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Medicare plans in Door County, WI — 2026
What agents look up before working a county: plan count, carriers, $0-premium share, star distribution, MOOP range, the 65+ and 60–64 population, and what changed since last year.
In 2026, Door County, Wisconsin has 49 Medicare plans (20 Medicare Advantage with drug coverage, 9 without, 10 standalone Part D, 10 Special Needs) from 10 carriers. 13 Medicare Advantage plans have a $0 premium. The lowest in-network out-of-pocket maximum is $1,500.
Market snapshot
- Residents 65 and older
- 9,871
- Residents 60–64, aging in over the next five years
- 2,751
- Medicare eligibles
- 11,484
- Medicare Advantage penetration
- 47.2%
- Plans per 1,000 residents 65+
- 5
Carriers by number of plans
- Humana — 13 plans
- UnitedHealthcare — 13 plans
- Network Health Medicare Advantage Plans — 7 plans
- Security Health Plan of Wisconsin, Inc. — 5 plans
- Anthem Blue Cross and Blue Shield — 3 plans
- HealthPartners — 2 plans
- HealthSpring — 2 plans
- Wellcare — 2 plans
Plans sorted by CMS star rating, then premium
| Plan | Carrier | Category | Plan type | Monthly premium | Drug deductible | Out-of-pocket maximum | Star rating |
|---|
| Esteem Rx (HMO-POS) (H5211-012-0) | Security Health Plan of Wisconsin, Inc. | MA-PD | HMO-POS | $0 | $250 | $5,000 | 4.5 |
|---|
| Humana Full Access H7617-020 (PPO) (H7617-020-0) | Humana | MA-PD | PPO | $0 | $400 | $5,000 | 4.5 |
|---|
| Network Health Choice (PPO) (H5215-011-0) | Network Health Medicare Advantage Plans | MA-PD | PPO | $0 | $300 | $4,700 | 4.5 |
|---|
| Network Health Select (PPO) (H5215-008-0) | Network Health Medicare Advantage Plans | MA-PD | PPO | $0 | $330 | $3,900 | 4.5 |
|---|
| Network Health Cares (PPO D-SNP) (H5215-007-0) | Network Health Medicare Advantage Plans | SNP | PPO D-SNP | $21.10 | $615 | $9,250 | 4.5 |
|---|
| Network Health PlusRx (PPO) (H5215-002-0) | Network Health Medicare Advantage Plans | MA-PD | PPO | $73 | $340 | $3,400 | 4.5 |
|---|
| Essence Rx (HMO-POS) (H5211-002-0) | Security Health Plan of Wisconsin, Inc. | MA-PD | HMO-POS | $87 | $330 | $3,800 | 4.5 |
|---|
| Network Health PremierRx (PPO) (H5215-005-0) | Network Health Medicare Advantage Plans | MA-PD | PPO | $226 | $340 | $3,400 | 4.5 |
|---|
| Legacy Rx (HMO-POS) (H5211-004-0) | Security Health Plan of Wisconsin, Inc. | MA-PD | HMO-POS | $269 | $0 | $2,200 | 4.5 |
|---|
| Compass (HMO-POS) (H5211-003-0) | Security Health Plan of Wisconsin, Inc. | MA | HMO-POS | | | $3,400 | 4.5 |
|---|
Showing 10 of 49 plans.
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About this data
Source: CMS Medicare Advantage/Part D Landscape files, plan year 2026; population: U.S. Census Bureau ACS 5-year 2024; MA penetration: CMS September 2026.
This page summarizes publicly available CMS data. It is not a plan finder and does not recommend plans. To compare and enroll in plans, use Medicare.gov or talk to a licensed agent. Medicare.gov plan finder.