Medicare plans in Waupaca County, WI
55 plans are approved for Waupaca County, and 29 of them have no monthly premium. 49 carry a CMS star rating.
73.8% of the 14,862 people eligible for Medicare in Waupaca County are already in a Medicare Advantage plan (September 2026).
All plans · Medicare Advantage · Special Needs Plans · Part D drug plans
| Plan | Premium a month | Most you can pay a year | Drug deductible | Stars | Enrolled here |
|---|---|---|---|---|---|
| Compass (HMO-POS) Security Health Plan of Wisconsin, Inc. · HMO-POS |
$0 | $3,400 | Not published | 4.5/5 | 29 |
| Esteem Rx (HMO-POS) Security Health Plan of Wisconsin, Inc. · HMO-POS |
$0 | $5,000 | $250 | 4.5/5 | 140 |
| Network Health Select (PPO) Network Health Medicare Advantage Plans · PPO |
$0 | $3,900 | $330 | 4.5/5 | 2,571 |
| Network Health Choice (PPO) Network Health Medicare Advantage Plans · PPO |
$0 | $4,700 | $300 | 4.5/5 | 1,328 |
| Network Health Zero (PPO) Network Health Medicare Advantage Plans · PPO |
$0 | $3,860 | $330 | 4.5/5 | 728 |
| Network Health Armor (PPO) Network Health Medicare Advantage Plans · PPO |
$0 | $4,900 | Not published | 4.5/5 | 235 |
| HumanaChoice Giveback H7617-011 (PPO) Humana · PPO |
$0 | $5,000 | $615 | 4.5/5 | 20 |
| Humana Full Access H7617-020 (PPO) Humana · PPO |
$0 | $5,000 | $400 | 4.5/5 | 307 |
| Humana USAA Honor Giveback (PPO) Humana · PPO |
$0 | $6,000 | Not published | 4.5/5 | 120 |
| AARP Medicare Advantage Patriot No Rx WI-MA02 (HMO-POS) UnitedHealthcare · HMO-POS |
$0 | $6,700 | Not published | 4.0/5 | 135 |
| AARP Medicare Advantage from UHC WI-0014 (HMO-POS) UnitedHealthcare · HMO-POS |
$0 | $5,400 | $520 | 4.0/5 | 511 |
| AARP Medicare Advantage CareFlex from UHC WI-18 (HMO-POS) UnitedHealthcare · HMO-POS |
$0 | $6,700 | $600 | 4.0/5 | 156 |
| UHC Complete Care WI-20 (HMO-POS C-SNP) UnitedHealthcare · HMO-POS C-SNP |
$0 | $5,400 | $520 | 4.0/5 | 146 |
| UHC Complete Care WI-1 (PPO C-SNP) UnitedHealthcare · PPO C-SNP |
$0 | $6,700 | $600 | 3.5/5 | 79 |
| HumanaChoice Giveback H5216-252 (PPO) Humana · PPO |
$0 | $5,000 | $615 | 3.5/5 | 168 |
| HumanaChoice H5216-253 (PPO) Humana · PPO |
$0 | $4,200 | $615 | 3.5/5 | 252 |
| Humana USAA Honor Giveback (PPO) Humana · PPO |
$0 | $6,000 | Not published | 3.5/5 | Fewer than 11 |
| Humana USAA Honor Giveback (PPO) Humana · PPO |
$0 | $6,000 | Not published | 3.5/5 | 118 |
| Humana Full Access H5216-410 (PPO) Humana · PPO |
$0 | $5,000 | $400 | 3.5/5 | 29 |
| Humana Gold Plus H6622-001 (HMO) Humana · HMO |
$0 | $4,200 | $615 | 3.5/5 | 699 |
| Aspirus Health Plan Essential Rx (PPO) Aspirus Health Plan · PPO · Under CMS sanction |
$0 | $5,500 | $350 | 3.5/5 | 39 |
| Aspirus Health Plan Elite (PPO) Aspirus Health Plan · PPO · Under CMS sanction |
$0 | $3,200 | Not published | 3.5/5 | Fewer than 11 |
| Anthem Full Dual Advantage 2 (HMO D-SNP) Anthem Blue Cross and Blue Shield · HMO D-SNP |
$0 | $9,250 | $590 | 3.5/5 | 80 |
| My Choice Wisconsin Medicare Dual Advantage Plan (HMO D-SNP) Molina Healthcare of Wisconsin · HMO D-SNP |
$0 | $9,250 | $615 | 3.0/5 | Fewer than 11 |
| Humana USAA Honor Giveback (Regional PPO) Humana · Regional PPO |
$0 | $6,750 | Not published | 3.0/5 | Fewer than 11 |
| Network Health Prime (MSA) Network Health Medicare Advantage Plans · MSA |
$0 | Not published | Not published | Not rated | 26 |
| HealthPartners Birch (PPO) HealthPartners · PPO |
$0 | $5,000 | $300 | Too new to be rated | 199 |
| HealthPartners Cedar (PPO) HealthPartners · PPO |
$0 | $6,000 | $300 | Too new to be rated | Fewer than 11 |
| Cooperative Medicare Advantage (HMO) Group Health Cooperative of Eau Claire · HMO |
$0 | $6,000 | $275 | Not enough data to rate | Fewer than 11 |
| Anthem Full Dual Advantage (HMO D-SNP) Anthem Blue Cross and Blue Shield · HMO D-SNP |
$3.60 | $9,250 | $615 | 3.5/5 | 70 |
| UHC Dual Complete WI-D003 (HMO-POS D-SNP) UnitedHealthcare · HMO-POS D-SNP |
$7.50 | $9,250 | $615 | 4.0/5 | 57 |
| UHC Nursing Home Plan WI-F001 (HMO-POS I-SNP) UnitedHealthcare · HMO-POS I-SNP |
$7.70 | $9,250 | $615 | 4.0/5 | 26 |
| UHC Dual Complete WI-D001 (PPO D-SNP) UnitedHealthcare · PPO D-SNP |
$9.00 | $9,250 | $615 | 3.5/5 | 31 |
| Wellcare Dual Reserve (HMO-POS D-SNP) Wellcare · HMO-POS D-SNP |
$10.40 | $5,100 | $615 | 3.5/5 | 11 |
| Wellcare Dual Access Sync (HMO-POS D-SNP) Wellcare · HMO-POS D-SNP |
$13.10 | $9,250 | $400 | 3.5/5 | 124 |
| HumanaChoice SNP-DE H5216-420 (PPO D-SNP) Humana · PPO D-SNP |
$15.30 | $9,250 | $615 | 3.5/5 | 137 |
| UHC Dual Complete WI-V001 (HMO-POS D-SNP) UnitedHealthcare · HMO-POS D-SNP |
$17.30 | $4,900 | $615 | 4.0/5 | Fewer than 11 |
| UHC Dual Complete WI-D002 (HMO-POS D-SNP) UnitedHealthcare · HMO-POS D-SNP |
$18.90 | $9,250 | $615 | 4.0/5 | 477 |
| Network Health Cares (PPO D-SNP) Network Health Medicare Advantage Plans · PPO D-SNP |
$21.10 | $9,250 | $615 | 4.5/5 | 115 |
| UHC Care Advantage WI-E001 (HMO-POS I-SNP) UnitedHealthcare · HMO-POS I-SNP |
$21.10 | $4,000 | $270 | 4.0/5 | 53 |
| Humana Value Plus H5216-173 (PPO) Humana · PPO |
$21.10 | $9,250 | $615 | 3.5/5 | Fewer than 11 |
| Community Care's Partnership Program (HMO D-SNP) Community Care · HMO D-SNP |
$21.10 | $9,250 | $615 | Not enough data to rate | 14 |
| Cooperative Advantage (HMO D-SNP) Group Health Cooperative of Eau Claire · HMO D-SNP |
$21.10 | $9,250 | $615 | Not enough data to rate | Fewer than 11 |
| Humana Gold Choice H8145-006 (PFFS) Humana · PFFS |
$37.00 | $6,800 | $615 | 3.5/5 | 20 |
| AARP Medicare Advantage from UHC WI-6 (PPO) UnitedHealthcare · PPO |
$50.00 | $6,700 | $600 | 3.5/5 | 214 |
| AARP Medicare Advantage from UHC WI-0011 (HMO-POS) UnitedHealthcare · HMO-POS |
$59.00 | $4,100 | $440 | 4.0/5 | 475 |
| Anthem Medicare Advantage 3 (PPO) Anthem Blue Cross and Blue Shield · PPO |
$68.00 | $4,500 | $275 | 4.0/5 | 36 |
| Network Health PlusRx (PPO) Network Health Medicare Advantage Plans · PPO |
$73.00 | $3,400 | $340 | 4.5/5 | 126 |
| HumanaChoice H5216-001 (PPO) Humana · PPO |
$81.00 | $4,200 | $615 | 3.5/5 | 79 |
| Essence Rx (HMO-POS) Security Health Plan of Wisconsin, Inc. · HMO-POS |
$87.00 | $3,800 | $330 | 4.5/5 | 46 |
| Spirit (HMO-POS) Security Health Plan of Wisconsin, Inc. · HMO-POS |
$89.00 | $1,500 | Not published | 4.5/5 | Fewer than 11 |
| AARP Medicare Advantage from UHC WI-0002 (PPO) UnitedHealthcare · PPO |
$95.00 | $6,700 | $600 | 3.5/5 | 17 |
| HumanaChoice R5361-002 (Regional PPO) Humana · Regional PPO |
$103.00 | $7,200 | $615 | 3.0/5 | Fewer than 11 |
| Network Health PremierRx (PPO) Network Health Medicare Advantage Plans · PPO |
$226.00 | $3,400 | $340 | 4.5/5 | 42 |
| Legacy Rx (HMO-POS) Security Health Plan of Wisconsin, Inc. · HMO-POS |
$269.00 | $2,200 | $0 | 4.5/5 | 14 |
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Plans arriving in or leaving Waupaca County, and premiums moving, when CMS republishes.
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Nearby and related
All Wisconsin counties · What changed recently
Premiums, deductibles, maximum out-of-pocket amounts, star ratings and sanctions are reproduced from the Centers for Medicare & Medicaid Services landscape file as published in the September 2026 release. Enrolment counts are from the CMS monthly enrolment file; CMS suppresses any count of ten or fewer, which is why many plans show “fewer than 11” rather than a number. Nothing on this page is calculated by us. This is not a complete list of your options and it is not advice: see Medicare.gov or call 1-800-MEDICARE.