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2026 Medicare Advantage Plans in Shawano County, WI

Last update: .

For 2026, Shawano County, WI includes 41 Medicare Advantage plans. Enrollment across these plans totals approximately 6,461, with 29 $0 premium options and 61% rated 4 stars or higher.

Totals on this page exclude Medicare Advantage Special Needs Plans (SNPs). SNP plans for Shawano County, WI are provided separately. Or you can discover all Medicare Options in Shawano County, WI.

At a Glance

  • Average Monthly Premium: $27.65/mo
  • $0 Premium Plans: 29
  • Average MOOP: $4,996 ($9,250 max. in 2026)
  • Star Ratings (Plan Mix): 4+ Stars: 61% · 3 Stars: 39% · Below 3: 0%
  • Average Part D Deductible: $426.25
  • Total MA/MAPD Enrollment: 6,461
  • Plans with the Highest Enrollment
    (as of September 8, 2026)
    1. Network Health Select (PPO) — 1,474 enrollees
    2. Network Health Choice (PPO) — 1,036 enrollees
    3. Humana Gold Plus H6622-001 (HMO) — 620 enrollees

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
26
Average Monthly Premium
$23.65/mo
Total PPO Enrollment
4,193
$0 Premium PPO Plans
20
Average MOOP
$5,183
Top PPO by Enrollment
Network Health Select (PPO) — 1,474 enrollees
PPO Plans Without Drug Coverage
8

2026 PPO Medicare Advantage plans in Shawano County, Wisconsin (comparison chart)
PPO Plan Name Rating* Premium MOOP Rx Ded. Plan-ID
Aetna Medicare Eagle
☆☆☆☆☆
 $0 $4,900 N/A H5521-286-0
Aetna Medicare Signature
☆☆☆☆☆
 $0 $5,200 $615 H5521-195-0
Humana Full Access H7617-020
☆☆☆☆☆
 $0 $5,000 $400 H7617-020-0
Humana USAA Honor Giveback
☆☆☆☆☆
 $0 $6,000 N/A H7617-022-0
HumanaChoice Giveback H7617-011
☆☆☆☆☆
 $0 $5,000 $615 H7617-011-0
Network Health Armor
☆☆☆☆☆
 $0 $4,900 N/A H5215-013-0
Network Health Choice
☆☆☆☆☆
 $0 $4,700 $300 H5215-011-0
Network Health PlusRx
☆☆☆☆☆
 $73 $3,400 $340 H5215-002-0
Network Health PremierRx
☆☆☆☆☆
 $226 $3,400 $340 H5215-005-0
Network Health Select
☆☆☆☆☆
 $0 $3,900 $330 H5215-008-0
Network Health Zero
☆☆☆☆☆
 $0 $3,860 $330 H5215-012-0
Anthem Medicare Advantage 3
☆☆☆☆☆
 $68 $4,500 $275 H4036-008-0
Anthem Veteran
☆☆☆☆☆
 $0 $6,751 N/A H4036-024-0
AARP Medicare Advantage from UHC WI-0002
☆☆☆☆☆
 $95 $6,700 $600 H0294-004-0
AARP Medicare Advantage from UHC WI-6
☆☆☆☆☆
 $50 $6,700 $600 H0294-015-0
Aspirus Health Plan Elite
☆☆☆☆☆
 $0 $3,200 N/A H6874-003-0
Aspirus Health Plan Essential Rx
☆☆☆☆☆
 $0 $5,500 $350 H6874-001-0
Humana Full Access H5216-410
☆☆☆☆☆
 $0 $5,000 $400 H5216-410-0
Humana USAA Honor Giveback
☆☆☆☆☆
 $0 $6,000 N/A H5216-355-0
Humana USAA Honor Giveback
☆☆☆☆☆
 $0 $6,000 N/A H5216-258-0
HumanaChoice Giveback H5216-252
☆☆☆☆☆
 $0 $5,000 $615 H5216-252-0
HumanaChoice H5216-253
☆☆☆☆☆
 $0 $4,200 $615 H5216-253-0
Humana USAA Honor Giveback
☆☆☆☆☆
 $0 $6,750 N/A R5361-001-0
HumanaChoice R5361-002
☆☆☆☆☆
 $103 $7,200 $615 R5361-002-0
HealthPartners Birch
☆☆☆☆☆
 $0 $5,000 $300 H6309-001-0
HealthPartners Cedar
☆☆☆☆☆
 $0 $6,000 $300 H6309-002-0

What is the typical premium for PPO plans available in Shawano?

PPO plans in Shawano cost $23.65 per month on average.

Which PPO plan do most beneficiaries choose in Shawano?

The most popular PPO plan in Shawano is Network Health Select (PPO), with 1,474 enrollees.

How many PPO options are offered without drug coverage in Shawano?

8 PPO plans in Shawano 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 2
  • Average Monthly Premium $0.00/mo
  • Total HMO Enrollment 620
  • $0 Premium HMO Plans 2
  • Average MOOP $5,100
  • Top HMO by Enrollment Humana Gold Plus H6622-001 (HMO) — 620 enrollees
  • HMO Plans Without Drug Coverage 0

2026 HMO Medicare Advantage plans in Shawano County, Wisconsin (comparison chart)
Plan Name Rating* Premium MOOP Rx Ded. 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 total number of HMO plans offered in Shawano?

In 2026, Shawano County has 2 HMO plans with 620 enrollees.

How much do HMO plans cost in Shawano?

The typical HMO premium in Shawano is $0.00, and 2 plans have no monthly premium.

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
10
Average Monthly Premium
$45.40/mo
Total HMO-POS Enrollment
1,636
$0 Premium HMO-POS Plans
6
Average MOOP
$4,310
Top HMO-POS by Enrollment
AARP Medicare Advantage from UHC WI-0014 (HMO-POS) — 503 enrollees
HMO-POS Plans Without Drug Coverage
3

2026 HMO-POS Medicare Advantage plans in Shawano County, Wisconsin (comparison chart)
Plan Name Rating* Premium MOOP Rx Ded. 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 average monthly premium for HMO-POS plans?
HMO-POS plans in Shawano cost $45.40 per month on average.
Which HMO-POS plan is most popular in Shawano?
The most popular HMO-POS plan in Shawano is AARP Medicare Advantage from UHC WI-0014 (HMO-POS), with 503 enrollees.
How many HMO-POS plans in Shawano do not include drug coverage?
There are 3 HMO-POS plans in Shawano without prescription drug coverage.

Medicare Advantage PFFS Plans

Private Fee-for-Service (PFFS) plans allow members to visit any Medicare-approved provider that accepts the plan’s payment terms. This provides flexibility in choosing doctors and hospitals, but provider acceptance should be confirmed before receiving care.

  • 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

2026 PFFS Medicare Advantage plans in Shawano County, Wisconsin (comparison chart)
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 Shawano?

There are 1 PFFS plans in 2026, covering 12 enrollees.

How much do PFFS plans cost in Shawano?

The average PFFS premium in Shawano is $37.00 per month, with 0 plans offering $0 premiums.

What is the top PFFS plan in Shawano?

Humana Gold Choice H8145-006 (PFFS) is the top PFFS in Shawano, with 12 enrollees.

What is the number of PFFS plans without Part D coverage in Shawano?

0 PFFS plans in Shawano do not include prescription drug coverage.

CMS quality ratings for Medicare Advantage plans in Shawano County, WI (2026) are summarized below.

Quality Ratings for Medicare Advantage Plans in Shawano County, WI (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

* Star ratings are based on CMS quality measures and reflect plan performance for the 2026 rating period.

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 .

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Data provenance is documented in accordance with the U.S. Core Data for Interoperability (USCDI) Provenance standard .