- Entity
- county:wisconsin-waushara-55137
- Digest
- 2027-county-ma-aggregate
- Population Scope
- Standard Medicare Advantage plans only; Special Needs Plans (SNPs) excluded
- Source URL
- https://www.medicareplans.com/medicare-advantage/wisconsin/waushara/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-county-plan-index
- Total Standard Medicare Advantage Plans
- 29
- PPO Plans
- 21
- HMO Plans
- 4
- HMO-POS Plans
- 3
- PFFS Plans
- 0
- Average Monthly Premium
- 40.7
- Average MOOP
- 5533.93
- Average Part D Deductible
- 530.91
- $0 Premium Plans
- 18
- Plans Without Part D Coverage
- 7
- Average CMS Star Rating
- 0
- $0 Premium Plan Share
- 62.07
- 5-Star Plan Share
- 0
- 4+ Star Plan Share
- 0
- 3-Star Plan Share
- 0
- Below 3-Star Plan Share
- 0
- Not-Rated Plan Share
- 0
- PPO Average Monthly Premium
- 31.92
- PPO Average MOOP
- 5590.48
- PPO Enrollment
- 2455
- PPO $0 Premium Plans
- 14
- PPO Plans Without Part D Coverage
- 5
- HMO Average Monthly Premium
- 5
- HMO Average MOOP
- 5762.5
- HMO Enrollment
- 509
- HMO $0 Premium Plans
- 3
- HMO Plans Without Part D Coverage
- 1
- HMO-POS Average Monthly Premium
- 163.33
- HMO-POS Average MOOP
- 4833.33
- HMO-POS Enrollment
- 17
- HMO-POS $0 Premium Plans
- 0
- HMO-POS Plans Without Part D Coverage
- 0
- Entity
- county:wisconsin-waushara-55137
- Digest
- 2027-county-ma-aggregate
- Population Scope
- Standard Medicare Advantage plans only; Special Needs Plans (SNPs) excluded
- Source URL
- https://www.medicareplans.com/medicare-advantage/wisconsin/waushara/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-wisconsin-waushara-55137-landscape-stats
- Plans Indexed
- 29
- Standard Medicare Advantage Plans
-
-
Aetna Medicare Eagle
H5521-286-0 -
Aetna Medicare Enhanced
H5521-388-0 -
Aetna Medicare Signature
H5521-289-0 -
Anthem Medicare Advantage 3
H4036-008-0 -
Compass
H5211-003-0 -
Cooperative Medicare Advantage
H7598-004-0 -
Esteem Rx
H5211-012-0 -
Esteem Rx Gold
H5211-015-0 -
Esteem Rx Silver
H5211-014-0 -
Humana Essentials Plus Giveback
H7617-011-0 -
Humana Full Access
H5216-410-0 -
Humana Full Access
H7617-020-0 -
Humana Total Complete
H6622-001-0 -
Humana USAA Honor Giveback
H5216-355-0 -
Humana USAA Honor Giveback
H7617-022-0 -
Humana USAA Honor Giveback
R5361-001-0 -
Humana Value Choice
H5216-253-0 -
Humana Value Choice
H3642-001-0 -
Humana Value Plus H5216-173
H5216-173-0 -
HumanaChoice Giveback H5216-252
H5216-252-0 -
HumanaChoice H5216-001
H5216-001-0 -
HumanaChoice R5361-002
R5361-002-0 -
Legacy Rx
H5211-004-0 -
Network Health Armor
H5215-013-0 -
Network Health Choice
H5215-011-0 -
Network Health PlusRx
H5215-002-0 -
Network Health PremierRx
H5215-005-0 -
Network Health Prime
H1181-001-0 -
Network Health Select
H5215-008-0
-
Aetna Medicare Eagle
- Total Standard Medicare Advantage Enrollment
- 3011
2027 Medicare Advantage Plans in Waushara County, WI
Last update: .
For 2027, Waushara County, WI includes 29 Medicare Advantage plans. Enrollment across these plans totals approximately 3,011, with 18 $0 premium options and (2027 Star Ratings Coming Soon) rated 4 stars or higher.
Totals on this page exclude Medicare Advantage Special Needs Plans (SNPs). SNP plans for Waushara County, WI are provided separately. Or you can discover all Medicare Options in Waushara 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
- 21
- Average Monthly Premium
- $31.92/mo
- Total PPO Enrollment
- 2,455
- $0 Premium PPO Plans
- 14
- Average MOOP
- $5,590
- Top PPO by Enrollment
- Network Health Select (PPO) — 1,022 enrollees
- PPO Plans Without Drug Coverage
- 5
What is the typical premium for PPO plans available in Waushara?
PPO plans in Waushara cost $31.92 per month on average.
Which PPO plan do most beneficiaries choose in Waushara?
The most popular PPO plan in Waushara is Network Health Select (PPO), with 1,022 enrollees.
How many PPO options are offered without drug coverage in Waushara?
5 PPO plans in Waushara 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 4
- Average Monthly Premium $5.00/mo
- Total HMO Enrollment 509
- $0 Premium HMO Plans 3
- Average MOOP $5,763
- Top HMO by Enrollment Humana Total Complete (HMO) — 385 enrollees
- HMO Plans Without Drug Coverage 1
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| Security Health Plan of Wisconsin, Inc. Compass | $0 | $5,000 | N/A | H5211-003-0 | |
| Cooperative Medicare Advantage | $0 | $6,700 | $275 | H7598-004-0 | |
| Esteem Rx | $20 | $7,150 | $550 | H5211-012-0 | |
| Humana Total Complete | $0 | $4,200 | $500 | H6622-001-0 |
What is the total number of HMO plans offered in Waushara?
In 2027, Waushara County has 4 HMO plans with 509 enrollees.
How much do HMO plans cost in Waushara?
The typical HMO premium in Waushara is $5.00, and 3 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
- 3
- Average Monthly Premium
- $163.33/mo
- Total HMO-POS Enrollment
- 17
- $0 Premium HMO-POS Plans
- 0
- Average MOOP
- $4,833
- Top HMO-POS by Enrollment
- Legacy Rx (HMO-POS) — 17 enrollees
- HMO-POS Plans Without Drug Coverage
- 0
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| Esteem Rx Gold | $125 | $5,000 | $300 | H5211-015-0 | |
| Esteem Rx Silver | $65 | $6,500 | $450 | H5211-014-0 | |
| Legacy Rx | $300 | $3,000 | $0 | H5211-004-0 |
- What is the average monthly premium for HMO-POS plans?
- HMO-POS plans in Waushara cost $163.33 per month on average.
- Which HMO-POS plan is most popular in Waushara?
- The most popular HMO-POS plan in Waushara is Legacy Rx (HMO-POS), with 17 enrollees.
- How many HMO-POS plans in Waushara do not include drug coverage?
- There are 0 HMO-POS plans in Waushara without prescription drug coverage.
CMS quality ratings for Medicare Advantage plans in Waushara County, WI (2027) are summarized below.
| 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) | |
* Star ratings are based on CMS quality measures and reflect plan performance for the 2027 rating period.
- CMS.gov, Medicare Advantage & Special Needs Plan Landscape Source Files — Version: 202609
- CMS.gov, Medicare Part C & D Performance Data — Version: 2026
- CMS.gov, Medicare Advantage & Part D Contract and Enrollment Data — Version: 2026-09
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.