2026 Medicare Advantage Plans in Monroe County, WI
Last update: . Enrollment data updated: May 2, 2026
For 2026, Monroe County, WI includes 24 Medicare Advantage plans. Enrollment across these plans totals approximately 3,228, with 16 $0 premium options and 77% rated 4 stars or higher.
This page and its statistics exclude Medicare Advantage Special Needs Plans (SNPs). Special Needs Plans in Monroe County, WI are summarized separately. Visit Medicare Options in Monroe 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
- 10
- Average Monthly Premium
- $17.70/mo
- Total PPO Enrollment
- 907
- $0 Premium PPO Plans
- 7
- Average MOOP
- $6,390
- Top PPO by Enrollment
- Aetna Medicare Signature (PPO) — 324 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 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 Monroe?
- PPO plans in Monroe cost $17.70 per month on average.
- Which PPO plan has the highest enrollment in Monroe?
- The most popular PPO plan in Monroe is Aetna Medicare Signature (PPO), with 324 enrollees.
- How many PPO plans in Monroe do not include prescription drug coverage?
- 6 PPO plans in Monroe 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 |
|---|---|---|---|---|---|
| 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 total number of HMO plans offered in Monroe?
There are 7 HMO plans in 2026, covering 1,766 enrollees.
How much do HMO plans cost in Monroe?
The average HMO premium in Monroe is $45.00 per month, with 4 plans offering $0 premiums.
What is the top HMO by enrollment in Monroe?
Gundersen Quartz Med Advantage Value D (HMO) is the top HMO in Monroe, with 854 enrollees.
What is the number of HMO plans without Part D coverage in Monroe?
2 HMO plans in Monroe 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
- 6
- Average Monthly Premium
- $59.33/mo
- Total HMO-POS Enrollment
- 539
- $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
| Plan Name | CMS Stars* | Premium/Mo | MOOP | Rx Ded. | CMS 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 average monthly premium for HMO-POS plans?
HMO-POS plans in Monroe cost $59.33 per month on average.
Which HMO-POS plan is most popular in Monroe?
The most popular HMO-POS plan in Monroe is Esteem Rx (HMO-POS), with 303 enrollees.
How many HMO-POS plans in Monroe do not include drug coverage?
There are 2 HMO-POS plans in Monroe without prescription drug coverage.
CMS quality ratings for Medicare Advantage plans in Monroe 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) | 17 | 77% |
| 3 Stars | 5 | 23% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 2 | 8% |
| Average Rating | 4.07 | |
* CMS assigns Medicare Advantage star ratings annually based on plan quality and performance measures.
- CMS.gov, Medicare Advantage Landscape Source Files — Last accessed May 2, 2026
- CMS.gov, Medicare Part C & D Performance Data — Last accessed May 2, 2026
- CMS.gov, Medicare Advantage & Part D Contract and Enrollment Data — Last accessed May 2, 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
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.