2026 Medicare Advantage Plans in Marathon County, WI
Last update: . Enrollment data updated: June 13, 2026
In Marathon County, WI, there are 23 Medicare Advantage plans available for 2026. Of these, 16 offer a $0 monthly premium, and about 48% 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 Marathon County, WI. Or explore all Medicare Options available in Marathon 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 Full Access H7617-020 | $0 | $5,000 | $400 | H7617-020-0 | |
| Humana USAA Honor Giveback | $0 | $6,000 | N/A | H7617-022-0 | |
| Anthem Medicare Advantage 3 | $68 | $4,500 | $275 | H4036-008-0 | |
| AARP Medicare Advantage Patriot No Rx WI-MA01 | $0 | $6,700 | N/A | H0294-014-0 | |
| Aspirus Health Plan Elite | $0 | $3,200 | N/A | H6874-003-0 | |
| Aspirus Health Plan Essential Rx | $0 | $5,500 | $350 | H6874-001-0 | |
| Humana Full Access H5216-410 | $0 | $5,000 | $400 | H5216-410-0 | |
| 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 H5216-001 | $81 | $4,200 | $615 | H5216-001-0 | |
| 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 Marathon?
Marathon County has 13 PPO plans for 2026, with 5,064 enrolled.
How much do PPO plans cost in Marathon?
The typical PPO premium in Marathon is $21.01, and 9 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
- 0
- $0 Premium HMO Plans
- 1
- Average MOOP
- $6,000
- Top HMO by Enrollment
- — 0 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 Marathon cost $0.00 per month on average.
- Which HMO plan is most popular in Marathon?
- The most popular HMO plan in Marathon is , with 0 enrollees.
- How many HMO plans in Marathon do not include drug coverage?
- There are 0 HMO plans in Marathon 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 7
- Average Monthly Premium $50.86/mo
- Total HMO-POS Enrollment 12,766
- $0 Premium HMO-POS Plans 5
- Average MOOP $4,186
- Top HMO-POS by Enrollment Esteem Rx (HMO-POS) — 5,118 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 from UHC WI-0015 | $0 | $6,700 | $520 | H5253-072-0 | |
| 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 Marathon?
There are 7 HMO-POS plans in 2026, covering 12,766 enrollees.
How much do HMO-POS plans cost in Marathon?
The average HMO-POS premium in Marathon is $50.86 per month, with 5 plans offering $0 premiums.
What is the leading HMO-POS plan in Marathon?
Esteem Rx (HMO-POS) is the top HMO-POS in Marathon, with 5,118 enrollees.
What is the number of HMO-POS plans without Part D coverage in Marathon?
3 HMO-POS plans in Marathon do not include prescription drug coverage.
Medicare Advantage PFFS Plans
PFFS plans allow members to visit any Medicare-approved provider who accepts the plan’s payment terms. This offers broader choice than network-based plans, but coverage depends on provider participation, so acceptance should be confirmed in advance.
- Total PFFS Plans
- 1
- Average Monthly Premium
- $37.00/mo
- Total PFFS Enrollment
- 132
- $0 Premium PFFS Plans
- 0
- Average MOOP
- $6,800
- Top PFFS by Enrollment
- Humana Gold Choice H8145-006 (PFFS) — 132 enrollees
- PFFS Plans Without Drug Coverage
- 0
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| Humana Gold Choice H8145-006 | $37 | $6,800 | $615 | H8145-006-0 |
What is the average monthly premium for PFFS plans?
PFFS plans in Marathon cost $37.00 per month on average.
Which PFFS plan is most popular in Marathon?
The most popular PFFS plan in Marathon is Humana Gold Choice H8145-006 (PFFS), with 132 enrollees.
How many PFFS plans in Marathon do not include drug coverage?
There are 0 PFFS plans in Marathon without prescription drug coverage.
The table below shows CMS star ratings for Medicare Advantage plans in Marathon 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) | 10 | 48% |
| 3 Stars | 11 | 52% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 2 | 9% |
| Average Rating | 3.86 | |
* 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
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
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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.