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  1. 🏠
  2. Special Needs Plans
  3. Wisconsin
  4. Door County

2027 Medicare Special Needs Plans in Door County, WI

Last update: October 5, 2026.

For 2027, Door County, WI includes 10 Medicare Special Needs Plans. Enrollment across these plans totals approximately 222, with 30% rated 4 stars or higher.

Special Needs Plans (SNPs) are designed for specific healthcare or eligibility situations. Other options may also be available. Visit Medicare Options in Door County, WI to explore additional plan types and coverage choices.

  • D-SNP Plans
  • C-SNP Plans

At a Glance

County-level summary of Medicare Special Needs Plan availability and enrollment based on CMS data.

  • Average Monthly Premium: $1.26/mo
  • $0 Premium Plans: 8
  • Average MOOP: $8,860 ($9,250 max. Excludes zero-cost D-SNPs.)
  • Star Ratings (Plan Mix): 4+ Stars: 30% · 3 Stars: 70% · Below 3: 0%
  • Average Part D Deductible: $423.50
  • Total SNP Enrollment: 222
  • SNP Plans with the Highest Enrollment
    (as of October 5, 2026)
    1. UHC Dual Complete WI-Q1 (D-SNP) — 101 enrollees
    2. HumanaChoice SNP-DE H5216-420 (D-SNP) — 98 enrollees
    3. UHC Dual Advantage WI-V2 (D-SNP) — 12 enrollees

This page and its statistics covers Medicare Advantage Special Needs Plans (SNPs). Standard Medicare Advantage plans in Door County, WI are summarized separately. For a broader perspective, explore Wisconsin Medicare Special Needs plans.

Dual Eligible Special Needs Plans (D-SNPs)

Dual Eligible Special Needs Plans (D-SNPs) are Medicare Advantage plans for individuals eligible for both Medicare and Medicaid. Plan availability varies by county.

Total D-SNP Plans
9
Average Monthly Premium
$1.40/mo
Beneficiaries Enrolled
222
$0 Premium Plans
7
Zero Cost Plans
5
Top D-SNP by Enrollment
UHC Dual Complete WI-Q1 (D-SNP) — 101 enrollees
Plans without Drug Coverage
0
2027 D-SNP Medicare plans in Door County, Wisconsin (comparison chart)
Medicare SNP Plan CMS Stars* Premium/Mo MOOP Rx Ded. CMS ID
HumanaChoice SNP-DE H5216-420
☆☆☆☆☆
$0 9850.00 $600 H5216-420-0
Network Health Cares
☆☆☆☆☆
$6 9850.00 $700 H5215-007-0
Anthem Dual Advantage Plus
☆☆☆☆☆
$0 9850.00 $105 H9525-028-0
Anthem Full Dual Advantage
☆☆☆☆☆
$0 9850.00 $105 H9525-027-0
Molina My Choice Dual Advantage
☆☆☆☆☆
$0 9850.00 $605 H5209-006-2
UHC Dual Advantage WI-V1
☆☆☆☆☆
$0 5400.00 $145 H3794-004-0
UHC Dual Complete WI-Q1
☆☆☆☆☆
$0 9850.00 $75 H3794-002-0
UHC Dual Complete WI-S1
☆☆☆☆☆
$0 9850.00 $700 H3794-011-1
UHC Dual Advantage WI-V2
☆☆☆☆☆
$6 9850.00 $700 H0294-027-0
What is the average monthly premium for D-SNP plans in Door County?
D-SNP plans in Door County cost $1.40 per month.
Which D-SNP plan has the highest enrollment in Door County?
The most popular D-SNP plan in Door County is UHC Dual Complete WI-Q1 (D-SNP), with 101 enrollees.
How many D-SNP plans are available in Door County?
In 2027, Door County offers 9 D-SNP plans with 222 enrollees.

Chronic Condition Special Needs Plans (C-SNPs)

Chronic Condition Special Needs Plans (C-SNPs) are Medicare Advantage plans available to beneficiaries who meet CMS eligibility criteria for specific chronic or disabling health conditions.

Total C-SNP Plans
1
Average Monthly Premium
$0.00/mo
Beneficiaries Enrolled
0
$0 Premium C-SNPs
1
Average MOOP
$4,400
Most Popular C-SNP
with 0 enrollees
C-SNPs Without Drug Coverage
0
2027 C-SNP Medicare plans in Door County, Wisconsin (comparison chart)
Plan Name CMS Stars* Premium/Mo Network
HumanaChoice - Diabetes and Heart
☆☆☆☆☆
$0 4400.00 $500 H7617-121-0
What is the total number of C-SNP plans in Door County?

There are 1 C-SNP plans in 2027, covering 0 enrollees.

How much do C-SNP plans cost in Door County?

The average C-SNP premium in Door County is $0.00 per month, with 1 plans offering $0 premiums.

What is the most popular C-SNP plan in Door County?

is the top C-SNP in Door County, with 0 enrollees.

What is the total number of C-SNP plans in Door County?

There are 1 C-SNP plans in 2027, covering 0 enrollees.

  • 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 Medicare Special Needs Plans (SNP) only, based on a consistent aggregation methodology.

Data sources and methodology documentation .

  • Medicare.gov, "Understanding Medicare Advantage Plans" — Last accessed 20 August, 2026
  • Medicare.gov, "Compare Original Medicare & Medicare Advantage" — Last accessed 22 August, 2026
  • NCOA.org, "5 Steps to Choosing the Right Medicare Plan for You" — Last accessed 24 August, 2026

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.

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