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2027 Medicare Special Needs Plans in Waukesha County, WI

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In Waukesha County, WI, there are 20 Medicare Special Needs Plans available for 2027. Approximately 2,877 beneficiaries are enrolled, and about 32% 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 Waukesha County, WI to explore other types of coverage available locally.

At a Glance

Average Monthly Premium
$1.58/mo
Plans with $0 Premium
15
Average MOOP Limit
$8,463 ($9,250 max.)
Star Ratings (Plan Mix)
4+ Stars: 32% · 3 Stars: 68% · Below 3: 0%
Average Part D Deductible
$480.50
Total SNP Enrollment
2,877
SNP Plans with the Highest Enrollment
(as of October 5, 2026)
1. UHC Dual Complete WI-Q1 (D-SNP) — 661 enrollees
2. UHC Complete Care WI-20 (C-SNP) — 483 enrollees
3. UHC Complete Care WI-1 (C-SNP) — 432 enrollees

This page and its statistics covers Medicare Advantage Special Needs Plans (SNPs). Standard Medicare Advantage plans in Waukesha County, WI are summarized separately. For a broader perspective, explore Wisconsin Medicare Special Needs plans.

D-SNP Plans (Dual Eligible Special Needs Plans)

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

  • Total D-SNP Plans: 15
  • Average Monthly Premium: $1.68/mo
  • Beneficiaries Enrolled: 1,593
  • $0 Premium Plans: 11
  • Zero Cost Plans: 10
  • Top D-SNP by Enrollment: UHC Dual Complete WI-Q1 (D-SNP) — 661 enrollees
  • Plans without Drug Coverage: 0
Comparison table of 2027 D-SNP Medicare Plans available in Waukesha County, Wisconsin
Special Needs Plan CMS Rating* Premium Per Mo MOOP PDP Ded. CMS Plan ID
HumanaChoice SNP-DE H5216-420
☆☆☆☆☆
 $0 9850.00 $600 H5216-420-0
Network Health Cares
☆☆☆☆☆
 $6 9850.00 $700 H5215-007-0
Anthem Dual Advantage Plus
☆☆☆☆☆
 $0 9850.00 $105 H9525-028-0
Anthem Full Dual Advantage
☆☆☆☆☆
 $0 9850.00 $105 H9525-027-0
ICare Family Care Partnership
☆☆☆☆☆
 $0 9250.00 $0 H2237-007-0
Molina My Choice Dual Advantage
☆☆☆☆☆
 $0 9850.00 $605 H5209-006-1
Molina My Choice Partnership
☆☆☆☆☆
 $0 9850.00 $325 H5209-005-1
UHC Dual Advantage WI-V1
☆☆☆☆☆
 $0 5400.00 $145 H3794-004-0
UHC Dual Complete WI-Q1
☆☆☆☆☆
 $0 9850.00 $75 H3794-002-0
UHC Dual Complete WI-S1
☆☆☆☆☆
 $0 9850.00 $700 H3794-011-1
UHC Dual Complete WI-YL
☆☆☆☆☆
 $6 9850.00 $700 H3794-010-0
UHC Dual Advantage WI-V2
☆☆☆☆☆
 $6 9850.00 $700 H0294-027-0
Wellcare MHS Health Wisconsin Dual Liberty Sync
☆☆☆☆☆
 $0 9850.00 $700 H8189-001-0
Wellcare MHS Health Wisconsin Dual Select
☆☆☆☆☆
 $0 5100.00 $700 H8189-007-0
Community Care's Partnership Program
☆☆☆☆☆
 $6 9850.00 $700 H2034-001-0
What is the total number of D-SNP plans in Waukesha County?

There are 15 D-SNP plans in 2027, covering 1,593 enrollees.

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

The average D-SNP premium in Waukesha County is $1.68 per month, with 11 plans offering $0 premiums.

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

UHC Dual Complete WI-Q1 (D-SNP) is the top D-SNP in Waukesha County, with 661 enrollees.

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

There are 15 D-SNP plans in 2027, covering 1,593 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
$3.15/mo
Beneficiaries Enrolled
369
$0 Premium Plans
1
Average MOOP
$6,925
Top I-SNP by Enrollment
UHC Care Advantage WI-E001 (I-SNP) — 223 enrollees
Plans without Drug Coverage
0
Comparison table of 2027 I-SNP Medicare Plans available in Waukesha County, Wisconsin
Health Plan Name CMS Rating* Premium Per Mo Network
UHC Care Advantage WI-E001
☆☆☆☆☆
 $6 4000.00 $270 H5253-064-0
UHC Nursing Home Plan WI-F001
☆☆☆☆☆
 $0 9850.00 $700 H5253-007-0
What is the most popular I-SNP plan in Waukesha County?

UHC Care Advantage WI-E001 (I-SNP) is the top I-SNP in Waukesha County, with 223 enrollees.

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

There are 2 I-SNP plans in 2027, covering 369 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 3
  • Average Monthly Premium $0.00/mo
  • Beneficiaries Enrolled 915
  • $0 Premium C-SNPs 3
  • Average MOOP $5,817
  • Most Popular C-SNP UHC Complete Care WI-20 (C-SNP) with 483 enrollees
  • C-SNPs Without Drug Coverage 0
Comparison table of 2027 C-SNP Medicare Plans available in Waukesha County, Wisconsin
Health Plan Name CMS Rating* Premium Per Mo Network
HumanaChoice - Diabetes and Heart
☆☆☆☆☆
 $0 4400.00 $500 H7617-121-0
UHC Complete Care WI-20
☆☆☆☆☆
 $0 5900.00 $595 H5253-202-0
UHC Complete Care WI-1
☆☆☆☆☆
 $0 7150.00 $685 H0294-002-0

What is the average monthly premium for C-SNP plans in Waukesha County?

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

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

The most popular C-SNP plan in Waukesha County is UHC Complete Care WI-20 (C-SNP), with 483 enrollees.

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

In 2027, Waukesha County offers 3 C-SNP plans with 915 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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