- Entity
- county:wisconsin-ozaukee-55089
- 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/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
- 33
- PPO Plans
- 23
- HMO Plans
- 1
- HMO-POS Plans
- 7
- PFFS Plans
- 1
- Average Monthly Premium
- 16.34
- Average MOOP
- 5548.47
- Average Part D Deductible
- 535
- $0 Premium Plans
- 23
- Plans Without Part D Coverage
- 9
- Average CMS Star Rating
- 3.94
- $0 Premium Plan Share
- 69.7
- 5-Star Plan Share
- 0
- 4+ Star Plan Share
- 58
- 3-Star Plan Share
- 42
- Below 3-Star Plan Share
- 0
- Not-Rated Plan Share
- 6
- PPO Average Monthly Premium
- 18.23
- PPO Average MOOP
- 5545.7
- PPO Enrollment
- 4957
- PPO $0 Premium Plans
- 16
- PPO Plans Without Part D Coverage
- 7
- HMO Average Monthly Premium
- 0
- HMO Average MOOP
- 4200
- HMO Enrollment
- 520
- HMO $0 Premium Plans
- 1
- HMO Plans Without Part D Coverage
- 0
- HMO-POS Average Monthly Premium
- 11.86
- HMO-POS Average MOOP
- 5571.43
- HMO-POS Enrollment
- 5392
- HMO-POS $0 Premium Plans
- 5
- HMO-POS Plans Without Part D Coverage
- 1
- PFFS Average Monthly Premium
- 37
- PFFS Average MOOP
- 6800
- PFFS Enrollment
- 22
- PFFS $0 Premium Plans
- 0
- PFFS Plans Without Part D Coverage
- 0
- Entity
- county:wisconsin-ozaukee-55089
- 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/ozaukee/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-wisconsin-ozaukee-55089-landscape-stats
- Plans Indexed
- 33
- Standard Medicare Advantage Plans
-
-
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 H7617-020
H7617-020-0 -
Humana USAA Honor Giveback
H7617-022-0 -
HumanaChoice Giveback H7617-011
H7617-011-0 -
Network Health Anywhere
H5215-010-0 -
Network Health Bravo
H5215-014-0 -
Network Health Go
H5215-009-0 -
AARP Medicare Advantage CareFlex from UHC WI-18
H5253-198-0 -
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 -
Anthem Medicare Advantage 3
H4036-008-0 -
Anthem Veteran
H4036-024-0 -
AARP Medicare Advantage from UHC WI-0002
H0294-004-0 -
Anthem Medicare Advantage
H9525-006-0 -
Humana Full Access H5216-410
H5216-410-0 -
Humana Gold Choice H8145-006
H8145-006-0 -
Humana Gold Plus H6622-001
H6622-001-0 -
Humana USAA Honor Giveback
H5216-258-0 -
Humana USAA Honor Giveback
H5216-355-0 -
Humana Value Plus H5216-173
H5216-173-0 -
HumanaChoice Giveback H5216-252
H5216-252-0 -
HumanaChoice H5216-001
H5216-001-0 -
HumanaChoice H5216-253
H5216-253-0 -
Humana USAA Honor Giveback
R5361-001-0 -
HumanaChoice R5361-002
R5361-002-0 -
Aetna Medicare Signature
H1206-002-0 -
Network Health Prime
H1181-001-0
-
Aetna Medicare Eagle
- Total Standard Medicare Advantage Enrollment
- 10907
2026 Medicare Advantage Plans in Ozaukee County, WI
Last update: .
In Ozaukee County, WI, there are 34 Medicare Advantage plans available for 2026. Of these, 23 offer a $0 monthly premium, and about 58% 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 Ozaukee County, WI. Or explore all Medicare Options available in Ozaukee 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 Ozaukee?
Ozaukee County has 23 PPO plans for 2026, with 4,957 enrolled.
How much do PPO plans cost in Ozaukee?
The typical PPO premium in Ozaukee is $18.23, and 16 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
- 1
- Average Monthly Premium
- $0.00/mo
- Total HMO Enrollment
- 520
- $0 Premium HMO Plans
- 1
- Average MOOP
- $4,200
- Top HMO by Enrollment
- Humana Gold Plus H6622-001 (HMO) — 520 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 |
- What is the average monthly premium for HMO plans?
- HMO plans in Ozaukee cost $0.00 per month on average.
- Which HMO plan is most popular in Ozaukee?
- The most popular HMO plan in Ozaukee is Humana Gold Plus H6622-001 (HMO), with 520 enrollees.
- How many HMO plans in Ozaukee do not include drug coverage?
- There are 0 HMO plans in Ozaukee 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 7
- Average Monthly Premium $11.86/mo
- Total HMO-POS Enrollment 5,392
- $0 Premium HMO-POS Plans 5
- Average MOOP $5,571
- Top HMO-POS by Enrollment AARP Medicare Advantage from UHC WI-0010 (HMO-POS) — 3,440 enrollees
- HMO-POS Plans Without Drug Coverage 1
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| AARP Medicare Advantage CareFlex from UHC WI-18 | $0 | $6,700 | $600 | H5253-198-0 | |
| AARP Medicare Advantage Essentials from UHC WI-13 | $0 | $4,900 | $520 | H5253-033-0 | |
| AARP Medicare Advantage Extras from UHC WI-19 | $0 | $6,700 | $600 | H5253-199-0 | |
| AARP Medicare Advantage from UHC WI-0010 | $44 | $3,800 | $440 | H5253-004-0 | |
| 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 | |
| Aetna Medicare Signature | $0 | $5,900 | $615 | H1206-002-0 |
What is the total number of HMO-POS plans in Ozaukee?
There are 7 HMO-POS plans in 2026, covering 5,392 enrollees.
How much do HMO-POS plans cost in Ozaukee?
The average HMO-POS premium in Ozaukee is $11.86 per month, with 5 plans offering $0 premiums.
What is the leading HMO-POS plan in Ozaukee?
AARP Medicare Advantage from UHC WI-0010 (HMO-POS) is the top HMO-POS in Ozaukee, with 3,440 enrollees.
What is the number of HMO-POS plans without Part D coverage in Ozaukee?
1 HMO-POS plans in Ozaukee do not include prescription drug coverage.
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
- $37.00/mo
- Total PFFS Enrollment
- 22
- $0 Premium PFFS Plans
- 0
- Average MOOP
- $6,800
- Top PFFS by Enrollment
- Humana Gold Choice H8145-006 (PFFS) — 22 enrollees
- PFFS Plans Without Drug Coverage
- 0
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| Humana Gold Choice H8145-006 | $37 | $6,800 | $615 | H8145-006-0 |
What is the average monthly premium for PFFS plans?
PFFS plans in Ozaukee cost $37.00 per month on average.
Which PFFS plan is most popular in Ozaukee?
The most popular PFFS plan in Ozaukee is Humana Gold Choice H8145-006 (PFFS), with 22 enrollees.
How many PFFS plans in Ozaukee do not include drug coverage?
There are 0 PFFS plans in Ozaukee without prescription drug coverage.
The table below shows CMS star ratings for Medicare Advantage plans in Ozaukee 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) | 18 | 58% |
| 3 Stars | 13 | 42% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 2 | 6% |
| Average Rating | 3.94 | |
* 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
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
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.