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2027 Medicare Advantage Plans in Marathon County, WI

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Marathon County, WI has 20 Medicare Advantage plans available in 2027. These include 11 plans with no monthly premium, and roughly 83% are rated at least 4 stars based on CMS data.

At a Glance

Average Monthly Premium: $42.07/mo
$0 Premium Plans: 11
Average MOOP: $6,461 ($9,250 max. in 2027)
Star Ratings (Plan Mix): 4+ Stars: 83% · 3 Stars: 17% · Below 3: 0%
Average Part D Deductible: $542.69
Total MA/MAPD Enrollment: 13,296
Plans with the Highest Enrollment
(as of November 10, 2026)
1. Esteem Rx (HMO) — 5,346 enrollees
2. Compass (HMO) — 2,507 enrollees
3. Humana Full Access (PPO) — 1,550 enrollees

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. To understand how local plans fit into the broader market, visit our Wisconsin Medicare Advantage plan directory for statewide plan counts, premiums, out-of-pocket limits, CMS ratings, and enrollment data.

Medicare Advantage PPO Plans

Preferred Provider Organization (PPO) plans allow access to both in-network and out-of-network providers. Out-of-network care usually costs more, but PPOs offer greater flexibility in choosing doctors and hospitals.

  • Total PPO Plans 10
  • Average Monthly Premium $27.13/mo
  • Total PPO Enrollment 3,519
  • $0 Premium PPO Plans 6
  • Average MOOP $6,730
  • Top PPO by Enrollment Humana Full Access (PPO) — 1,550 enrollees
  • PPO Plans Without Drug Coverage 4

Comparison table of 2027 PPO Medicare Advantage Plans available in Marathon County, Wisconsin
Health Plan Name CMS Rating* Premium Per Mo MOOP PDP Ded. CMS Plan ID
Anthem Medicare Advantage 3
☆☆☆☆☆
 $84 $7,150 $595 H4036-008-0
Humana Full Access
☆☆☆☆☆
 $0 $6,100 $700 H7617-020-0
Humana USAA Honor Giveback
☆☆☆☆☆
 $0 $6,000 N/A H7617-022-0
Humana Full Access
☆☆☆☆☆
 $0 $6,400 $700 H5216-410-0
Humana USAA Honor Giveback
☆☆☆☆☆
 $0 $6,000 N/A H5216-355-0
Humana Value Plus H5216-173
☆☆☆☆☆
 $6 $9,850 $700 H5216-173-0
HumanaChoice H5216-001
☆☆☆☆☆
 $94 $4,200 $700 H5216-001-0
Humana USAA Honor Giveback
☆☆☆☆☆
 $0 $6,750 N/A R5361-001-0
HumanaChoice R5361-002
☆☆☆☆☆
 $87 $7,700 $700 R5361-002-0
AARP Medicare Advantage Patriot No Rx WI-MA01
☆☆☆☆☆
 $0 $7,150 N/A H0294-014-0
What is the most popular PPO plan in Marathon?

Humana Full Access (PPO) is the top PPO in Marathon, with 1,550 enrollees.

What is the number of PPO plans without Part D coverage in Marathon?

There are 4 PPO plans in Marathon without prescription drug coverage.

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
3
Average Monthly Premium
$6.67/mo
Total HMO Enrollment
7,853
$0 Premium HMO Plans
2
Average MOOP
$6,283
Top HMO by Enrollment
Esteem Rx (HMO) — 5,346 enrollees
HMO Plans Without Drug Coverage
1

Comparison table of 2027 HMO Medicare Advantage Plans available in Marathon County, Wisconsin
Health Plan Name CMS Rating* Premium Per Mo MOOP PDP Ded. CMS Plan ID
Security Health Plan of Wisconsin, Inc. Compass
☆☆☆☆☆
 $0 $5,000 N/A H5211-003-0
Esteem Rx
☆☆☆☆☆
 $20 $7,150 $550 H5211-012-0
Cooperative Medicare Advantage
☆☆☆☆☆
 $0 $6,700 $275 H7598-004-0

What is the typical premium for HMO plans in Marathon?

HMO plans in Marathon cost $6.67 per month on average.

Which HMO plan do most beneficiaries choose in Marathon?

The most popular HMO plan in Marathon is Esteem Rx (HMO), with 5,346 enrollees.

How many HMO options are offered without prescription drug coverage in Marathon?

There are 1 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 5
  • Average Monthly Premium $98.00/mo
  • Total HMO-POS Enrollment 1,779
  • $0 Premium HMO-POS Plans 2
  • Average MOOP $5,760
  • Top HMO-POS by Enrollment Legacy Rx (HMO-POS) — 824 enrollees
  • HMO-POS Plans Without Drug Coverage 1

Comparison table of 2027 HMO-POS Medicare Advantage Plans available in Marathon County, Wisconsin
Health Plan Name CMS Rating* Premium Per Mo MOOP PDP Ded. CMS Plan ID
AARP Medicare Advantage from UHC WI-0015
☆☆☆☆☆
 $0 $7,150 $685 H5253-072-0
AARP Medicare Advantage Patriot No Rx WI-MA02
☆☆☆☆☆
 $0 $7,150 N/A H5253-021-0
Esteem Rx Gold
☆☆☆☆☆
 $125 $5,000 $300 H5211-015-0
Esteem Rx Silver
☆☆☆☆☆
 $65 $6,500 $450 H5211-014-0
Legacy Rx
☆☆☆☆☆
 $300 $3,000 $0 H5211-004-0
What is the total number of HMO-POS plans in Marathon?

In 2027, Marathon has 5 HMO-POS plans with 1,779 enrollees.

How much do HMO-POS plans cost in Marathon?

The typical HMO-POS premium in Marathon is $98.00, and 2 plans have no monthly premium.

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
$60.00/mo
Total PFFS Enrollment
125
$0 Premium PFFS Plans
0
Average MOOP
$7,800
Top PFFS by Enrollment
Humana Gold Choice H8145-006 (PFFS) — 125 enrollees
PFFS Plans Without Drug Coverage
0

Comparison table of 2027 PFFS Medicare Advantage Plans available in Marathon County, Wisconsin
Health Plan Name CMS Rating* Premium Per Mo MOOP PDP Ded. CMS Plan ID
Humana Gold Choice H8145-006
☆☆☆☆☆
 $60 $7,800 $700 H8145-006-0
What is the average monthly premium for PFFS plans?
PFFS plans in Marathon cost $60.00 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 125 enrollees.
How many PFFS plans in Marathon do not include drug coverage?
There are 0 PFFS plans in Marathon without prescription drug coverage.

Below is a breakdown of CMS star ratings for Medicare Advantage plans available in Marathon County, WI for 2027.

CMS Star Ratings for Medicare Advantage Plans in Marathon County, WI (2027)
Rating Category Number of Plans Percent of Plans
5 Stars No 5-star plans available. 0%
4 Stars (includes 5 Stars) 15 83%
3 Stars 3 17%
Below 3 Stars 0 0%
Not Rated 2 10%
Average Rating 3.97

* Medicare Advantage star ratings are determined by CMS each year using a standardized 5-star rating system.

Medicare Advantage plans listed on this page are available to eligible beneficiaries residing in Marathon County, Wisconsin, including communities such as Wausau, Athens, Edgar, Hatley, Marathon, Mosinee, Ringle, Rothschild, Schofield, Spencer, Stratford, and other areas throughout the county. Plan availability is determined by county of residence, not by city.

County-level figures shown on this page, including plan counts, enrollment totals, averages, and percentage distributions, reflect standard Medicare Advantage (MA/MAPD) plans only and are derived from CMS datasets using a standardized aggregation methodology.

Data sources and methodology documentation .

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Data provenance documentation is maintained in alignment with the U.S. Core Data for Interoperability (USCDI) Provenance standard .