- Entity
- county:wisconsin-monroe-55081
- 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/monroe/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-county-plan-index
- Total Standard Medicare Advantage Plans
- 24
- PPO Plans
- 10
- HMO Plans
- 7
- HMO-POS Plans
- 6
- PFFS Plans
- 0
- Average Monthly Premium
- 35.33
- Average MOOP
- 5239.13
- Average Part D Deductible
- 369.23
- $0 Premium Plans
- 16
- Plans Without Part D Coverage
- 11
- Average CMS Star Rating
- 4.07
- $0 Premium Plan Share
- 66.67
- 5-Star Plan Share
- 0
- 4+ Star Plan Share
- 77
- 3-Star Plan Share
- 23
- Below 3-Star Plan Share
- 0
- Not-Rated Plan Share
- 8
- PPO Average Monthly Premium
- 17.7
- PPO Average MOOP
- 6390
- PPO Enrollment
- 938
- PPO $0 Premium Plans
- 7
- PPO Plans Without Part D Coverage
- 6
- HMO Average Monthly Premium
- 45
- HMO Average MOOP
- 4857.14
- HMO Enrollment
- 1768
- HMO $0 Premium Plans
- 4
- HMO Plans Without Part D Coverage
- 2
- HMO-POS Average Monthly Premium
- 59.33
- HMO-POS Average MOOP
- 3766.67
- HMO-POS Enrollment
- 523
- HMO-POS $0 Premium Plans
- 4
- HMO-POS Plans Without Part D Coverage
- 2
- Entity
- county:wisconsin-monroe-55081
- 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/monroe/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-wisconsin-monroe-55081-landscape-stats
- Plans Indexed
- 24
- Standard Medicare Advantage Plans
-
-
Aetna Medicare Eagle
H5521-286-0 -
Aetna Medicare Premier
H5521-388-0 -
Aetna Medicare Signature
H5521-289-0 -
Compass
H5211-003-0 -
Essence Rx
H5211-002-0 -
Esteem Rx
H5211-012-0 -
Humana USAA Honor Giveback
H7617-022-0 -
HumanaChoice H7617-007
H7617-007-0 -
Legacy Rx
H5211-004-0 -
Spirit
H5211-001-0 -
AARP Medicare Advantage from UHC WI-0015
H5253-072-0 -
Gundersen Quartz Med Advantage Basic D
H5262-032-0 -
Gundersen Quartz Med Advantage Core D
H5262-021-0 -
Gundersen Quartz Med Advantage Elite
H5262-005-0 -
Gundersen Quartz Med Advantage Elite D
H5262-001-0 -
Gundersen Quartz Med Advantage Value
H5262-004-0 -
Gundersen Quartz Med Advantage Value D
H5262-003-0 -
AARP Medicare Advantage Patriot No Rx WI-MA01
H0294-014-0 -
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
- 3245
2026 Medicare Advantage Plans in Monroe County, WI
Last update: .
Monroe County, WI has 24 Medicare Advantage plans available in 2026. These include 16 plans with no monthly premium, and roughly 77% are rated at least 4 stars based on CMS data.
Medicare Advantage Special Needs Plans (SNPs) are not included in the figures shown above. View Special Needs Plans in Monroe County, WI. Or explore all Medicare Options available in Monroe County, WI.
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 $17.70/mo
- Total PPO Enrollment 938
- $0 Premium PPO Plans 7
- Average MOOP $6,390
- Top PPO by Enrollment Aetna Medicare Signature (PPO) — 338 enrollees
- PPO Plans Without Drug Coverage 6
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan 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 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 most popular PPO plan in Monroe?
Aetna Medicare Signature (PPO) is the top PPO in Monroe, with 338 enrollees.
What is the number of PPO plans without Part D coverage in Monroe?
There are 6 PPO plans in Monroe 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
- 7
- Average Monthly Premium
- $45.00/mo
- Total HMO Enrollment
- 1,768
- $0 Premium HMO Plans
- 4
- Average MOOP
- $4,857
- Top HMO by Enrollment
- Gundersen Quartz Med Advantage Value D (HMO) — 856 enrollees
- HMO Plans Without Drug Coverage
- 2
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| Gundersen Quartz Med Advantage Basic D | $0 | $6,700 | $270 | H5262-032-0 | |
| Gundersen Quartz Med Advantage Core D | $29 | $5,900 | $270 | H5262-021-0 | |
| Gundersen Quartz Med Advantage Elite | $0 | $3,500 | N/A | H5262-005-0 | |
| Gundersen Quartz Med Advantage Elite D | $196 | $3,500 | $200 | H5262-001-0 | |
| Gundersen Quartz Med Advantage Value | $0 | $4,200 | N/A | H5262-004-0 | |
| Gundersen Quartz Med Advantage Value D | $90 | $4,200 | $225 | H5262-003-0 | |
| Cooperative Medicare Advantage | $0 | $6,000 | $275 | H7598-004-0 |
What is the typical premium for HMO plans in Monroe?
HMO plans in Monroe cost $45.00 per month on average.
Which HMO plan do most beneficiaries choose in Monroe?
The most popular HMO plan in Monroe is Gundersen Quartz Med Advantage Value D (HMO), with 856 enrollees.
How many HMO options are offered without prescription drug coverage in Monroe?
There are 2 HMO plans in Monroe 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 6
- Average Monthly Premium $59.33/mo
- Total HMO-POS Enrollment 523
- $0 Premium HMO-POS Plans 4
- Average MOOP $3,767
- Top HMO-POS by Enrollment Esteem Rx (HMO-POS) — 303 enrollees
- HMO-POS Plans Without Drug Coverage 2
| 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 |
What is the total number of HMO-POS plans in Monroe?
In 2026, Monroe has 6 HMO-POS plans with 523 enrollees.
How much do HMO-POS plans cost in Monroe?
The typical HMO-POS premium in Monroe is $59.33, and 4 plans have no monthly premium.
Below is a breakdown of CMS star ratings for Medicare Advantage plans available in Monroe 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) | 17 | 77% |
| 3 Stars | 5 | 23% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 2 | 8% |
| Average Rating | 4.07 | |
* Medicare Advantage star ratings are determined by CMS each year using a standardized 5-star rating system.
- 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
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 .
- CMS.gov, "Medicare Advantage Plan Fact Sheet" — Last accessed 25 May, 2025
- Medicare.gov, "Your coverage options" — Last accessed 25 May, 2025
- Medicare.gov, "Joining a plan" — Last accessed 25 May, 2025
MedicarePlans.com is an independent, non-government informational resource and is not affiliated with or endorsed by the U.S. Government or the federal Medicare program.
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.