2026 Medicare Advantage Plans in Shawano County, WI
Last update: . Enrollment data updated: June 13, 2026
In Shawano County, WI, there are 41 Medicare Advantage plans available for 2026. Of these, 29 offer a $0 monthly premium, and about 61% 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 Shawano County, WI. Or explore all Medicare Options available in Shawano 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 26
- Average Monthly Premium $23.65/mo
- Total PPO Enrollment 4,150
- $0 Premium PPO Plans 20
- Average MOOP $5,183
- Top PPO by Enrollment Network Health Select (PPO) — 1,464 enrollees
- PPO Plans Without Drug Coverage 8
What is the total number of PPO plans offered in Shawano?
There are 26 PPO plans in 2026, covering 4,150 beneficiaries.
How much do PPO plans cost in Shawano?
The average PPO premium in Shawano is $23.65 per month, with 20 plans offering $0 premiums.
What is the most popular PPO plan in Shawano?
Network Health Select (PPO) is the top PPO in Shawano, with 1,464 enrollees.
What is the number of PPO plans without Part D coverage in Shawano?
There are 8 PPO plans in Shawano 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
- 2
- Average Monthly Premium
- $0.00/mo
- Total HMO Enrollment
- 628
- $0 Premium HMO Plans
- 2
- Average MOOP
- $5,100
- Top HMO by Enrollment
- Humana Gold Plus H6622-001 (HMO) — 628 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 | |
| Cooperative Medicare Advantage | $0 | $6,000 | $275 | H7598-004-0 |
What is the average monthly premium for HMO plans?
HMO plans in Shawano cost $0.00 per month on average.
Which HMO plan is most popular in Shawano?
The most popular HMO plan in Shawano is Humana Gold Plus H6622-001 (HMO), with 628 enrollees.
How many HMO plans in Shawano do not include drug coverage?
There are 0 HMO plans in Shawano 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 | |
| AARP Medicare Advantage CareFlex from UHC WI-18 | $0 | $6,700 | $600 | H5253-198-0 | |
| AARP Medicare Advantage from UHC WI-0011 | $59 | $4,100 | $440 | H5253-011-0 | |
| AARP Medicare Advantage from UHC WI-0014 | $0 | $5,400 | $520 | H5253-034-0 | |
| 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 |
What is the leading HMO-POS plan in Shawano?
AARP Medicare Advantage from UHC WI-0014 (HMO-POS) is the top HMO-POS in Shawano, with 505 enrollees.
What is the number of HMO-POS plans without Part D coverage in Shawano?
3 HMO-POS plans in Shawano 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
- 12
- $0 Premium PFFS Plans
- 0
- Average MOOP
- $6,800
- Top PFFS by Enrollment
- Humana Gold Choice H8145-006 (PFFS) — 12 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 typical premium for PFFS plans in Shawano?
PFFS plans in Shawano cost $37.00 per month on average.
Which PFFS plan has the most enrollment in Shawano?
The most popular PFFS plan in Shawano is Humana Gold Choice H8145-006 (PFFS), with 12 enrollees.
How many PFFS options are available without prescription drug coverage in Shawano?
There are 0 PFFS plans in Shawano without prescription drug coverage.
The table below shows CMS star ratings for Medicare Advantage plans in Shawano 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) | 22 | 61% |
| 3 Stars | 14 | 39% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 4 | 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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