2026 Medicare Advantage Plans in Oconto County, WI
Last update: . Enrollment data updated: June 13, 2026
In Oconto County, WI, there are 38 Medicare Advantage plans available for 2026. Of these, 26 offer a $0 monthly premium, and about 62% 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 Oconto County, WI. Or explore all Medicare Options available in Oconto 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.
What is the total number of PPO plans offered in Oconto?
Oconto County has 25 PPO plans for 2026, with 4,454 enrolled.
How much do PPO plans cost in Oconto?
The typical PPO premium in Oconto is $28.68, and 17 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
- 2
- Average Monthly Premium
- $0.00/mo
- Total HMO Enrollment
- 602
- $0 Premium HMO Plans
- 2
- Average MOOP
- $5,100
- Top HMO by Enrollment
- Humana Gold Plus H6622-001 (HMO) — 602 enrollees
- HMO Plans Without Drug Coverage
- 0
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| Humana Gold Plus H6622-001 | $0 | $4,200 | $615 | H6622-001-0 | |
| Cooperative Medicare Advantage | $0 | $6,000 | $275 | H7598-004-0 |
- What is the average monthly premium for HMO plans?
- HMO plans in Oconto cost $0.00 per month on average.
- Which HMO plan is most popular in Oconto?
- The most popular HMO plan in Oconto is Humana Gold Plus H6622-001 (HMO), with 602 enrollees.
- How many HMO plans in Oconto do not include drug coverage?
- There are 0 HMO plans in Oconto 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 10
- Average Monthly Premium $45.40/mo
- Total HMO-POS Enrollment 1,591
- $0 Premium HMO-POS Plans 6
- Average MOOP $4,310
- Top HMO-POS by Enrollment AARP Medicare Advantage from UHC WI-0011 (HMO-POS) — 662 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 CareFlex from UHC WI-18 | $0 | $6,700 | $600 | H5253-198-0 | |
| AARP Medicare Advantage from UHC WI-0011 | $59 | $4,100 | $440 | H5253-011-0 | |
| AARP Medicare Advantage from UHC WI-0014 | $0 | $5,400 | $520 | H5253-034-0 | |
| AARP Medicare Advantage Patriot No Rx WI-MA02 | $0 | $6,700 | N/A | H5253-021-0 | |
| Anthem Medicare Advantage | $39 | $4,300 | $350 | H9525-006-0 |
What is the total number of HMO-POS plans in Oconto?
There are 10 HMO-POS plans in 2026, covering 1,591 enrollees.
How much do HMO-POS plans cost in Oconto?
The average HMO-POS premium in Oconto is $45.40 per month, with 6 plans offering $0 premiums.
What is the leading HMO-POS plan in Oconto?
AARP Medicare Advantage from UHC WI-0011 (HMO-POS) is the top HMO-POS in Oconto, with 662 enrollees.
What is the number of HMO-POS plans without Part D coverage in Oconto?
3 HMO-POS plans in Oconto do not include prescription drug coverage.
The table below shows CMS star ratings for Medicare Advantage plans in Oconto 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) | 21 | 62% |
| 3 Stars | 13 | 38% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 4 | 11% |
| Average Rating | 4 | |
* 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.