2026 Medicare Advantage Plans in Ozaukee County, WI
Last update: . Enrollment data updated: May 2, 2026
For 2026, Ozaukee County, WI includes 34 Medicare Advantage plans. Enrollment across these plans totals approximately 10,849, with 23 $0 premium options and 58% rated 4 stars or higher.
This page and its statistics exclude Medicare Advantage Special Needs Plans (SNPs). Special Needs Plans in Ozaukee County, WI are summarized separately. Visit Medicare Options in Ozaukee 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
- 23
- Average Monthly Premium
- $18.23/mo
- Total PPO Enrollment
- 4,827
- $0 Premium PPO Plans
- 16
- Average MOOP
- $5,546
- Top PPO by Enrollment
- Network Health Anywhere (PPO) — 1,821 enrollees
- PPO Plans Without Drug Coverage
- 7
What is the average monthly premium for PPO plans in Ozaukee?
PPO plans in Ozaukee cost $18.23 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 1,821 enrollees.
How many PPO plans in Ozaukee do not include prescription drug coverage?
7 PPO plans in Ozaukee do not include prescription drug coverage.
Medicare Advantage HMO Plans
Health Maintenance Organization (HMO) plans generally require members to use in-network doctors, hospitals, and other providers, except in emergencies. Because of this structure, HMOs often have lower premiums and out-of-pocket costs than other plan types.
- Total HMO Plans 1
- Average Monthly Premium $0.00/mo
- Total HMO Enrollment 529
- $0 Premium HMO Plans 1
- Average MOOP $4,200
- Top HMO by Enrollment Humana Gold Plus H6622-001 (HMO) — 529 enrollees
- HMO Plans Without Drug Coverage 0
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| Humana Gold Plus H6622-001 | $0 | $4,200 | $615 | H6622-001-0 |
What is the top HMO by enrollment in Ozaukee?
Humana Gold Plus H6622-001 (HMO) is the top HMO in Ozaukee, with 529 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
- 7
- Average Monthly Premium
- $11.86/mo
- Total HMO-POS Enrollment
- 5,455
- $0 Premium HMO-POS Plans
- 5
- Average MOOP
- $5,571
- Top HMO-POS by Enrollment
- AARP Medicare Advantage from UHC WI-0010 (HMO-POS) — 3,510 enrollees
- HMO-POS Plans Without Drug Coverage
- 1
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | 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 typical premium for HMO-POS plans in Ozaukee?
HMO-POS plans in Ozaukee cost $11.86 per month on average.
Which HMO-POS plan has the most members in Ozaukee?
The most popular HMO-POS plan in Ozaukee is AARP Medicare Advantage from UHC WI-0010 (HMO-POS), with 3,510 enrollees.
How many HMO-POS options are offered without prescription drug coverage in Ozaukee?
There are 1 HMO-POS plans in Ozaukee without prescription drug coverage.
Medicare Advantage PFFS Plans
PFFS, or Private Fee-for-Service plans, allow access to any Medicare-approved doctor or hospital that accepts the plan’s terms. They provide wide flexibility in choosing providers, but it’s essential to verify that your preferred healthcare professionals agree to the plan’s payment rules before scheduling care.
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| Humana Gold Choice H8145-006 | $37 | $6,800 | $615 | H8145-006-0 |
What is the total number of PFFS plans in Ozaukee?
In 2026, Ozaukee has 1 PFFS plans with 22 enrollees.
How much do PFFS plans cost in Ozaukee?
The typical PFFS premium in Ozaukee is $37.00, and 0 plans have no monthly premium.
CMS quality ratings for Medicare Advantage plans in Ozaukee 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) | 18 | 58% |
| 3 Stars | 13 | 42% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 2 | 6% |
| Average Rating | 3.94 | |
* 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
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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.