- Entity
- county:wisconsin-walworth-55127
- Digest
- 2026-county-ma-aggregate
- Population Scope
- Standard Medicare Advantage plans only; Special Needs Plans (SNPs) excluded
- Source URL
- https://www.medicareplans.com/medicare-advantage/wisconsin/walworth/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-county-plan-index
- Total Standard Medicare Advantage Plans
- 21
- PPO Plans
- 13
- HMO Plans
- 1
- HMO-POS Plans
- 5
- PFFS Plans
- 1
- Average Monthly Premium
- 32.58
- Average MOOP
- 6255.05
- Average Part D Deductible
- 546.79
- $0 Premium Plans
- 11
- Plans Without Part D Coverage
- 7
- Average CMS Star Rating
- 3.7
- $0 Premium Plan Share
- 52.38
- 5-Star Plan Share
- 0
- 4+ Star Plan Share
- 40
- 3-Star Plan Share
- 60
- Below 3-Star Plan Share
- 0
- Not-Rated Plan Share
- 5
- PPO Average Monthly Premium
- 46.39
- PPO Average MOOP
- 6515.46
- PPO Enrollment
- 2049
- PPO $0 Premium Plans
- 5
- PPO Plans Without Part D Coverage
- 5
- HMO Average Monthly Premium
- 0
- HMO Average MOOP
- 4200
- HMO Enrollment
- 1487
- HMO $0 Premium Plans
- 1
- HMO Plans Without Part D Coverage
- 0
- HMO-POS Average Monthly Premium
- 8.8
- HMO-POS Average MOOP
- 5880
- HMO-POS Enrollment
- 4160
- HMO-POS $0 Premium Plans
- 4
- HMO-POS Plans Without Part D Coverage
- 1
- PFFS Average Monthly Premium
- 37
- PFFS Average MOOP
- 6800
- PFFS Enrollment
- 339
- PFFS $0 Premium Plans
- 0
- PFFS Plans Without Part D Coverage
- 0
- Entity
- county:wisconsin-walworth-55127
- Digest
- 2026-county-ma-aggregate
- Population Scope
- Standard Medicare Advantage plans only; Special Needs Plans (SNPs) excluded
- Source URL
- https://www.medicareplans.com/medicare-advantage/wisconsin/walworth/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-wisconsin-walworth-55127-landscape-stats
- Plans Indexed
- 21
- Standard Medicare Advantage Plans
-
-
Humana USAA Honor Giveback
H7617-022-0 -
HumanaChoice H7617-007
H7617-007-0 -
AARP Medicare Advantage CareFlex from UHC WI-18
H5253-198-0 -
AARP Medicare Advantage from UHC WI-0012
H5253-030-0 -
AARP Medicare Advantage from UHC WI-0017
H5253-097-0 -
AARP Medicare Advantage Patriot No Rx WI-MA02
H5253-021-0 -
Anthem Medicare Advantage 3
H4036-008-0 -
Anthem Veteran
H4036-024-0 -
AARP Medicare Advantage from UHC WI-0002
H0294-004-0 -
AARP Medicare Advantage from UHC WI-0007
H0294-016-0 -
Anthem Medicare Advantage
H9525-004-0 -
Humana Gold Choice H8145-006
H8145-006-0 -
Humana Gold Plus H6622-001
H6622-001-0 -
Humana USAA Honor Giveback
H5216-355-0 -
Humana USAA Honor Giveback
H5216-258-0 -
Humana Value Plus H5216-173
H5216-173-0 -
HumanaChoice H5216-006
H5216-006-0 -
HumanaChoice H5216-168
H5216-168-0 -
Humana USAA Honor Giveback
R5361-001-0 -
HumanaChoice R5361-002
R5361-002-0 -
Network Health Prime
H1181-001-0
-
Humana USAA Honor Giveback
- Total Standard Medicare Advantage Enrollment
- 8072
2026 Medicare Advantage Plans in Walworth County, WI
Last update: .
For 2026, Walworth County, WI includes 22 Medicare Advantage plans. Enrollment across these plans totals approximately 8,072, with 11 $0 premium options and 40% rated 4 stars or higher.
Totals on this page exclude Medicare Advantage Special Needs Plans (SNPs). SNP plans for Walworth County, WI are provided separately. Or you can discover all Medicare Options in Walworth County, WI.
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
- 13
- Average Monthly Premium
- $46.39/mo
- Total PPO Enrollment
- 2,049
- $0 Premium PPO Plans
- 5
- Average MOOP
- $6,515
- Top PPO by Enrollment
- HumanaChoice H5216-006 (PPO) — 418 enrollees
- PPO Plans Without Drug Coverage
- 5
| PPO Plan Name | Rating* | Premium | MOOP | Rx Ded. | 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 typical premium for PPO plans available in Walworth?
PPO plans in Walworth cost $46.39 per month on average.
Which PPO plan do most beneficiaries choose in Walworth?
The most popular PPO plan in Walworth is HumanaChoice H5216-006 (PPO), with 418 enrollees.
How many PPO options are offered without drug coverage in Walworth?
5 PPO plans in Walworth 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 1,487
- $0 Premium HMO Plans 1
- Average MOOP $4,200
- Top HMO by Enrollment Humana Gold Plus H6622-001 (HMO) — 1,487 enrollees
- HMO Plans Without Drug Coverage 0
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| Humana Gold Plus H6622-001 | $0 | $4,200 | $615 | H6622-001-0 |
What is the total number of HMO plans offered in Walworth?
In 2026, Walworth County has 1 HMO plans with 1,487 enrollees.
How much do HMO plans cost in Walworth?
The typical HMO premium in Walworth is $0.00, and 1 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
- 5
- Average Monthly Premium
- $8.80/mo
- Total HMO-POS Enrollment
- 4,160
- $0 Premium HMO-POS Plans
- 4
- Average MOOP
- $5,880
- Top HMO-POS by Enrollment
- AARP Medicare Advantage from UHC WI-0012 (HMO-POS) — 1,725 enrollees
- HMO-POS Plans Without Drug Coverage
- 1
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | 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 average monthly premium for HMO-POS plans?
- HMO-POS plans in Walworth cost $8.80 per month on average.
- Which HMO-POS plan is most popular in Walworth?
- The most popular HMO-POS plan in Walworth is AARP Medicare Advantage from UHC WI-0012 (HMO-POS), with 1,725 enrollees.
- How many HMO-POS plans in Walworth do not include drug coverage?
- There are 1 HMO-POS plans in Walworth 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 339
- $0 Premium PFFS Plans 0
- Average MOOP $6,800
- Top PFFS by Enrollment Humana Gold Choice H8145-006 (PFFS) — 339 enrollees
- PFFS Plans Without Drug Coverage 0
| 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 Walworth?
There are 1 PFFS plans in 2026, covering 339 enrollees.
How much do PFFS plans cost in Walworth?
The average PFFS premium in Walworth is $37.00 per month, with 0 plans offering $0 premiums.
What is the top PFFS plan in Walworth?
Humana Gold Choice H8145-006 (PFFS) is the top PFFS in Walworth, with 339 enrollees.
What is the number of PFFS plans without Part D coverage in Walworth?
0 PFFS plans in Walworth do not include prescription drug coverage.
CMS quality ratings for Medicare Advantage plans in Walworth County, WI (2026) are summarized below.
| 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 | |
* Star ratings are based on CMS quality measures and reflect plan performance for the 2026 rating period.
- CMS.gov, Medicare Advantage & Special Needs Plan Landscape Source Files — Version: 202608
- CMS.gov, Medicare Part C & D Performance Data — Version: 2026
- CMS.gov, Medicare Advantage & Part D Contract and Enrollment Data — Version: 2026-08
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 .
- Medicare.gov, "Understanding Medicare Advantage Plans" — Last accessed 25 May, 2025
- Medicare.gov, "Explore your Medicare coverage options" — Last accessed 25 May, 2025
- NCOA.org, "5 Steps to Choosing the Right Medicare Plan for You" — Last accessed 25 May, 2025
MedicarePlans.com is an independent, non-government informational resource and is not affiliated with or endorsed by the U.S. Government or the federal Medicare program.
Data provenance is documented in accordance 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.