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2026 Medicare Special Needs Plans in Outagamie County, WI

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In Outagamie County, WI, there are 17 Medicare Special Needs Plans available for 2026. Approximately 3,340 beneficiaries are enrolled, and about 50% are rated 4 stars or higher based on CMS quality ratings.

Special Needs Plans (SNPs) are one coverage option. Other options may include standard Medicare Advantage plans, Medicare prescription drug coverage, and Medicare Supplement insurance. Visit Medicare Options in Outagamie County, WI to explore other types of coverage available locally.

At a Glance

Average Monthly Premium
$11.01/mo
Plans with $0 Premium
4
Average MOOP Limit
$8,065 ($9,250 max.)
Star Ratings (Plan Mix)
4+ Stars: 50% · 3 Stars: 50% · Below 3: 0%
Average Part D Deductible
$574.12
Total SNP Enrollment
3,340
SNP Plans with the Highest Enrollment
(as of September 8, 2026)
1. UHC Dual Complete WI-D3 (D-SNP) — 1,001 enrollees
2. UHC Dual Complete WI-D002 (D-SNP) — 445 enrollees
3. Wellcare Dual Access Sync (D-SNP) — 338 enrollees

D-SNP Plans (Dual Eligible Special Needs Plans)

Dual Eligible Special Needs Plans (D-SNPs) in Outagamie County are Medicare Advantage plans for individuals eligible for both Medicare and Medicaid.

  • Total D-SNP Plans: 13
  • Average Monthly Premium: $12.18/mo
  • Beneficiaries Enrolled: 2,748
  • $0 Premium Plans: 2
  • Zero Cost Plans: 5
  • Top D-SNP by Enrollment: UHC Dual Complete WI-D3 (D-SNP) — 1,001 enrollees
  • Plans without Drug Coverage: 0
Comparison table of 2026 D-SNP Medicare Plans available in Outagamie County, Wisconsin
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-D3
☆☆☆☆☆
 $21 9250.00 $615 H3794-006-0
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
Community Care's Partnership Program
☆☆☆☆☆
 $21 9250.00 $615 H2034-001-0
What is the total number of D-SNP plans in Outagamie County?

There are 13 D-SNP plans in 2026, covering 2,748 enrollees.

How much do D-SNP plans cost in Outagamie County?

The average D-SNP premium in Outagamie County is $12.18 per month, with 2 plans offering $0 premiums.

What is the most popular D-SNP plan in Outagamie County?

UHC Dual Complete WI-D3 (D-SNP) is the top D-SNP in Outagamie County, with 1,001 enrollees.

What is the total number of D-SNP plans in Outagamie County?

There are 13 D-SNP plans in 2026, covering 2,748 enrollees.

I-SNP Plans (Institutional Special Needs Plans)

Institutional Special Needs Plans (I-SNPs) are Medicare Advantage plans for individuals in long-term or institutional care settings. Plan availability varies by county.

Total I-SNP Plans
2
Average Monthly Premium
$14.40/mo
Beneficiaries Enrolled
131
$0 Premium Plans
0
Average MOOP
$6,625
Top I-SNP by Enrollment
UHC Nursing Home Plan WI-F001 (I-SNP) — 77 enrollees
Plans without Drug Coverage
0
Comparison table of 2026 I-SNP Medicare Plans available in Outagamie County, Wisconsin
Health Plan Name CMS Rating* Premium Per Mo Network
UHC Care Advantage WI-E001
☆☆☆☆☆
 $21 4000.00 $270 H5253-064-0
UHC Nursing Home Plan WI-F001
☆☆☆☆☆
 $8 9250.00 $615 H5253-007-0
What is the most popular I-SNP plan in Outagamie County?

UHC Nursing Home Plan WI-F001 (I-SNP) is the top I-SNP in Outagamie County, with 77 enrollees.

What is the total number of I-SNP plans in Outagamie County?

There are 2 I-SNP plans in 2026, covering 131 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.

  • Total C-SNP Plans 2
  • Average Monthly Premium $0.00/mo
  • Beneficiaries Enrolled 461
  • $0 Premium C-SNPs 2
  • Average MOOP $6,050
  • Most Popular C-SNP UHC Complete Care WI-20 (C-SNP) with 286 enrollees
  • C-SNPs Without Drug Coverage 0
Comparison table of 2026 C-SNP Medicare Plans available in Outagamie County, Wisconsin
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 average monthly premium for C-SNP plans in Outagamie County?

C-SNP plans in Outagamie County cost $0.00 per month.

Which C-SNP plan has the highest enrollment in Outagamie County?

The most popular C-SNP plan in Outagamie County is UHC Complete Care WI-20 (C-SNP), with 286 enrollees.

How many C-SNP plans are available in Outagamie County?

In 2026, Outagamie County offers 2 C-SNP plans with 461 enrollees.

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 .

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