFFS plans cost in Fond Du Lac?
The average PFFS premium in Fond Du Lac is $37.00 per month, with 0 plans offering $0 premiums.
What is the top PFFS plan in Fond Du Lac?
Humana Gold Choice H8145-006 (PFFS) is the top PFFS in Fond Du Lac, with 29 enrollees.
What is the number of PFFS plans without Part D coverage in Fond Du Lac?
0 PFFS plans in Fond Du Lac do not include prescription drug coverage.
CMS quality ratings for Medicare Advantage plans in Fond Du Lac 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 | 45% |
| 3 Stars | 17 | 55% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 1 | 3% |
| Average Rating | 3.82 | |
* 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 May 2, 2026
- CMS.gov, Medicare Part C & D Performance Data — Last accessed May 2, 2026
- CMS.gov, Medicare Advantage & Part D Contract and Enrollment Data — Last accessed May 2, 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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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.