2026 Medicare Advantage Plans in Pepin County, WI
Last update: . Enrollment data updated: June 13, 2026
In Pepin County, WI, there are 20 Medicare Advantage plans available for 2026. Of these, 13 offer a $0 monthly premium, and about 72% 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 Pepin County, WI. Or explore all Medicare Options available in Pepin County, WI.
Medicare Advantage PPO Plans
Preferred Provider Organization (PPO) plans allow access to both in-network and out-of-network providers. Out-of-network care usually costs more, but PPOs offer greater flexibility in choosing doctors and hospitals.
- Total PPO Plans 7
- Average Monthly Premium $21.43/mo
- Total PPO Enrollment 101
- $0 Premium PPO Plans 5
- Average MOOP $6,843
- Top PPO by Enrollment Humana USAA Honor Giveback (PPO) — 37 enrollees
- PPO Plans Without Drug Coverage 5
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| 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 total number of PPO plans offered in Pepin?
There are 7 PPO plans in 2026, covering 101 beneficiaries.
How much do PPO plans cost in Pepin?
The average PPO premium in Pepin is $21.43 per month, with 5 plans offering $0 premiums.
What is the most popular PPO plan in Pepin?
Humana USAA Honor Giveback (PPO) is the top PPO in Pepin, with 37 enrollees.
What is the number of PPO plans without Part D coverage in Pepin?
There are 5 PPO plans in Pepin without prescription drug coverage.
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
- 7
- Average Monthly Premium
- $45.00/mo
- Total HMO Enrollment
- 0
- $0 Premium HMO Plans
- 4
- Average MOOP
- $4,857
- Top HMO by Enrollment
- — 0 enrollees
- HMO Plans Without Drug Coverage
- 2
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan 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 average monthly premium for HMO plans?
HMO plans in Pepin cost $45.00 per month on average.
Which HMO plan is most popular in Pepin?
The most popular HMO plan in Pepin is , with 0 enrollees.
How many HMO plans in Pepin do not include drug coverage?
There are 2 HMO plans in Pepin without prescription drug coverage.
Medicare Advantage HMO-POS Plans
HMO Point-of-Service (HMO-POS) plans combine HMO network rules with limited out-of-network access. Care outside the network typically costs more, but HMO-POS plans provide added flexibility compared with standard HMOs.
| 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 |
What is the leading HMO-POS plan in Pepin?
Esteem Rx (HMO-POS) is the top HMO-POS in Pepin, with 259 enrollees.
What is the number of HMO-POS plans without Part D coverage in Pepin?
2 HMO-POS plans in Pepin do not include prescription drug coverage.
The table below shows CMS star ratings for Medicare Advantage plans in Pepin 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) | 13 | 72% |
| 3 Stars | 5 | 28% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 2 | 10% |
| 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
County-level figures shown on this page, including plan counts, enrollment totals, averages, and percentage distributions, reflect standard Medicare Advantage (MA/MAPD) plans only and are derived from CMS datasets using a standardized aggregation methodology.
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
- Medicare.gov, "Joining a plan" — Last accessed 25 May, 2025
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