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2027 Medicare Advantage Plans in Sheboygan County, WI

Last update: .

For 2027, Sheboygan County, WI includes 35 Medicare Advantage plans. Enrollment across these plans totals approximately 13,374, with 23 $0 premium options and (2027 Star Ratings Coming Soon) rated 4 stars or higher.

This page and its statistics exclude Medicare Advantage Special Needs Plans (SNPs). Special Needs Plans in Sheboygan County, WI are summarized separately. Visit Medicare Options in Sheboygan County, WI to see more options.

At a Glance

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
$31.86/mo
Total PPO Enrollment
7,900
$0 Premium PPO Plans
17
Average MOOP
$5,746
Top PPO by Enrollment
Network Health Select (PPO) — 2,845 enrollees
PPO Plans Without Drug Coverage
6

2027 PPO Medicare Advantage plans in Sheboygan County, Wisconsin (comparison chart)
PPO Plan Name Rating* Premium MOOP Rx Ded. Plan-ID
AARP Medicare Advantage from UHC WI-0002
☆☆☆☆☆
 $99 $7,150 $685 H0294-004-0
AARP Medicare Advantage from UHC WI-6
☆☆☆☆☆
 $56 $7,150 $685 H0294-015-0
Aetna Medicare Eagle
☆☆☆☆☆
 $0 $5,200 N/A H5521-286-0
Aetna Medicare Enhanced
☆☆☆☆☆
 $40 $5,000 $700 H5521-150-0
Aetna Medicare Signature
☆☆☆☆☆
 $0 $5,500 $700 H5521-195-0
Aetna Medicare Signature Extra
☆☆☆☆☆
 $0 $5,500 $500 H5521-403-0
Aetna Medicare Value Care
☆☆☆☆☆
 $0 $6,350 $400 H5521-400-0
Anthem Medicare Advantage 3
☆☆☆☆☆
 $84 $7,150 $595 H4036-008-0
Anthem Veteran
☆☆☆☆☆
 $0 $6,751 N/A H4036-024-0
Humana Essentials Plus Giveback
☆☆☆☆☆
 $0 $5,250 $700 H7617-011-0
Humana Full Access
☆☆☆☆☆
 $0 $6,100 $700 H7617-020-0
Humana Full Access
☆☆☆☆☆
 $0 $6,400 $700 H5216-410-0
Humana USAA Honor Giveback
☆☆☆☆☆
 $0 $6,000 N/A H5216-355-0
Humana USAA Honor Giveback
☆☆☆☆☆
 $0 $6,000 N/A H7617-022-0
Humana USAA Honor Giveback
☆☆☆☆☆
 $0 $6,750 N/A R5361-001-0
Humana Value Choice
☆☆☆☆☆
 $0 $4,450 $700 H5216-253-0
Humana Value Choice
☆☆☆☆☆
 $0 $4,450 $700 H3642-001-0
Humana Value Plus H5216-173
☆☆☆☆☆
 $6 $9,850 $700 H5216-173-0
HumanaChoice Giveback H5216-252
☆☆☆☆☆
 $0 $5,250 $700 H5216-252-0
HumanaChoice H5216-001
☆☆☆☆☆
 $94 $4,200 $700 H5216-001-0
HumanaChoice R5361-002
☆☆☆☆☆
 $87 $7,700 $700 R5361-002-0
Network Health Armor
☆☆☆☆☆
 $0 $4,900 N/A H5215-013-0
Network Health Choice
☆☆☆☆☆
 $0 $5,100 $300 H5215-011-0
Network Health PlusRx
☆☆☆☆☆
 $105 $3,400 $340 H5215-002-0
Network Health PremierRx
☆☆☆☆☆
 $257 $3,400 $340 H5215-005-0
Network Health Select
☆☆☆☆☆
 $0 $4,450 $330 H5215-008-0

What is the average monthly premium for PPO plans in Sheboygan?

PPO plans in Sheboygan cost $31.86 per month on average.

Which PPO plan has the highest enrollment in Sheboygan?

The most popular PPO plan in Sheboygan is Network Health Select (PPO), with 2,845 enrollees.

How many PPO plans in Sheboygan do not include prescription drug coverage?

6 PPO plans in Sheboygan 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 739
  • $0 Premium HMO Plans 1
  • Average MOOP $4,200
  • Top HMO by Enrollment Humana Total Complete (HMO) — 739 enrollees
  • HMO Plans Without Drug Coverage 0

2027 HMO Medicare Advantage plans in Sheboygan County, Wisconsin (comparison chart)
Plan Name Rating* Premium MOOP Rx Ded. Plan-ID
Humana Total Complete
☆☆☆☆☆
 $0 $4,200 $500 H6622-001-0
What is the top HMO by enrollment in Sheboygan?

Humana Total Complete (HMO) is the top HMO in Sheboygan, with 739 enrollees.

What is the number of HMO plans without Part D coverage in Sheboygan?

0 HMO plans in Sheboygan 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
6
Average Monthly Premium
$17.83/mo
Total HMO-POS Enrollment
4,684
$0 Premium HMO-POS Plans
4
Average MOOP
$5,792
Top HMO-POS by Enrollment
AARP Medicare Advantage from UHC WI-0011 (HMO-POS) — 2,206 enrollees
HMO-POS Plans Without Drug Coverage
1

2027 HMO-POS Medicare Advantage plans in Sheboygan County, Wisconsin (comparison chart)
Plan Name Rating* Premium MOOP Rx Ded. Plan-ID
AARP Medicare Advantage from UHC WI-0011
☆☆☆☆☆
 $69 $4,450 $685 H5253-011-0
AARP Medicare Advantage from UHC WI-0014
☆☆☆☆☆
 $0 $7,150 $685 H5253-034-0
AARP Medicare Advantage Patriot No Rx WI-MA02
☆☆☆☆☆
 $0 $7,150 N/A H5253-021-0
Aetna Medicare Signature
☆☆☆☆☆
 $0 $5,900 $400 H1206-002-0
Anthem Medicare Advantage
☆☆☆☆☆
 $38 $4,300 $240 H9525-006-0
Wellcare Simple
☆☆☆☆☆
 $0 $5,800 $700 H8189-008-0

What is the typical premium for HMO-POS plans in Sheboygan?

HMO-POS plans in Sheboygan cost $17.83 per month on average.

Which HMO-POS plan has the most members in Sheboygan?

The most popular HMO-POS plan in Sheboygan is AARP Medicare Advantage from UHC WI-0011 (HMO-POS), with 2,206 enrollees.

How many HMO-POS options are offered without prescription drug coverage in Sheboygan?

There are 1 HMO-POS plans in Sheboygan 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.

Total PFFS Plans
1
Average Monthly Premium
$60.00/mo
Beneficiaries Enrolled
12
$0 Premium PFFS
0
Average MOOP
$7,800
PFFS with the Highest Enrollment
Humana Gold Choice H8145-006 (PFFS) with 12 enrollees
PFFS Without Drug Coverage
0

2027 PFFS Medicare Advantage plans in Sheboygan County, Wisconsin (comparison chart)
Plan Name Rating* Premium MOOP Rx Ded. Plan-ID
Humana Gold Choice H8145-006
☆☆☆☆☆
 $60 $7,800 $700 H8145-006-0
What is the total number of PFFS plans in Sheboygan?

In 2027, Sheboygan has 1 PFFS plans with 12 enrollees.

How much do PFFS plans cost in Sheboygan?

The typical PFFS premium in Sheboygan is $60.00, and 0 plans have no monthly premium.

CMS quality ratings for Medicare Advantage plans in Sheboygan County, WI (2027) are summarized below.

Medicare Advantage Plan Ratings in Sheboygan County, WI (2027)
Rating Category Number of Plans Percent of Plans
5 Stars (2027 Star Ratings Coming Soon) (2027 Star Ratings Coming Soon)
4 Stars (includes 5 Stars) (2027 Star Ratings Coming Soon) (2027 Star Ratings Coming Soon)
3 Stars (2027 Star Ratings Coming Soon) (2027 Star Ratings Coming Soon)
Below 3 Stars (2027 Star Ratings Coming Soon) (2027 Star Ratings Coming Soon)
Not Rated (2027 Star Ratings Coming Soon) (2027 Star Ratings Coming Soon)
Average Rating (2027 Star Ratings Coming Soon)

* CMS assigns Medicare Advantage star ratings annually based on plan quality and performance measures.

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 .