2026 Medicare Advantage Plans in Jefferson County, WI
Last update: . Enrollment data updated: June 13, 2026
For 2026, Jefferson County, WI includes 26 Medicare Advantage plans. Enrollment across these plans totals approximately 5,434, with 13 $0 premium options and 33% rated 4 stars or higher.
This page and its statistics exclude Medicare Advantage Special Needs Plans (SNPs). Special Needs Plans in Jefferson County, WI are summarized separately. Visit Medicare Options in Jefferson County, WI to see more options.
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
- 13
- Average Monthly Premium
- $46.39/mo
- Total PPO Enrollment
- 1,444
- $0 Premium PPO Plans
- 5
- Average MOOP
- $6,515
- Top PPO by Enrollment
- HumanaChoice H5216-006 (PPO) — 443 enrollees
- PPO Plans Without Drug Coverage
- 5
| 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 | $47 | $9,250 | $615 | H7617-007-0 | |
| Anthem Medicare Advantage 3 | $68 | $4,500 | $275 | H4036-008-0 | |
| Anthem Veteran | $0 | $6,751 | N/A | H4036-024-0 | |
| AARP Medicare Advantage from UHC WI-0002 | $95 | $6,700 | $600 | H0294-004-0 | |
| AARP Medicare Advantage from UHC WI-0007 | $89 | $6,700 | $600 | H0294-016-0 | |
| 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 H5216-006 | $26 | $5,400 | $615 | H5216-006-0 | |
| HumanaChoice H5216-168 | $154 | $4,200 | $615 | H5216-168-0 | |
| 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 average monthly premium for PPO plans in Jefferson?
PPO plans in Jefferson cost $46.39 per month on average.
Which PPO plan has the highest enrollment in Jefferson?
The most popular PPO plan in Jefferson is HumanaChoice H5216-006 (PPO), with 443 enrollees.
How many PPO plans in Jefferson do not include prescription drug coverage?
5 PPO plans in Jefferson 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 877
- $0 Premium HMO Plans 2
- Average MOOP $4,567
- Top HMO by Enrollment Humana Gold Plus H6622-001 (HMO) — 533 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 top HMO by enrollment in Jefferson?
Humana Gold Plus H6622-001 (HMO) is the top HMO in Jefferson, with 533 enrollees.
What is the number of HMO plans without Part D coverage in Jefferson?
0 HMO plans in Jefferson do not include prescription drug coverage.
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
- $26.63/mo
- Total HMO-POS Enrollment
- 3,060
- $0 Premium HMO-POS Plans
- 5
- Average MOOP
- $5,450
- Top HMO-POS by Enrollment
- AARP Medicare Advantage from UHC WI-0012 (HMO-POS) — 1,022 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-0012 | $44 | $4,900 | $440 | H5253-030-0 | |
| AARP Medicare Advantage from UHC WI-0017 | $0 | $6,700 | $520 | H5253-097-0 | |
| AARP Medicare Advantage Patriot No Rx WI-MA02 | $0 | $6,700 | N/A | H5253-021-0 | |
| Anthem Medicare Advantage | $0 | $4,400 | $315 | H9525-004-0 | |
| 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 typical premium for HMO-POS plans in Jefferson?
HMO-POS plans in Jefferson cost $26.63 per month on average.
Which HMO-POS plan has the most members in Jefferson?
The most popular HMO-POS plan in Jefferson is AARP Medicare Advantage from UHC WI-0012 (HMO-POS), with 1,022 enrollees.
How many HMO-POS options are offered without prescription drug coverage in Jefferson?
There are 2 HMO-POS plans in Jefferson without prescription drug coverage.
CMS quality ratings for Medicare Advantage plans in Jefferson 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) | 8 | 33% |
| 3 Stars | 16 | 67% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 1 | 4% |
| Average Rating | 3.67 | |
* CMS assigns Medicare Advantage star ratings annually based on plan quality and performance measures.
- 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, "Compare Original Medicare & Medicare Advantage" — 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.