2027 plan year · Wisconsin
2027 Medicare Advantage plans in Waupaca County, WI
52 plans from 10 insurers for 2027. 20 general plans have a $0 monthly premium. The lowest in-network out-of-pocket limit is $3,000.
- 34general plans
- 20$0-premium plans
- $3,000lowest out-of-pocket max
- 4.5 ★top star rating
- 18Special Needs Plans
2027 Medicare Advantage plans in Waupaca County, WI
Sorted by Medicare star rating, then monthly premium and out-of-pocket limit. Premiums shown are the plan's own premium; you also keep paying your Part B premium.
| Plan | Monthly premium | Out-of-pocket max | Drug deductible | Star rating |
|---|---|---|---|---|
| Humana Essentials Plus Giveback (PPO) Humana · PPO · includes drug coverage | $0 | $5,250 | $700 | ★★★★★4.5 |
| Humana USAA Honor Giveback (PPO) Humana · PPO · no drug coverage | $0 | $6,000 | — | ★★★★★4.5 |
| Humana Full Access (PPO) Humana · PPO · includes drug coverage | $0 | $6,100 | $700 | ★★★★★4.5 |
| Anthem Medicare Advantage 3 (PPO) Anthem Blue Cross and Blue Shield · PPO · includes drug coverage | $84 | $7,150 | $595 | ★★★★★4.5 |
| Humana Total Complete (HMO) Humana · HMO · includes drug coverage | $0 | $4,200 | $500 | ★★★★★4 |
| Humana Value Choice (PPO) Humana · PPO · includes drug coverage | $0 | $4,450 | $700 | ★★★★★4 |
| Network Health Select (PPO) Network Health Medicare Advantage Plans · PPO · includes drug coverage | $0 | $4,450 | $330 | ★★★★★4 |
| Network Health Armor (PPO) Network Health Medicare Advantage Plans · PPO · no drug coverage | $0 | $4,900 | — | ★★★★★4 |
| Compass (HMO) Security Health Plan of Wisconsin, Inc. · HMO · no drug coverage | $0 | $5,000 | — | ★★★★★4 |
| Network Health Choice (PPO) Network Health Medicare Advantage Plans · PPO · includes drug coverage | $0 | $5,100 | $300 | ★★★★★4 |
| HumanaChoice Giveback H5216-252 (PPO) Humana · PPO · includes drug coverage | $0 | $5,250 | $700 | ★★★★★4 |
| Humana USAA Honor Giveback (PPO) Humana · PPO · no drug coverage | $0 | $6,000 | — | ★★★★★4 |
| Humana Full Access (PPO) Humana · PPO · includes drug coverage | $0 | $6,400 | $700 | ★★★★★4 |
| AARP Medicare Advantage from UHC WI-0014 (HMO-POS) UnitedHealthcare · HMO-POS · includes drug coverage | $0 | $7,150 | $685 | ★★★★★4 |
| AARP Medicare Advantage Patriot No Rx WI-MA02 (HMO-POS) UnitedHealthcare · HMO-POS · no drug coverage | $0 | $7,150 | — | ★★★★★4 |
| Humana Value Plus H5216-173 (PPO) Humana · PPO · includes drug coverage | $6.30 | $9,850 | $700 | ★★★★★4 |
| Esteem Rx (HMO) Security Health Plan of Wisconsin, Inc. · HMO · includes drug coverage | $20 | $7,150 | $550 | ★★★★★4 |
| Humana Gold Choice H8145-006 (PFFS) Humana · PFFS · includes drug coverage | $60 | $7,800 | $700 | ★★★★★4 |
| Esteem Rx Silver (HMO-POS) Security Health Plan of Wisconsin, Inc. · HMO-POS · includes drug coverage | $65 | $6,500 | $450 | ★★★★★4 |
| AARP Medicare Advantage from UHC WI-0011 (HMO-POS) UnitedHealthcare · HMO-POS · includes drug coverage | $69 | $4,450 | $685 | ★★★★★4 |
| HumanaChoice H5216-001 (PPO) Humana · PPO · includes drug coverage | $94 | $4,200 | $700 | ★★★★★4 |
| Network Health PlusRx (PPO) Network Health Medicare Advantage Plans · PPO · includes drug coverage | $105 | $3,400 | $340 | ★★★★★4 |
| Esteem Rx Gold (HMO-POS) Security Health Plan of Wisconsin, Inc. · HMO-POS · includes drug coverage | $125 | $5,000 | $300 | ★★★★★4 |
| Network Health PremierRx (PPO) Network Health Medicare Advantage Plans · PPO · includes drug coverage | $257 | $3,400 | $340 | ★★★★★4 |
| Legacy Rx (HMO-POS) Security Health Plan of Wisconsin, Inc. · HMO-POS · includes drug coverage | $300 | $3,000 | $0 | ★★★★★4 |
| Humana USAA Honor Giveback (Regional PPO) Humana · Regional PPO · no drug coverage | $0 | $6,750 | — | ★★★★★3.5 |
| HumanaChoice R5361-002 (Regional PPO) Humana · Regional PPO · includes drug coverage | $87 | $7,700 | $700 | ★★★★★3.5 |
| AARP Medicare Advantage from UHC WI-6 (PPO) UnitedHealthcare · PPO · includes drug coverage | $56 | $7,150 | $685 | ★★★★★3 |
| AARP Medicare Advantage from UHC WI-0002 (PPO) UnitedHealthcare · PPO · includes drug coverage | $99 | $7,150 | $685 | ★★★★★3 |
| Humana Value Choice (PPO) Humana · PPO · includes drug coverage | $0 | $4,450 | $700 | Plan too new to be measured |
| Cooperative Medicare Advantage (HMO) Group Health Cooperative of Eau Claire · HMO · includes drug coverage | $0 | $6,700 | $275 | Not enough data available |
| HealthPartners Birch (PPO) HealthPartners · PPO · includes drug coverage | $0 | $6,750 | $700 | Plan too new to be measured |
| HealthPartners Cedar (PPO) HealthPartners · PPO · includes drug coverage | $0 | $9,850 | $700 | Plan too new to be measured |
| Network Health Prime (MSA) Network Health Medicare Advantage Plans · MSA · no drug coverage | $0 | — | — | Not rated |
Special Needs Plans (SNPs)
Only for people who qualify: Dual-Eligible plans need both Medicare and Medicaid, Chronic Condition plans need a qualifying condition, and Institutional plans are for nursing home residents.
| Plan | Monthly premium | Out-of-pocket max | Drug deductible | Star rating |
|---|---|---|---|---|
| HumanaChoice - Diabetes and Heart (PPO C-SNP) Humana · PPO C-SNP (Special Needs: Chronic or Disabling Condition) · includes drug coverage | $0 | $4,400 | $500 | ★★★★★4.5 |
| UHC Complete Care WI-20 (HMO-POS C-SNP) UnitedHealthcare · HMO-POS C-SNP (Special Needs: Chronic or Disabling Condition) · includes drug coverage | $0 | $5,900 | $595 | ★★★★★4 |
| HumanaChoice SNP-DE H5216-420 (PPO D-SNP) Humana · PPO D-SNP (Special Needs: Dual-Eligible) · includes drug coverage | $0 | $9,850 | $600 | ★★★★★4 |
| UHC Nursing Home Plan WI-F001 (HMO-POS I-SNP) UnitedHealthcare · HMO-POS I-SNP (Special Needs: Institutional) · includes drug coverage | $0 | $9,850 | $700 | ★★★★★4 |
| UHC Care Advantage WI-E001 (HMO-POS I-SNP) UnitedHealthcare · HMO-POS I-SNP (Special Needs: Institutional) · includes drug coverage | $6.30 | $4,000 | $270 | ★★★★★4 |
| Network Health Cares (PPO D-SNP) Network Health Medicare Advantage Plans · PPO D-SNP (Special Needs: Dual-Eligible) · includes drug coverage | $6.30 | $9,850 | $700 | ★★★★★4 |
| UHC Dual Advantage WI-V1 (HMO-POS D-SNP) UnitedHealthcare · HMO-POS D-SNP (Special Needs: Dual-Eligible) · includes drug coverage | $0 | $5,400 | $145 | ★★★★★3.5 |
| Anthem Dual Advantage Plus (HMO D-SNP) Anthem Blue Cross and Blue Shield · HMO D-SNP (Special Needs: Dual-Eligible) · includes drug coverage | $0 | $9,850 | $105 | ★★★★★3.5 |
| Anthem Full Dual Advantage (HMO D-SNP) Anthem Blue Cross and Blue Shield · HMO D-SNP (Special Needs: Dual-Eligible) · includes drug coverage | $0 | $9,850 | $105 | ★★★★★3.5 |
| Molina My Choice Dual Advantage (HMO D-SNP) Molina Healthcare of Wisconsin · HMO D-SNP (Special Needs: Dual-Eligible) · includes drug coverage | $0 | $9,850 | $605 | ★★★★★3.5 |
| UHC Dual Complete WI-Q1 (HMO-POS D-SNP) UnitedHealthcare · HMO-POS D-SNP (Special Needs: Dual-Eligible) · includes drug coverage | $0 | $9,850 | $75 | ★★★★★3.5 |
| UHC Dual Complete WI-S1 (HMO-POS D-SNP) UnitedHealthcare · HMO-POS D-SNP (Special Needs: Dual-Eligible) · includes drug coverage | $0 | $9,850 | $700 | ★★★★★3.5 |
| Wellcare MHS Health Wisconsin Dual Select (HMO-POS D-SNP) Wellcare · HMO-POS D-SNP (Special Needs: Dual-Eligible) · includes drug coverage | $0 | $5,100 | $700 | ★★★★★3 |
| UHC Complete Care WI-1 (PPO C-SNP) UnitedHealthcare · PPO C-SNP (Special Needs: Chronic or Disabling Condition) · includes drug coverage | $0 | $7,150 | $685 | ★★★★★3 |
| Wellcare MHS Health Wisconsin Dual Liberty Sync (HMO-POS D-SNP) Wellcare · HMO-POS D-SNP (Special Needs: Dual-Eligible) · includes drug coverage | $0 | $9,850 | $700 | ★★★★★3 |
| UHC Dual Advantage WI-V2 (PPO D-SNP) UnitedHealthcare · PPO D-SNP (Special Needs: Dual-Eligible) · includes drug coverage | $6.30 | $9,850 | $700 | ★★★★★3 |
| Cooperative Advantage (HMO D-SNP) Group Health Cooperative of Eau Claire · HMO D-SNP (Special Needs: Dual-Eligible) · includes drug coverage | $0 | $9,850 | $700 | Not enough data available |
| Community Care's Partnership Program (HMO D-SNP) Community Care · HMO D-SNP (Special Needs: Dual-Eligible) · includes drug coverage | $6.30 | $9,850 | $700 | Not enough data available |
What changed from 2026 to 2027
- 7 plans are new here for 2027.
- 10 plans offered here in 2026 aren't listed for 2027 (for example Spirit (HMO-POS), Essence Rx (HMO-POS), Network Health Zero (PPO)). If yours is one of them, the plan should send you a notice explaining your options.
- Of the 45 plans offered both years, 10 raised the monthly premium and 13 lowered it.
Compared by plan ID. Plans that were renamed or merged into another plan may appear as new or ended.
Care quality in Waupaca County
Medicare Advantage plans use networks. Before choosing, check that the hospitals and nursing homes you'd want are in the plan's network, and how they're rated.
Other coverage options
- Stand-alone Part D drug plans in Wisconsin (for people with Original Medicare)
- Marketplace health plans in Waupaca County (for people under 65 or not on Medicare)
- Medicare Advantage vs. Original Medicare
Frequently asked questions
How many Medicare Advantage plans are available in Waupaca County, WI for 2027?
52 plans from 10 insurers: 34 general plans open to anyone with Medicare Parts A and B who lives here, plus 18 Special Needs Plans for people who qualify.
Are there $0-premium Medicare Advantage plans in Waupaca County, WI?
Yes. 20 general plans have a $0 monthly plan premium for 2027. You still pay your Medicare Part B premium, and copays and coinsurance still apply.
What is the highest-rated Medicare Advantage plan in Waupaca County, WI?
Humana Essentials Plus Giveback (PPO) from Humana has the top Medicare star rating here (4.5 stars). Star ratings are given to the insurer's contract, so several plans can share one.
Which plan has the lowest out-of-pocket maximum in Waupaca County, WI?
Legacy Rx (HMO-POS) caps in-network out-of-pocket costs at $3,000 for 2027.