2026 Medicare Advantage Plans in Walworth County, WI
Last update: . Enrollment data updated: June 13, 2026
In Walworth County, WI, there are 22 Medicare Advantage plans available for 2026. Of these, 11 offer a $0 monthly premium, and about 40% 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 Walworth County, WI. Or explore all Medicare Options available in Walworth 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 13
- Average Monthly Premium $46.39/mo
- Total PPO Enrollment 2,041
- $0 Premium PPO Plans 5
- Average MOOP $6,515
- Top PPO by Enrollment HumanaChoice H5216-006 (PPO) — 419 enrollees
- PPO Plans Without Drug Coverage 5
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| Humana USAA Honor Giveback | $0 | $6,000 | N/A | H7617-022-0 | |
| HumanaChoice H7617-007 | $47 | $9,250 | $615 | H7617-007-0 | |
| 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-0007 | $89 | $6,700 | $600 | H0294-016-0 | |
| Humana USAA Honor Giveback | $0 | $6,000 | N/A | H5216-355-0 | |
| Humana USAA Honor Giveback | $0 | $6,000 | N/A | H5216-258-0 | |
| Humana Value Plus H5216-173 | $21 | $9,250 | $615 | H5216-173-0 | |
| HumanaChoice H5216-006 | $26 | $5,400 | $615 | H5216-006-0 | |
| HumanaChoice H5216-168 | $154 | $4,200 | $615 | H5216-168-0 | |
| 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 total number of PPO plans offered in Walworth?
There are 13 PPO plans in 2026, covering 2,041 beneficiaries.
How much do PPO plans cost in Walworth?
The average PPO premium in Walworth is $46.39 per month, with 5 plans offering $0 premiums.
What is the most popular PPO plan in Walworth?
HumanaChoice H5216-006 (PPO) is the top PPO in Walworth, with 419 enrollees.
What is the number of PPO plans without Part D coverage in Walworth?
There are 5 PPO plans in Walworth 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
- 1,485
- $0 Premium HMO Plans
- 1
- Average MOOP
- $4,200
- Top HMO by Enrollment
- Humana Gold Plus H6622-001 (HMO) — 1,485 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 |
What is the average monthly premium for HMO plans?
HMO plans in Walworth cost $0.00 per month on average.
Which HMO plan is most popular in Walworth?
The most popular HMO plan in Walworth is Humana Gold Plus H6622-001 (HMO), with 1,485 enrollees.
How many HMO plans in Walworth do not include drug coverage?
There are 0 HMO plans in Walworth 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 |
|---|---|---|---|---|---|
| AARP Medicare Advantage CareFlex from UHC WI-18 | $0 | $6,700 | $600 | H5253-198-0 | |
| AARP Medicare Advantage from UHC WI-0012 | $44 | $4,900 | $440 | H5253-030-0 | |
| AARP Medicare Advantage from UHC WI-0017 | $0 | $6,700 | $520 | H5253-097-0 | |
| AARP Medicare Advantage Patriot No Rx WI-MA02 | $0 | $6,700 | N/A | H5253-021-0 | |
| Anthem Medicare Advantage | $0 | $4,400 | $315 | H9525-004-0 |
What is the leading HMO-POS plan in Walworth?
AARP Medicare Advantage from UHC WI-0012 (HMO-POS) is the top HMO-POS in Walworth, with 1,716 enrollees.
What is the number of HMO-POS plans without Part D coverage in Walworth?
1 HMO-POS plans in Walworth 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
- 340
- $0 Premium PFFS Plans
- 0
- Average MOOP
- $6,800
- Top PFFS by Enrollment
- Humana Gold Choice H8145-006 (PFFS) — 340 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 Walworth?
PFFS plans in Walworth cost $37.00 per month on average.
Which PFFS plan has the most enrollment in Walworth?
The most popular PFFS plan in Walworth is Humana Gold Choice H8145-006 (PFFS), with 340 enrollees.
How many PFFS options are available without prescription drug coverage in Walworth?
There are 0 PFFS plans in Walworth without prescription drug coverage.
The table below shows CMS star ratings for Medicare Advantage plans in Walworth 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) | 8 | 40% |
| 3 Stars | 12 | 60% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 1 | 5% |
| Average Rating | 3.7 | |
* 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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