2026 Medicare Special Needs Plans in Oconto County, WI
Last update: . Enrollment data updated: May 2, 2026
Oconto County, WI has 14 Medicare Special Needs Plans available in 2026. These plans serve approximately 1,001 beneficiaries, and roughly 38% achieve 4-star ratings or higher based on CMS data.
D-SNP Plans (Dual Eligible Special Needs Plans)
Dual Eligible Special Needs Plans (D-SNPs) in Oconto County are Medicare Advantage plans for individuals eligible for both Medicare and Medicaid.
- Total D-SNP Plans: 12
- Average Monthly Premium: $11.44/mo
- Beneficiaries Enrolled: 699
- $0 Premium Plans: 2
- Zero Cost Plans: 5
- Top D-SNP by Enrollment: UHC Dual Complete WI-D002 (D-SNP) — 343 enrollees
- Plans without Drug Coverage: 0
| Special Needs Plan | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| Network Health Cares | $21 | 9250.00 | $615 | H5215-007-0 | |
| UHC Dual Complete WI-D002 | $19 | 9250.00 | $615 | H3794-002-0 | |
| UHC Dual Complete WI-D003 | $8 | 9250.00 | $615 | H5253-024-0 | |
| UHC Dual Complete WI-V001 | $17 | 4900.00 | $615 | H3794-004-0 | |
| Anthem Full Dual Advantage | $4 | 9250.00 | $615 | H9525-003-0 | |
| Anthem Full Dual Advantage 2 | $0 | 9250.00 | $590 | H9525-018-0 | |
| HumanaChoice SNP-DE H5216-420 | $15 | 9250.00 | $615 | H5216-420-0 | |
| UHC Dual Complete WI-D001 | $9 | 9250.00 | $615 | H0294-027-0 | |
| Wellcare Dual Access Sync | $13 | 9250.00 | $400 | H8189-001-0 | |
| Wellcare Dual Reserve | $10 | 5100.00 | $615 | H8189-007-0 | |
| My Choice Wisconsin Medicare Dual Advantage Plan | $0 | 9250.00 | $615 | H5209-006-2 | |
| Cooperative Advantage | $21 | 9250.00 | $615 | H7598-003-0 |
What is the most popular D-SNP plan in Oconto County?
UHC Dual Complete WI-D002 (D-SNP) is the top D-SNP in Oconto County, with 343 enrollees.
What is the total number of D-SNP plans in Oconto County?
There are 12 D-SNP plans in 2026, covering 699 enrollees.
C-SNP Plans (Chronic Condition Special Needs Plans)
Chronic Condition Special Needs Plans (C-SNPs) are a category of Medicare Advantage plans offered to beneficiaries with qualifying chronic conditions, as defined by CMS program rules.
| Health Plan Name | CMS Rating* | Premium Per Mo | Network | ||
|---|---|---|---|---|---|
| UHC Complete Care WI-20 | $0 | 5400.00 | $520 | H5253-202-0 | |
| UHC Complete Care WI-1 | $0 | 6700.00 | $600 | H0294-002-0 |
What is the typical premium for C-SNP plans in Oconto County?
C-SNP plans in Oconto County cost $0.00 per month.
Which C-SNP plan do most beneficiaries choose in Oconto County?
The most popular C-SNP plan in Oconto County is UHC Complete Care WI-20 (C-SNP), with 175 enrollees.
How many Chronic Condition SNP plans are offered in Oconto County?
In 2026, Oconto County offers 2 C-SNP plans with 302 enrollees.
- 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
County-level figures shown on this page, including plan counts, enrollment totals, averages, and percentage distributions, reflect Medicare Special Needs Plans (SNP) only and are derived from CMS datasets using a standardized aggregation methodology.
Data sources and methodology documentation .
- CMS.gov, "Medicare Advantage Plan Fact Sheet" — Last accessed 25 May, 2025
- Medicare.gov, "Your coverage options" — Last accessed 23 May, 2025
- Medicare.gov, "Joining a plan" — Last accessed 21 May, 2025
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Data provenance documentation is maintained in alignment 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.