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2027 Medicare Special Needs Plans in Winnebago County, WI

Last update: .

For 2027, Winnebago County, WI includes 17 Medicare Special Needs Plans. Enrollment across these plans totals approximately 2,911, with 35% 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 Winnebago County, WI to explore additional plan types and coverage choices.

At a Glance

  • Average Monthly Premium: $1.11/mo
  • $0 Premium Plans: 14
  • Average MOOP: $8,253 ($9,250 max. Excludes zero-cost D-SNPs.)
  • Star Ratings (Plan Mix): 4+ Stars: 35% · 3 Stars: 65% · Below 3: 0%
  • Average Part D Deductible: $482.94
  • Total SNP Enrollment: 2,911
  • SNP Plans with the Highest Enrollment
    (as of October 5, 2026)
    1. UHC Dual Complete WI-Q1 (D-SNP) — 1,027 enrollees
    2. Wellcare MHS Health Wisconsin Dual Liberty Sync (D-SNP) — 429 enrollees
    3. HumanaChoice SNP-DE H5216-420 (D-SNP) — 377 enrollees

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

Medicare Dual Eligible Special Needs Plans (D-SNPs)

Dual Eligible Special Needs Plans (D-SNPs) are Medicare Advantage plans that integrate Medicare and Medicaid benefits for beneficiaries who meet dual-eligibility criteria defined by CMS.

Total D-SNP Plans
12
Average Monthly Premium
$1.05/mo
Beneficiaries Enrolled
2,345
$0 Premium Plans
10
Zero Cost Plans
7
Top D-SNP by Enrollment
UHC Dual Complete WI-Q1 (D-SNP) — 1,027 enrollees
Plans without Drug Coverage
0
2027 D-SNP Medicare plans in Winnebago County, Wisconsin (comparison chart)
SNP Plan Name Rating* Premium MOOP Rx Ded. 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
Molina My Choice Dual Advantage
☆☆☆☆☆
 $0 9850.00 $605 H5209-006-2
Molina My Choice Partnership
☆☆☆☆☆
 $0 9850.00 $325 H5209-005-2
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 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

What is the typical premium for D-SNP plans in Winnebago County?

D-SNP plans in Winnebago County cost $1.05 per month.

Which D-SNP plan do most beneficiaries choose in Winnebago County?

The most popular D-SNP plan in Winnebago County is UHC Dual Complete WI-Q1 (D-SNP), with 1,027 enrollees.

How many Dual Eligible SNP plans are offered in Winnebago County?

In 2027, Winnebago County offers 12 D-SNP plans with 2,345 enrollees.

Institutional Special Needs Plans (I-SNPs)

Institutional Special Needs Plans (I-SNPs) are Medicare Advantage plans for individuals who reside in or require institutional-level care. Plan availability varies by county.

Total I-SNP Plans
2
Average Monthly Premium
$3.15/mo
Beneficiaries Enrolled
99
$0 Premium Plans
1
Average MOOP
$6,925
Top I-SNP by Enrollment
UHC Nursing Home Plan WI-F001 (I-SNP) — 79 enrollees
Plans without Drug Coverage
0
2027 I-SNP Medicare plans in Winnebago County, Wisconsin (comparison chart)
SNP Plan Name Rating* Premium 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 average monthly premium for I-SNP plans in Winnebago County?
I-SNP plans in Winnebago County cost $3.15 per month.
Which I-SNP plan has the highest enrollment in Winnebago County?
The most popular I-SNP plan in Winnebago County is UHC Nursing Home Plan WI-F001 (I-SNP), with 79 enrollees.
How many I-SNP plans are available in Winnebago County?
In 2027, Winnebago County offers 2 I-SNP plans with 99 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
3
Average Monthly Premium
$0.00/mo
Beneficiaries Enrolled
467
$0 Premium C-SNPs
3
Average MOOP
$5,817
Most Popular C-SNP
UHC Complete Care WI-20 (C-SNP) with 288 enrollees
C-SNPs Without Drug Coverage
0
2027 C-SNP Medicare plans in Winnebago County, Wisconsin (comparison chart)
SNP Plan Name Rating* Premium 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 total number of C-SNP plans in Winnebago County?

Winnebago County has 3 C-SNP plans for 2027, with 467 enrollees.

How much do C-SNP plans cost in Winnebago County?

The typical C-SNP premium in Winnebago County is $0.00, and 3 plans have no monthly premium.

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 .

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Data provenance is documented in accordance with the U.S. Core Data for Interoperability (USCDI) Provenance standard .