2026 Medicare Special Needs Plans in Waupaca County, WI
Last update: . Enrollment data updated: June 13, 2026
In Waupaca County, WI, there are 17 Medicare Special Needs Plans available for 2026. Approximately 1,406 beneficiaries are enrolled, and about 47% 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 Waupaca 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 Waupaca 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: 1,134
- $0 Premium Plans: 2
- Zero Cost Plans: 6
- Top D-SNP by Enrollment: UHC Dual Complete WI-D002 (D-SNP) — 501 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-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 | |
| Cooperative Advantage | $21 | 9250.00 | $615 | H7598-003-0 |
What is the total number of D-SNP plans in Waupaca County?
There are 13 D-SNP plans in 2026, covering 1,134 enrollees.
How much do D-SNP plans cost in Waupaca County?
The average D-SNP premium in Waupaca County is $12.18 per month, with 2 plans offering $0 premiums.
What is the most popular D-SNP plan in Waupaca County?
UHC Dual Complete WI-D002 (D-SNP) is the top D-SNP in Waupaca County, with 501 enrollees.
What is the total number of D-SNP plans in Waupaca County?
There are 13 D-SNP plans in 2026, covering 1,134 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.
| 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 Waupaca County?
UHC Care Advantage WI-E001 (I-SNP) is the top I-SNP in Waupaca County, with 45 enrollees.
What is the total number of I-SNP plans in Waupaca County?
There are 2 I-SNP plans in 2026, covering 73 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 199
- $0 Premium C-SNPs 2
- Average MOOP $12,100
- Most Popular C-SNP UHC Complete Care WI-20 (C-SNP) with 111 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 Waupaca County?
C-SNP plans in Waupaca County cost $0.00 per month.
Which C-SNP plan has the highest enrollment in Waupaca County?
The most popular C-SNP plan in Waupaca County is UHC Complete Care WI-20 (C-SNP), with 111 enrollees.
How many C-SNP plans are available in Waupaca County?
In 2026, Waupaca County offers 2 C-SNP plans with 199 enrollees.
- 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
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 .
- Medicare.gov, "Compare types of Medicare Advantage Plans" — 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
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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.