2026 Medicare Special Needs Plans in Sheboygan County, WI
Last update: . Enrollment data updated: June 13, 2026
For 2026, Sheboygan County, WI includes 15 Medicare Special Needs Plans. Enrollment across these plans totals approximately 2,481, with 47% 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 Sheboygan County, WI to explore additional plan types and coverage choices.
Medicare Dual Eligible Special Needs Plans (D-SNPs)
Dual Eligible Special Needs Plans (D-SNPs) are Medicare Advantage plans that integrate Medicare and Medicaid benefits for beneficiaries who meet dual-eligibility criteria defined by CMS.
- Total D-SNP Plans
- 11
- Average Monthly Premium
- $10.56/mo
- Beneficiaries Enrolled
- 1,831
- $0 Premium Plans
- 2
- Zero Cost Plans
- 4
- Top D-SNP by Enrollment
- UHC Dual Complete WI-D002 (D-SNP) — 758 enrollees
- Plans without Drug Coverage
- 0
| SNP Plan Name | Rating* | Premium | MOOP | Rx Ded. | 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 |
What is the typical premium for D-SNP plans in Sheboygan County?
D-SNP plans in Sheboygan County cost $10.56 per month.
Which D-SNP plan do most beneficiaries choose in Sheboygan County?
The most popular D-SNP plan in Sheboygan County is UHC Dual Complete WI-D002 (D-SNP), with 758 enrollees.
How many Dual Eligible SNP plans are offered in Sheboygan County?
In 2026, Sheboygan County offers 11 D-SNP plans with 1,831 enrollees.
Institutional Special Needs Plans (I-SNPs)
Institutional Special Needs Plans (I-SNPs) are Medicare Advantage plans for individuals who reside in or require institutional-level care. Plan availability varies by county.
- Total I-SNP Plans
- 2
- Average Monthly Premium
- $14.40/mo
- Beneficiaries Enrolled
- 162
- $0 Premium Plans
- 0
- Average MOOP
- $13,250
- Top I-SNP by Enrollment
- UHC Nursing Home Plan WI-F001 (I-SNP) — 96 enrollees
- Plans without Drug Coverage
- 0
| SNP Plan Name | Rating* | Premium | 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 average monthly premium for I-SNP plans in Sheboygan County?
- I-SNP plans in Sheboygan County cost $14.40 per month.
- Which I-SNP plan has the highest enrollment in Sheboygan County?
- The most popular I-SNP plan in Sheboygan County is UHC Nursing Home Plan WI-F001 (I-SNP), with 96 enrollees.
- How many I-SNP plans are available in Sheboygan County?
- In 2026, Sheboygan County offers 2 I-SNP plans with 162 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
- 2
- Average Monthly Premium
- $0.00/mo
- Beneficiaries Enrolled
- 488
- $0 Premium C-SNPs
- 2
- Average MOOP
- $12,100
- Most Popular C-SNP
- UHC Complete Care WI-20 (C-SNP) with 304 enrollees
- C-SNPs Without Drug Coverage
- 0
| SNP Plan Name | Rating* | Premium | 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 total number of C-SNP plans in Sheboygan County?
Sheboygan County has 2 C-SNP plans for 2026, with 488 enrollees.
How much do C-SNP plans cost in Sheboygan County?
The typical C-SNP premium in Sheboygan County is $0.00, and 2 plans have no monthly premium.
- CMS.gov, Medicare Advantage Landscape Source Files — Last accessed June 13, 2026
- CMS.gov, Medicare Part C & D Performance Data — Last accessed June 13, 2026
- CMS.gov, Medicare Advantage & Part D Contract and Enrollment Data — Last accessed June 13, 2026
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 24 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 22 May, 2025
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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.