2026 Medicare Special Needs Plans in Waushara County, WI
Last update: . Enrollment data updated: May 2, 2026
For 2026, Waushara County, WI includes 16 Medicare Special Needs Plans. Enrollment across these plans totals approximately 688, with 33% 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 Waushara County, WI to explore additional plan types and coverage choices.
Dual Eligible Special Needs Plans (D-SNPs)
Dual Eligible Special Needs Plans (D-SNPs) are Medicare Advantage plans for individuals eligible for both Medicare and Medicaid. Plan availability varies by county.
- Total D-SNP Plans
- 14
- Average Monthly Premium
- $12.25/mo
- Beneficiaries Enrolled
- 580
- $0 Premium Plans
- 2
- Zero Cost Plans
- 7
- Top D-SNP by Enrollment
- UHC Dual Complete WI-D002 (D-SNP) — 264 enrollees
- Plans without Drug Coverage
- 0
| Medicare SNP Plan | CMS Stars* | Premium/Mo | MOOP | Rx Ded. | CMS 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 | |
| My Choice Wisconsin Partnership Plan | $13 | 9250.00 | $615 | H5209-005-2 | |
| ICare Family Care Partnership | $21 | 9250.00 | $615 | H2237-007-0 | |
| Cooperative Advantage | $21 | 9250.00 | $615 | H7598-003-0 |
- What is the average monthly premium for D-SNP plans in Waushara County?
- D-SNP plans in Waushara County cost $12.25 per month.
- Which D-SNP plan has the highest enrollment in Waushara County?
- The most popular D-SNP plan in Waushara County is UHC Dual Complete WI-D002 (D-SNP), with 264 enrollees.
- How many D-SNP plans are available in Waushara County?
- In 2026, Waushara County offers 14 D-SNP plans with 580 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
- 108
- $0 Premium C-SNPs
- 2
- Average MOOP
- $12,100
- Most Popular C-SNP
- UHC Complete Care WI-1 (C-SNP) with 60 enrollees
- C-SNPs Without Drug Coverage
- 0
| Plan Name | CMS Stars* | Premium/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 total number of C-SNP plans in Waushara County?
There are 2 C-SNP plans in 2026, covering 108 enrollees.
How much do C-SNP plans cost in Waushara County?
The average C-SNP premium in Waushara County is $0.00 per month, with 2 plans offering $0 premiums.
What is the most popular C-SNP plan in Waushara County?
UHC Complete Care WI-1 (C-SNP) is the top C-SNP in Waushara County, with 60 enrollees.
What is the total number of C-SNP plans in Waushara County?
There are 2 C-SNP plans in 2026, covering 108 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
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, "Compare Original Medicare & Medicare Advantage" — Last accessed 25 May, 2025
- NCOA.org, "5 Steps to Choosing the Right Medicare Plan for You" — Last accessed 22 May, 2025
MedicarePlans.com is an independent informational resource and has no affiliation with, or endorsement from, the U.S. Government or the federal Medicare program.
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.