2026 Medicare Special Needs Plans in Washington County, WI
Last update: . Enrollment data updated: May 2, 2026
Washington County, WI has 18 Medicare Special Needs Plans available in 2026. These plans serve approximately 1,612 beneficiaries, and roughly 47% achieve 4-star ratings or higher based on CMS data.
Most beneficiaries have access to several types of Medicare coverage beyond SNP plans. Visit Medicare Options in Washington County, WI to compare other coverage categories available in your area.
D-SNP Plans (Dual Eligible Special Needs Plans)
Dual Eligible Special Needs Plans (D-SNPs) in Washington County are Medicare Advantage plans for individuals eligible for both Medicare and Medicaid.
- Total D-SNP Plans: 14
- Average Monthly Premium: $12.26/mo
- Beneficiaries Enrolled: 1,082
- $0 Premium Plans: 2
- Zero Cost Plans: 6
- Top D-SNP by Enrollment: UHC Dual Complete WI-D3 (D-SNP) — 384 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-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 | H5209-006-1 | |
| My Choice Wisconsin Partnership Plan | $13 | 9250.00 | $615 | H5209-005-1 | |
| Community Care's Partnership Program | $21 | 9250.00 | $615 | H2034-001-0 |
What is the most popular D-SNP plan in Washington County?
UHC Dual Complete WI-D3 (D-SNP) is the top D-SNP in Washington County, with 384 enrollees.
What is the total number of D-SNP plans in Washington County?
There are 14 D-SNP plans in 2026, covering 1,082 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: 182
- $0 Premium Plans: 0
- Zero Cost Plans:
- Top I-SNP by Enrollment: UHC Care Advantage WI-E001 (I-SNP) — 124 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 Washington County?
Washington County has 2 I-SNP plans for 2026, with 182 enrollees.
How much do I-SNP plans cost in Washington County?
The typical I-SNP premium in Washington County is $14.40, and 0 plans have no monthly premium.
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 Washington County?
C-SNP plans in Washington County cost $0.00 per month.
Which C-SNP plan do most beneficiaries choose in Washington County?
The most popular C-SNP plan in Washington County is UHC Complete Care WI-1 (C-SNP), with 210 enrollees.
How many Chronic Condition SNP plans are offered in Washington County?
In 2026, Washington County offers 2 C-SNP plans with 348 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
MedicarePlans.com is an independent, non-government informational resource and is not affiliated with or endorsed by the U.S. Government or the federal Medicare program.
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.