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Medicare plans in Waupaca County, WI — 2027
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 2027, Waupaca County, Wisconsin has 60 Medicare plans (27 Medicare Advantage with drug coverage, 7 without, 8 standalone Part D, 18 Special Needs) from 11 carriers. 34 Medicare Advantage plans have a $0 premium. The lowest in-network out-of-pocket maximum is $3,000.
What changed vs 2026
- 5 fewer plans than 2026
- Carriers exited: Aetna Medicare, Aspirus Health Plan
- $0-premium plans up 5
- Average star rating up 0.1
Market snapshot
- Residents 65 and older
- 10,967
- Residents 60–64, aging in over the next five years
- 4,504
- Medicare eligibles
- 14,879
- Medicare Advantage penetration
- 73.8%
- Plans per 1,000 residents 65+
- 5.5
Carriers by number of plans
- Humana — 19 plans
- UnitedHealthcare — 15 plans
- Network Health Medicare Advantage Plans — 7 plans
- Security Health Plan of Wisconsin, Inc. — 5 plans
- Wellcare — 4 plans
- Anthem Blue Cross and Blue Shield — 3 plans
- Group Health Cooperative of Eau Claire — 2 plans
- HealthPartners — 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 |
|---|---|---|---|---|---|---|---|
| Humana Essentials Plus Giveback (PPO) (H7617-011-0) | Humana | MA-PD | PPO | $0 | $700 | $5,250 | 4.5 |
| Humana Full Access (PPO) (H7617-020-0) | Humana | MA-PD | PPO | $0 | $700 | $6,100 | 4.5 |
| Humana USAA Honor Giveback (PPO) (H7617-022-0) | Humana | MA | PPO | $0 | $6,000 | 4.5 | |
| HumanaChoice - Diabetes and Heart (PPO C-SNP) (H7617-121-0) | Humana | SNP | PPO C-SNP | $0 | $500 | $4,400 | 4.5 |
| Humana Basic Rx Plan (PDP) (S5884-139-0) | Humana | PDP | PDP | $6.30 | $700 | 4.5 | |
| Humana Value Rx Plan (PDP) (S5884-195-0) | Humana | PDP | PDP | $22.30 | $687 | 4.5 | |
| Anthem Medicare Advantage 3 (PPO) (H4036-008-0) | Anthem Blue Cross and Blue Shield | MA-PD | PPO | $84 | $595 | $7,150 | 4.5 |
| Humana Premier Rx Plan (PDP) (S5884-162-0) | Humana | PDP | PDP | $129.90 | $350 | 4.5 | |
| AARP Medicare Advantage from UHC WI-0014 (HMO-POS) (H5253-034-0) | UnitedHealthcare | MA-PD | HMO-POS | $0 | $685 | $7,150 | 4.0 |
| AARP Medicare Advantage Patriot No Rx WI-MA02 (HMO-POS) (H5253-021-0) | UnitedHealthcare | MA | HMO-POS | $0 | $7,150 | 4.0 |
Showing 10 of 60 plans.
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About this data
Source: CMS Medicare Advantage/Part D Landscape files, plan year 2027; population: U.S. Census Bureau ACS 5-year 2024; MA penetration: CMS October 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.