2026 Medicare Advantage Plans in Washburn County, WI
Last update: . Enrollment data updated: May 2, 2026
For 2026, Washburn County, WI includes 10 Medicare Advantage plans. Enrollment across these plans totals approximately 1,797, with 7 $0 premium options and 63% rated 4 stars or higher.
This page and its statistics exclude Medicare Advantage Special Needs Plans (SNPs). Special Needs Plans in Washburn County, WI are summarized separately. Visit Medicare Options in Washburn County, WI to see more options.
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
- 3
- Average Monthly Premium
- $34.33/mo
- Total PPO Enrollment
- 154
- $0 Premium PPO Plans
- 2
- Average MOOP
- $6,883
- Top PPO by Enrollment
- Humana USAA Honor Giveback (Regional PPO) — 64 enrollees
- PPO Plans Without Drug Coverage
- 2
| Plan Name | CMS Stars* | Premium/Mo | MOOP | Rx Ded. | CMS ID |
|---|---|---|---|---|---|
| AARP Medicare Advantage Patriot No Rx WI-MA01 | $0 | $6,700 | N/A | H0294-014-0 | |
| 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 average monthly premium for PPO plans in Washburn?
- PPO plans in Washburn cost $34.33 per month on average.
- Which PPO plan has the highest enrollment in Washburn?
- The most popular PPO plan in Washburn is Humana USAA Honor Giveback (Regional PPO), with 64 enrollees.
- How many PPO plans in Washburn do not include prescription drug coverage?
- 2 PPO plans in Washburn do not include prescription drug coverage.
Medicare Advantage HMO Plans
Health Maintenance Organization (HMO) plans are built around a defined network of doctors and hospitals. Care is generally covered only within the network, except in emergencies, but this structure often results in lower premiums and out-of-pocket costs.
| Plan Name | CMS Stars* | Premium/Mo | MOOP | Rx Ded. | CMS ID |
|---|---|---|---|---|---|
| Cooperative Medicare Advantage | $0 | $6,000 | $275 | H7598-004-0 |
What is the total number of HMO plans offered in Washburn?
There are 1 HMO plans in 2026, covering 23 enrollees.
How much do HMO plans cost in Washburn?
The average HMO premium in Washburn is $0.00 per month, with 1 plans offering $0 premiums.
What is the top HMO by enrollment in Washburn?
Cooperative Medicare Advantage (HMO) is the top HMO in Washburn, with 23 enrollees.
What is the number of HMO plans without Part D coverage in Washburn?
0 HMO plans in Washburn 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
- 5
- Average Monthly Premium
- $71.20/mo
- Total HMO-POS Enrollment
- 1,620
- $0 Premium HMO-POS Plans
- 3
- Average MOOP
- $3,180
- Top HMO-POS by Enrollment
- Esteem Rx (HMO-POS) — 781 enrollees
- HMO-POS Plans Without Drug Coverage
- 2
| Plan Name | CMS Stars* | Premium/Mo | MOOP | Rx Ded. | CMS 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 average monthly premium for HMO-POS plans?
HMO-POS plans in Washburn cost $71.20 per month on average.
Which HMO-POS plan is most popular in Washburn?
The most popular HMO-POS plan in Washburn is Esteem Rx (HMO-POS), with 781 enrollees.
How many HMO-POS plans in Washburn do not include drug coverage?
There are 2 HMO-POS plans in Washburn without prescription drug coverage.
CMS quality ratings for Medicare Advantage plans in Washburn 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) | 5 | 63% |
| 3 Stars | 3 | 38% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 2 | 20% |
| Average Rating | 4 | |
* CMS assigns Medicare Advantage star ratings annually based on plan quality and performance measures.
- CMS.gov, Medicare Advantage Landscape Source Files — Last accessed May 2, 2026
- CMS.gov, Medicare Part C & D Performance Data — Last accessed May 2, 2026
- CMS.gov, Medicare Advantage & Part D Contract and Enrollment Data — Last accessed May 2, 2026
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, "Compare Original Medicare & Medicare Advantage" — 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 informational resource and has no affiliation with, or endorsement from, 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.