2026 Medicare Advantage Plans in Vernon County, WI
Last update: . Enrollment data updated: June 13, 2026
Vernon County, WI has 17 Medicare Advantage plans available in 2026. These include 12 plans with no monthly premium, and roughly 67% are rated at least 4 stars based on CMS data.
Medicare Advantage Special Needs Plans (SNPs) are not included in the figures shown above. View Special Needs Plans in Vernon County, WI. Or explore all Medicare Options available in Vernon 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 10
- Average Monthly Premium $17.70/mo
- Total PPO Enrollment 2,345
- $0 Premium PPO Plans 7
- Average MOOP $6,390
- Top PPO by Enrollment Aetna Medicare Premier (PPO) — 1,001 enrollees
- PPO Plans Without Drug Coverage 6
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| Aetna Medicare Eagle | $0 | $4,900 | N/A | H5521-286-0 | |
| Aetna Medicare Premier | $27 | $5,200 | $615 | H5521-388-0 | |
| Aetna Medicare Signature | $0 | $5,900 | $615 | H5521-289-0 | |
| 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 most popular PPO plan in Vernon?
Aetna Medicare Premier (PPO) is the top PPO in Vernon, with 1,001 enrollees.
What is the number of PPO plans without Part D coverage in Vernon?
There are 6 PPO plans in Vernon 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
- 1
- Average Monthly Premium
- $0.00/mo
- Total HMO Enrollment
- 35
- $0 Premium HMO Plans
- 1
- Average MOOP
- $6,000
- Top HMO by Enrollment
- Cooperative Medicare Advantage (HMO) — 35 enrollees
- HMO Plans Without Drug Coverage
- 0
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| Cooperative Medicare Advantage | $0 | $6,000 | $275 | H7598-004-0 |
What is the typical premium for HMO plans in Vernon?
HMO plans in Vernon cost $0.00 per month on average.
Which HMO plan do most beneficiaries choose in Vernon?
The most popular HMO plan in Vernon is Cooperative Medicare Advantage (HMO), with 35 enrollees.
How many HMO options are offered without prescription drug coverage in Vernon?
There are 0 HMO plans in Vernon without prescription drug coverage.
Medicare Advantage HMO-POS Plans
HMO Point-of-Service (HMO-POS) plans combine HMO network requirements with limited out-of-network access. Care outside the network typically costs more, but HMO-POS plans provide added flexibility compared with standard HMOs.
- Total HMO-POS Plans 5
- Average Monthly Premium $71.20/mo
- Total HMO-POS Enrollment 322
- $0 Premium HMO-POS Plans 3
- Average MOOP $3,180
- Top HMO-POS by Enrollment Esteem Rx (HMO-POS) — 241 enrollees
- HMO-POS Plans Without Drug Coverage 2
| 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 total number of HMO-POS plans in Vernon?
In 2026, Vernon has 5 HMO-POS plans with 322 enrollees.
How much do HMO-POS plans cost in Vernon?
The typical HMO-POS premium in Vernon is $71.20, and 3 plans have no monthly premium.
Below is a breakdown of CMS star ratings for Medicare Advantage plans available in Vernon 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) | 10 | 67% |
| 3 Stars | 5 | 33% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 2 | 12% |
| Average Rating | 4.1 | |
* 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 .
- CMS.gov, "Medicare Advantage Plan Fact Sheet" — 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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Data provenance documentation is maintained in alignment 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.