2027 Medicare Special Needs Plans in Wisconsin by County
Medicare Special Needs Plans in Wisconsin vary by eligibility requirements, costs, benefits, and geographic availability. This 2027 directory summarizes statewide D-SNP, C-SNP, and I-SNP data and identifies the most-enrolled plans within each available category. Use the statewide comparisons to explore plan characteristics, then visit your County page to review local plan availability and eligibility requirements.
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Wisconsin Medicare Special Needs Plan Research and Facts
In 2027, Medicare beneficiaries in Wisconsin can explore 28 distinct Special Needs Plans, although availability and eligibility vary by county and SNP type. Of these plans, 21 have a $0 monthly plan premium, while the statewide average premium is $1.58. The average maximum out-of-pocket (MOOP) limit is $8,689.29, and rated plans have an average CMS star rating of 3.62 out of 5. The sections below organize these plans by D-SNP, C-SNP, and I-SNP eligibility category, with comparisons based on costs, ratings, and reported enrollment.
Enrollment figures reflect reported beneficiary participation and should not be interpreted as a measure of plan quality or suitability. Enrollment is influenced by factors such as local plan availability, market competition, and historical participation. Higher enrollment does not necessarily indicate a better plan.
Most-Enrolled D-SNP Plans in Wisconsin
For 2027, Wisconsin has 22 Dual Eligible Special Needs Plans (D-SNPs) for individuals who qualify for both Medicare and Medicaid. Of these, 16 have a $0 monthly plan premium. The average monthly plan premium is $1.72, and the average maximum out-of-pocket (MOOP) limit is $9,404.55. Among rated D-SNPs, the average CMS star rating is 3.53 out of 5. The following table identifies up to 10 D-SNP plans with the highest reported statewide enrollment.
| Provider | Plan ID | Plan Name | Premium | MOOP | Stars | Enrollment |
|---|---|---|---|---|---|---|
| UnitedHealthcare | H3794-002-0 | UHC Dual Complete WI-Q1 | $0.00 | $9,850 | 3.5 / 5 | 23,919 |
| Humana | H5216-420-0 | HumanaChoice SNP-DE H5216-420 | $0.00 | $9,850 | 4.0 / 5 | 9,119 |
| Wellcare by Allwell | H8189-001-0 | Wellcare MHS Health Wisconsin Dual Liberty Sync | $0.00 | $9,850 | 3.0 / 5 | 8,220 |
| UnitedHealthcare | H0294-027-0 | UHC Dual Advantage WI-V2 | $6.30 | $9,850 | 3.0 / 5 | 3,129 |
| Network Health Medicare Advantage Plans | H5215-007-0 | Network Health Cares | $6.30 | $9,850 | 4.0 / 5 | 1,561 |
| My Choice Wisconsin | H5209-006-1 | Molina My Choice Dual Advantage | $0.00 | $9,850 | 3.5 / 5 | 1,363 |
| iCare | H2237-007-0 | iCare Family Care Partnership | $0.00 | $9,250 | 3.5 / 5 | 910 |
| UnitedHealthcare | H3794-004-0 | UHC Dual Advantage WI-V1 | $0.00 | $5,400 | 3.5 / 5 | 789 |
| My Choice Wisconsin | H5209-005-1 | Molina My Choice Partnership | $0.00 | $9,850 | 3.5 / 5 | 777 |
| My Choice Wisconsin | H5209-006-2 | Molina My Choice Dual Advantage | $0.00 | $9,850 | 3.5 / 5 | 493 |
Most-Enrolled C-SNP Plans in Wisconsin
Chronic Condition Special Needs Plans (C-SNPs) serve individuals with qualifying chronic or disabling conditions. In 2027, Wisconsin has 4 C-SNP plans, including 4 with a $0 monthly plan premium. The average monthly plan premium is $0.00, and the average maximum out-of-pocket (MOOP) limit is $5,637.50. Among rated C-SNPs, the average CMS star rating is 3.88 out of 5. Below are the 10 most-enrolled C-SNP plans, or all available plans if fewer than 10 qualify.
| Provider | Plan ID | Plan Name | Premium | MOOP | Stars | Enrollment |
|---|---|---|---|---|---|---|
| UnitedHealthcare | H5253-202-0 | UHC Complete Care WI-20 | $0.00 | $5,900 | 4.0 / 5 | 8,224 |
| UnitedHealthcare | H0294-002-0 | UHC Complete Care WI-1 | $0.00 | $7,150 | 3.0 / 5 | 6,131 |
| UnitedHealthcare | H5253-240-0 | UHC Complete Care WI-21 | $0.00 | $5,100 | 4.0 / 5 | 0 |
| Humana | H7617-121-0 | HumanaChoice - Diabetes and Heart | $0.00 | $4,400 | 4.5 / 5 | 0 |
Most-Enrolled I-SNP Plans in Wisconsin
Institutional Special Needs Plans (I-SNPs) serve eligible individuals who live in qualifying institutions or meet applicable institutional-level care requirements. For 2027, Wisconsin has 2 I-SNP plans, including 1 with a $0 monthly plan premium. The average monthly plan premium is $3.15, and the average maximum out-of-pocket (MOOP) limit is $6,925.00. Among rated I-SNPs, the average CMS star rating is 4 out of 5. The following table ranks up to 10 I-SNP plans by reported statewide enrollment.
| Provider | Plan ID | Plan Name | Premium | MOOP | Stars | Enrollment |
|---|---|---|---|---|---|---|
| UnitedHealthcare | H5253-064-0 | UHC Care Advantage WI-E001 | $6.30 | $4,000 | 4.0 / 5 | 1,284 |
| UnitedHealthcare | H5253-007-0 | UHC Nursing Home Plan WI-F001 | $0.00 | $9,850 | 4.0 / 5 | 1,235 |
- 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: 2026-10
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Data sources and methodology documentation.
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.
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