- Entity
- county:wisconsin-lafayette-55065
- 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/lafayette/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-county-plan-index
- Total Standard Medicare Advantage Plans
- 18
- PPO Plans
- 12
- HMO Plans
- 1
- HMO-POS Plans
- 3
- PFFS Plans
- 1
- Average Monthly Premium
- 24.56
- Average MOOP
- 6376.47
- Average Part D Deductible
- 555.45
- $0 Premium Plans
- 11
- Plans Without Part D Coverage
- 7
- Average CMS Star Rating
- 3.84
- $0 Premium Plan Share
- 61.11
- 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
- 11
- PPO Average Monthly Premium
- 30.08
- PPO Average MOOP
- 6441.67
- PPO Enrollment
- 278
- PPO $0 Premium Plans
- 7
- PPO Plans Without Part D Coverage
- 6
- HMO Average Monthly Premium
- 0
- HMO Average MOOP
- 6000
- HMO Enrollment
- 0
- HMO $0 Premium Plans
- 1
- HMO Plans Without Part D Coverage
- 0
- HMO-POS Average Monthly Premium
- 14.67
- HMO-POS Average MOOP
- 6100
- HMO-POS Enrollment
- 158
- HMO-POS $0 Premium Plans
- 2
- HMO-POS Plans Without Part D Coverage
- 0
- PFFS Average Monthly Premium
- 37
- PFFS Average MOOP
- 6800
- PFFS Enrollment
- 78
- PFFS $0 Premium Plans
- 0
- PFFS Plans Without Part D Coverage
- 0
- Entity
- county:wisconsin-lafayette-55065
- 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/lafayette/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-wisconsin-lafayette-55065-landscape-stats
- Plans Indexed
- 18
- Standard Medicare Advantage Plans
-
-
Aetna Medicare Eagle
H5521-286-0 -
Aetna Medicare Premier
H5521-388-0 -
Aetna Medicare Signature
H5521-289-0 -
Humana USAA Honor Giveback
H7617-022-0 -
HumanaChoice H7617-007
H7617-007-0 -
AARP Medicare Advantage CareFlex from UHC WI-18
H5253-198-0 -
AARP Medicare Advantage from UHC WI-0012
H5253-030-0 -
AARP Medicare Advantage from UHC WI-0017
H5253-097-0 -
AARP Medicare Advantage from UHC WI-0002
H0294-004-0 -
AARP Medicare Advantage from UHC WI-0007
H0294-016-0 -
AARP Medicare Advantage Patriot No Rx WI-MA01
H0294-014-0 -
Humana Gold Choice H8145-006
H8145-006-0 -
Humana USAA Honor Giveback
H5216-258-0 -
Humana USAA Honor Giveback
H5216-355-0 -
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
-
Aetna Medicare Eagle
- Total Standard Medicare Advantage Enrollment
- 514
2026 Medicare Advantage Plans in Lafayette County, WI
Last update: .
For 2026, Lafayette County, WI includes 18 Medicare Advantage plans. Enrollment across these plans totals approximately 514, with 11 $0 premium options and 50% rated 4 stars or higher.
This page and its statistics exclude Medicare Advantage Special Needs Plans (SNPs). Special Needs Plans in Lafayette County, WI are summarized separately. Visit Medicare Options in Lafayette 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
- 12
- Average Monthly Premium
- $30.08/mo
- Total PPO Enrollment
- 278
- $0 Premium PPO Plans
- 7
- Average MOOP
- $6,442
- Top PPO by Enrollment
- Aetna Medicare Signature (PPO) — 67 enrollees
- PPO Plans Without Drug Coverage
- 6
| Plan Name | CMS Stars* | Premium/Mo | MOOP | Rx Ded. | CMS ID |
|---|---|---|---|---|---|
| Aetna Medicare Eagle | $0 | $4,900 | N/A | H5521-286-0 | |
| Aetna Medicare Premier | $27 | $5,200 | $615 | H5521-388-0 | |
| Aetna Medicare Signature | $0 | $5,900 | $615 | H5521-289-0 | |
| 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 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 | |
| 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 | H5216-258-0 | |
| Humana USAA Honor Giveback | $0 | $6,000 | N/A | H5216-355-0 | |
| 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 Lafayette?
- PPO plans in Lafayette cost $30.08 per month on average.
- Which PPO plan has the highest enrollment in Lafayette?
- The most popular PPO plan in Lafayette is Aetna Medicare Signature (PPO), with 67 enrollees.
- How many PPO plans in Lafayette do not include prescription drug coverage?
- 6 PPO plans in Lafayette do not include prescription drug coverage.
Medicare Advantage HMO Plans
Health Maintenance Organization (HMO) plans are built around a defined network of doctors and hospitals. Care is generally covered only within the network, except in emergencies, but this structure often results in lower premiums and out-of-pocket costs.
| Plan Name | CMS Stars* | Premium/Mo | MOOP | Rx Ded. | CMS ID |
|---|---|---|---|---|---|
| Cooperative Medicare Advantage | $0 | $6,000 | $275 | H7598-004-0 |
What is the total number of HMO plans offered in Lafayette?
There are 1 HMO plans in 2026, covering 0 enrollees.
How much do HMO plans cost in Lafayette?
The average HMO premium in Lafayette is $0.00 per month, with 1 plans offering $0 premiums.
What is the top HMO by enrollment in Lafayette?
is the top HMO in Lafayette, with 0 enrollees.
What is the number of HMO plans without Part D coverage in Lafayette?
0 HMO plans in Lafayette 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
- 3
- Average Monthly Premium
- $14.67/mo
- Total HMO-POS Enrollment
- 158
- $0 Premium HMO-POS Plans
- 2
- Average MOOP
- $6,100
- Top HMO-POS by Enrollment
- AARP Medicare Advantage from UHC WI-0017 (HMO-POS) — 97 enrollees
- HMO-POS Plans Without Drug Coverage
- 0
| Plan Name | CMS Stars* | Premium/Mo | MOOP | Rx Ded. | CMS 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 |
What is the average monthly premium for HMO-POS plans?
HMO-POS plans in Lafayette cost $14.67 per month on average.
Which HMO-POS plan is most popular in Lafayette?
The most popular HMO-POS plan in Lafayette is AARP Medicare Advantage from UHC WI-0017 (HMO-POS), with 97 enrollees.
How many HMO-POS plans in Lafayette do not include drug coverage?
There are 0 HMO-POS plans in Lafayette 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 78
- $0 Premium PFFS Plans 0
- Average MOOP $6,800
- Top PFFS by Enrollment Humana Gold Choice H8145-006 (PFFS) — 78 enrollees
- PFFS Plans Without Drug Coverage 0
| Plan Name | CMS Stars* | Premium/Mo | MOOP | Rx Ded. | CMS ID |
|---|---|---|---|---|---|
| Humana Gold Choice H8145-006 | $37 | $6,800 | $615 | H8145-006-0 |
What is the top PFFS plan in Lafayette?
Humana Gold Choice H8145-006 (PFFS) is the top PFFS in Lafayette, with 78 enrollees.
What is the number of PFFS plans without Part D coverage in Lafayette?
0 PFFS plans in Lafayette do not include prescription drug coverage.
CMS quality ratings for Medicare Advantage plans in Lafayette 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 | 50% |
| 3 Stars | 8 | 50% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 2 | 11% |
| Average Rating | 3.84 | |
* CMS assigns Medicare Advantage star ratings annually based on plan quality and performance measures.
- 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
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
MedicarePlans.com is an independent informational resource and has no affiliation with, or endorsement from, the U.S. Government or the federal Medicare program.
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.