- Entity
- county:wisconsin-ozaukee-55089
- Digest
- 2027-county-ma-aggregate
- Population Scope
- Standard Medicare Advantage plans only; Special Needs Plans (SNPs) excluded
- Source URL
- https://www.medicareplans.com/medicare-advantage/wisconsin/ozaukee/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-county-plan-index
- Total Standard Medicare Advantage Plans
- 31
- PPO Plans
- 22
- HMO Plans
- 1
- HMO-POS Plans
- 6
- PFFS Plans
- 1
- Average Monthly Premium
- 18.24
- Average MOOP
- 5896.7
- Average Part D Deductible
- 597.17
- $0 Premium Plans
- 22
- Plans Without Part D Coverage
- 8
- Average CMS Star Rating
- 3.98
- $0 Premium Plan Share
- 70.97
- 5-Star Plan Share
- 0
- 4+ Star Plan Share
- 83
- 3-Star Plan Share
- 17
- Below 3-Star Plan Share
- 0
- Not-Rated Plan Share
- 3
- PPO Average Monthly Premium
- 18.65
- PPO Average MOOP
- 5934.14
- PPO Enrollment
- 5026
- PPO $0 Premium Plans
- 16
- PPO Plans Without Part D Coverage
- 6
- HMO Average Monthly Premium
- 0
- HMO Average MOOP
- 4200
- HMO Enrollment
- 515
- HMO $0 Premium Plans
- 1
- HMO Plans Without Part D Coverage
- 0
- HMO-POS Average Monthly Premium
- 15.83
- HMO-POS Average MOOP
- 5725
- HMO-POS Enrollment
- 5363
- HMO-POS $0 Premium Plans
- 4
- HMO-POS Plans Without Part D Coverage
- 1
- PFFS Average Monthly Premium
- 60
- PFFS Average MOOP
- 7800
- PFFS Enrollment
- 22
- PFFS $0 Premium Plans
- 0
- PFFS Plans Without Part D Coverage
- 0
- Entity
- county:wisconsin-ozaukee-55089
- Digest
- 2027-county-ma-aggregate
- Population Scope
- Standard Medicare Advantage plans only; Special Needs Plans (SNPs) excluded
- Source URL
- https://www.medicareplans.com/medicare-advantage/wisconsin/ozaukee/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-wisconsin-ozaukee-55089-landscape-stats
- Plans Indexed
- 31
- Standard Medicare Advantage Plans
-
-
Anthem Medicare Advantage 3
H4036-008-0 -
Anthem Veteran
H4036-024-0 -
Humana Essentials Plus Giveback
H7617-011-0 -
Humana Full Access
H7617-020-0 -
Humana USAA Honor Giveback
H7617-022-0 -
AARP Medicare Advantage Essentials from UHC WI-13
H5253-033-0 -
AARP Medicare Advantage Extras from UHC WI-19
H5253-199-0 -
AARP Medicare Advantage from UHC WI-0010
H5253-004-0 -
AARP Medicare Advantage Patriot No Rx WI-MA02
H5253-021-0 -
Aetna Medicare Eagle
H5521-286-0 -
Aetna Medicare Enhanced
H5521-150-0 -
Aetna Medicare Signature
H5521-195-0 -
Aetna Medicare Signature Extra
H5521-403-0 -
Aetna Medicare Value Care
H5521-400-0 -
Humana Full Access
H5216-410-0 -
Humana Gold Choice H8145-006
H8145-006-0 -
Humana Total Complete
H6622-001-0 -
Humana USAA Honor Giveback
H5216-355-0 -
Humana Value Choice
H5216-253-0 -
Humana Value Plus H5216-173
H5216-173-0 -
HumanaChoice Giveback H5216-252
H5216-252-0 -
HumanaChoice H5216-001
H5216-001-0 -
Network Health Anywhere
H5215-010-0 -
Network Health Bravo
H5215-014-0 -
Network Health Go
H5215-009-0 -
Aetna Medicare Signature
H1206-002-0 -
Anthem Medicare Advantage
H9525-006-0 -
Humana USAA Honor Giveback
R5361-001-0 -
HumanaChoice R5361-002
R5361-002-0 -
AARP Medicare Advantage from UHC WI-0002
H0294-004-0 -
Network Health Prime
H1181-001-0
-
Anthem Medicare Advantage 3
- Total Standard Medicare Advantage Enrollment
- 10942
2027 Medicare Advantage Plans in Ozaukee County, WI
Last update: .
For 2027, Ozaukee County, WI includes 33 Medicare Advantage plans. Enrollment across these plans totals approximately 10,942, with 22 $0 premium options and 83% rated 4 stars or higher.
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
- 22
- Average Monthly Premium
- $18.65/mo
- Total PPO Enrollment
- 5,026
- $0 Premium PPO Plans
- 16
- Average MOOP
- $5,934
- Top PPO by Enrollment
- Network Health Anywhere (PPO) — 1,965 enrollees
- PPO Plans Without Drug Coverage
- 6
- What is the average monthly premium for PPO plans in Ozaukee?
- PPO plans in Ozaukee cost $18.65 per month on average.
- Which PPO plan has the highest enrollment in Ozaukee?
- The most popular PPO plan in Ozaukee is Network Health Anywhere (PPO), with 1,965 enrollees.
- How many PPO plans in Ozaukee do not include prescription drug coverage?
- 6 PPO plans in Ozaukee 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 |
|---|---|---|---|---|---|
| Humana Total Complete | $0 | $4,200 | $500 | H6622-001-0 |
What is the total number of HMO plans offered in Ozaukee?
There are 1 HMO plans in 2027, covering 515 enrollees.
How much do HMO plans cost in Ozaukee?
The average HMO premium in Ozaukee is $0.00 per month, with 1 plans offering $0 premiums.
What is the top HMO by enrollment in Ozaukee?
Humana Total Complete (HMO) is the top HMO in Ozaukee, with 515 enrollees.
What is the number of HMO plans without Part D coverage in Ozaukee?
0 HMO plans in Ozaukee 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
- $15.83/mo
- Total HMO-POS Enrollment
- 5,363
- $0 Premium HMO-POS Plans
- 4
- Average MOOP
- $5,725
- Top HMO-POS by Enrollment
- AARP Medicare Advantage from UHC WI-0010 (HMO-POS) — 3,419 enrollees
- HMO-POS Plans Without Drug Coverage
- 1
| Plan Name | CMS Stars* | Premium/Mo | MOOP | Rx Ded. | CMS ID |
|---|---|---|---|---|---|
| AARP Medicare Advantage Essentials from UHC WI-13 | $0 | $5,400 | $685 | H5253-033-0 | |
| AARP Medicare Advantage Extras from UHC WI-19 | $0 | $7,150 | $685 | H5253-199-0 | |
| AARP Medicare Advantage from UHC WI-0010 | $57 | $4,450 | $685 | H5253-004-0 | |
| AARP Medicare Advantage Patriot No Rx WI-MA02 | $0 | $7,150 | N/A | H5253-021-0 | |
| Aetna Medicare Signature | $0 | $5,900 | $400 | H1206-002-0 | |
| Anthem Medicare Advantage | $38 | $4,300 | $240 | H9525-006-0 |
What is the average monthly premium for HMO-POS plans?
HMO-POS plans in Ozaukee cost $15.83 per month on average.
Which HMO-POS plan is most popular in Ozaukee?
The most popular HMO-POS plan in Ozaukee is AARP Medicare Advantage from UHC WI-0010 (HMO-POS), with 3,419 enrollees.
How many HMO-POS plans in Ozaukee do not include drug coverage?
There are 1 HMO-POS plans in Ozaukee without prescription drug coverage.
Medicare Advantage PFFS Plans
Private Fee-for-Service (PFFS) plans allow members to visit any Medicare-approved provider that accepts the plan’s payment terms. This provides flexibility in choosing doctors and hospitals, but provider acceptance should be confirmed before receiving care.
- Total PFFS Plans 1
- Average Monthly Premium $60.00/mo
- Total PFFS Enrollment 22
- $0 Premium PFFS Plans 0
- Average MOOP $7,800
- Top PFFS by Enrollment Humana Gold Choice H8145-006 (PFFS) — 22 enrollees
- PFFS Plans Without Drug Coverage 0
| Plan Name | CMS Stars* | Premium/Mo | MOOP | Rx Ded. | CMS ID |
|---|---|---|---|---|---|
| Humana Gold Choice H8145-006 | $60 | $7,800 | $700 | H8145-006-0 |
What is the top PFFS plan in Ozaukee?
Humana Gold Choice H8145-006 (PFFS) is the top PFFS in Ozaukee, with 22 enrollees.
What is the number of PFFS plans without Part D coverage in Ozaukee?
0 PFFS plans in Ozaukee do not include prescription drug coverage.
CMS quality ratings for Medicare Advantage plans in Ozaukee County, WI (2027) are summarized below.
| Rating Category | Number of Plans | Percent of Plans |
|---|---|---|
| 5 Stars | No 5-star plans available. | 0% |
| 4 Stars (includes 5 Stars) | 25 | 83% |
| 3 Stars | 5 | 17% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 1 | 3% |
| Average Rating | 3.98 | |
* CMS assigns Medicare Advantage star ratings annually based on plan quality and performance measures.
Medicare Advantage plans listed on this page are available to eligible beneficiaries residing in Ozaukee County, Wisconsin, including communities such as Belgium, Cedarburg, Fredonia, Grafton, Port Washington, Saukville, Mequon, and other areas throughout the county. Plan availability is determined by county of residence, not by city.
- CMS.gov, Medicare Advantage & Special Needs Plan Landscape Source Files — Version: 202609
- CMS.gov, Medicare Part C & D Performance Data — Version: 2026
- CMS.gov, Medicare Advantage & Part D Contract and Enrollment Data — Version: 2026-10
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.