2026 Medicare Advantage Plans in Saint Croix County, WI
Last update: . Enrollment data updated: June 13, 2026
For 2026, Saint Croix County, WI includes 5 Medicare Advantage plans. Enrollment across these plans totals approximately 1,102, with 4 $0 premium options and 0% rated 4 stars or higher.
Totals on this page exclude Medicare Advantage Special Needs Plans (SNPs). SNP plans for Saint Croix County, WI are provided separately. Or you can discover all Medicare Options in Saint Croix County, WI.
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
- 3
- Average Monthly Premium
- $34.33/mo
- Total PPO Enrollment
- 714
- $0 Premium PPO Plans
- 2
- Average MOOP
- $6,883
- Top PPO by Enrollment
- HumanaChoice R5361-002 (Regional PPO) — 351 enrollees
- PPO Plans Without Drug Coverage
- 2
| PPO Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| AARP Medicare Advantage Patriot No Rx WI-MA01 | $0 | $6,700 | N/A | H0294-014-0 | |
| 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 typical premium for PPO plans available in Saint Croix?
PPO plans in Saint Croix cost $34.33 per month on average.
Which PPO plan do most beneficiaries choose in Saint Croix?
The most popular PPO plan in Saint Croix is HumanaChoice R5361-002 (Regional PPO), with 351 enrollees.
How many PPO options are offered without drug coverage in Saint Croix?
2 PPO plans in Saint Croix 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 388
- $0 Premium HMO Plans 1
- Average MOOP $6,000
- Top HMO by Enrollment Cooperative Medicare Advantage (HMO) — 388 enrollees
- HMO Plans Without Drug Coverage 0
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| Cooperative Medicare Advantage | $0 | $6,000 | $275 | H7598-004-0 |
What is the total number of HMO plans offered in Saint Croix?
In 2026, Saint Croix County has 1 HMO plans with 388 enrollees.
How much do HMO plans cost in Saint Croix?
The typical HMO premium in Saint Croix is $0.00, and 1 plans have no monthly premium.
CMS quality ratings for Medicare Advantage plans in Saint Croix 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) | 0 | 0% |
| 3 Stars | 3 | 100% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 2 | 40% |
| Average Rating | 3.17 | |
* Star ratings are based on CMS quality measures and reflect plan performance for the 2026 rating period.
- 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
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, "Explore your Medicare coverage options" — 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.