2026 Medicare Special Needs Plans in Walworth County, WI
Last update: . Enrollment data updated: August 15, 2026
In Walworth County, WI, there are 13 Medicare Special Needs Plans available for 2026. Approximately 1,808 beneficiaries are enrolled, and about 38% 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 Walworth County, WI to explore other types of coverage available locally.
D-SNP Plans (Dual Eligible Special Needs Plans)
Dual Eligible Special Needs Plans (D-SNPs) in Walworth County are Medicare Advantage plans for individuals eligible for both Medicare and Medicaid.
| Special Needs Plan | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| UHC Dual Complete WI-D002 | $19 | 9250.00 | $615 | H3794-002-0 | |
| 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 | H5209-006-1 |
What is the total number of D-SNP plans in Walworth County?
Walworth County has 9 D-SNP plans for 2026, with 1,143 enrollees.
How much do D-SNP plans cost in Walworth County?
The typical D-SNP premium in Walworth County is $9.73, and 2 plans have no monthly premium.
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: 60
- $0 Premium Plans: 0
- Zero Cost Plans:
- Top I-SNP by Enrollment: UHC Care Advantage WI-E001 (I-SNP) — 39 enrollees
- Plans without Drug Coverage: 0
| 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 total number of I-SNP plans in Walworth County?
There are 2 I-SNP plans in 2026, covering 60 enrollees.
How much do I-SNP plans cost in Walworth County?
The average I-SNP premium in Walworth County is $14.40 per month, with 0 plans offering $0 premiums.
What is the most popular I-SNP plan in Walworth County?
UHC Care Advantage WI-E001 (I-SNP) is the top I-SNP in Walworth County, with 39 enrollees.
What is the total number of I-SNP plans in Walworth County?
There are 2 I-SNP plans in 2026, covering 60 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 605
- $0 Premium C-SNPs 2
- Average MOOP $12,100
- Most Popular C-SNP UHC Complete Care WI-1 (C-SNP) with 307 enrollees
- C-SNPs Without Drug Coverage 0
| 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 Walworth County?
- C-SNP plans in Walworth County cost $0.00 per month.
- Which C-SNP plan has the highest enrollment in Walworth County?
- The most popular C-SNP plan in Walworth County is UHC Complete Care WI-1 (C-SNP), with 307 enrollees.
- How many C-SNP plans are available in Walworth County?
- In 2026, Walworth County offers 2 C-SNP plans with 605 enrollees.
- CMS.gov, Medicare Advantage Landscape Source Files — Last accessed August 15, 2026
- CMS.gov, Medicare Part C & D Performance Data — Last accessed August 15, 2026
- CMS.gov, Medicare Advantage & Part D Contract and Enrollment Data — Last accessed August 15, 2026
This page presents county-level Medicare Special Needs Plans (SNP) data, including plan counts, enrollment totals, averages, and percentage distributions, derived from CMS datasets using a standardized aggregation approach.
Data sources and methodology documentation .
- Medicare.gov, "Compare types of Medicare Advantage Plans" — Last accessed 25 May, 2025
- Medicare.gov, "Your coverage options" — Last accessed 23 May, 2025
- AARP.org, "The Big Choice: Original Medicare vs. Medicare Advantage" — Last accessed 20 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.