Medicare plans
Waupaca County, WI
52 Medicare Advantage plans and 8 drug-only plans are offered in Waupaca County, WI for 2027. 34 of the Advantage plans have a $0 monthly premium.
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Plans by type
| Type | Plans |
|---|---|
| Advantage | 7 |
| Advantage with drugs | 45 |
| Drug only | 8 |
| All plans | 60 |
18 of these are Special Needs Plans, open only to people who qualify. The 8 drug-only plans are listed for all of Wisconsin.
Source: CMS Medicare Advantage and Part D landscape files, as of September 30, 2026. Publisher page
Premiums and out-of-pocket limits
| Measure | 2027 |
|---|---|
| Advantage monthly premium | $0 to $300 |
| Advantage plans at $0 | 34 |
| Advantage out-of-pocket maximum (in network) | $3,000 to $9,850 |
| Drug-only monthly premium | $5.30 to $189.10 |
Source: CMS Medicare Advantage and Part D landscape files, as of September 30, 2026. Publisher page
Star Ratings
| Overall rating | Advantage plans |
|---|---|
| 3 stars | 6 |
| 3.5 stars | 8 |
| 4 stars | 26 |
| 4.5 stars | 5 |
| Too new to rate | 3 |
| Not enough data | 3 |
| No rating in the file | 1 |
31 Advantage plans in Waupaca County, WI have an overall rating of 4 stars or more.
Source: CMS 2027 Medicare Part C and D Star Ratings, as of October 8, 2026. Publisher page
Source: CMS Medicare Advantage and Part D landscape files, as of September 30, 2026. Publisher page
Change from 2026
Waupaca County, WI has 52 Advantage plans in 2027, 3 fewer than 2026 (55). 7 plans are new to the county and 10 plans offered here in 2026 are gone. $0 plans go from 29 to 34.
| Advantage plans | 2026 | 2027 |
|---|---|---|
| Offered in the county | 55 | 52 |
| At a $0 premium | 29 | 34 |
| New for 2027 | 7 | |
| Offered in 2026, gone in 2027 | 10 |
Offered here in 2026, not in 2027
- Spirit (HMO-POS) (H5211-001, Marshfield Clinic Health System, Inc.)
- Essence Rx (HMO-POS) (H5211-002, Marshfield Clinic Health System, Inc.)
- Network Health Zero (PPO) (H5215-012, Network Health, Inc.)
- Humana USAA Honor Giveback (PPO) (H5216-258, Humana Inc.)
- UHC Dual Complete WI-D003 (HMO-POS D-SNP) (H5253-024, UnitedHealth Group, Inc.)
- AARP Medicare Advantage CareFlex from UHC WI-18 (HMO-POS) (H5253-198, UnitedHealth Group, Inc.)
- Aspirus Health Plan Essential Rx (PPO) (H6874-001, Aspirus, Inc.)
- Aspirus Health Plan Elite (PPO) (H6874-003, Aspirus, Inc.)
- Anthem Full Dual Advantage (HMO D-SNP) (H9525-003, Elevance Health, Inc.)
- Anthem Full Dual Advantage 2 (HMO D-SNP) (H9525-018, Elevance Health, Inc.)
Source: CMS Medicare Advantage and Part D landscape files, as of September 30, 2026. Publisher page
Source: CMS CY2026 Medicare Advantage and Part D landscape file, as of September 25, 2025. Publisher page
Plans by parent organization
| Parent organization | Advantage | Drug only | Total |
|---|---|---|---|
| CareSource | 1 | 0 | 1 |
| Centene Corporation | 2 | 2 | 4 |
| Elevance Health, Inc. | 3 | 0 | 3 |
| Group Health Cooperative of Eau Claire | 2 | 0 | 2 |
| Health Care Service Corporation | 0 | 1 | 1 |
| HealthPartners, Inc. | 2 | 0 | 2 |
| Humana Inc. | 16 | 3 | 19 |
| Molina Healthcare, Inc. | 1 | 0 | 1 |
| Network Health, Inc. | 7 | 0 | 7 |
| Sanford Health | 5 | 0 | 5 |
| UnitedHealth Group, Inc. | 13 | 2 | 15 |
Source: CMS Medicare Advantage and Part D landscape files, as of September 30, 2026. Publisher page
Every 2027 plan in Waupaca County, WI
60 plans, by plan name. Select a column to sort.
| Plan ↑ | Type | Premium | Out-of-pocket max | Drug deductible | Stars |
|---|---|---|---|---|---|
| AARP Medicare Advantage from UHC WI-0002 (PPO)H0294-004-0 · UnitedHealth Group, Inc. | Advantage with drugsPPO | $99 | $7,150 | $685 | 3 |
| AARP Medicare Advantage from UHC WI-6 (PPO)H0294-015-0 · UnitedHealth Group, Inc. | Advantage with drugsPPO | $56 | $7,150 | $685 | 3 |
| AARP Medicare Advantage from UHC WI-0011 (HMO-POS)H5253-011-0 · UnitedHealth Group, Inc. | Advantage with drugsHMO-POS | $69 | $4,450 | $685 | 4 |
| AARP Medicare Advantage from UHC WI-0014 (HMO-POS)H5253-034-0 · UnitedHealth Group, Inc. | Advantage with drugsHMO-POS | $0 | $7,150 | $685 | 4 |
| AARP Medicare Advantage Patriot No Rx WI-MA02 (HMO-POS)H5253-021-0 · UnitedHealth Group, Inc. | AdvantageHMO-POS | $0 | $7,150 | n/a | 4 |
| AARP Medicare Rx Preferred from UHC (PDP)S5921-397-0 · UnitedHealth Group, Inc. | Drug onlyPDP | $189.10 | n/a | $300 | 3 |
| AARP Medicare Rx Saver from UHC (PDP)S5921-361-0 · UnitedHealth Group, Inc. | Drug onlyPDP | $10.30 | n/a | $700 | 3 |
| Anthem Dual Advantage Plus (HMO D-SNP)H9525-028-0 · Elevance Health, Inc. | Advantage with drugsHMO D-SNP | $0 | $9,850 | $105 | 3.5 |
| Anthem Full Dual Advantage (HMO D-SNP)H9525-027-0 · Elevance Health, Inc. | Advantage with drugsHMO D-SNP | $0 | $9,850 | $105 | 3.5 |
| Anthem Medicare Advantage 3 (PPO)H4036-008-0 · Elevance Health, Inc. | Advantage with drugsPPO | $84 | $7,150 | $595 | 4.5 |
| Community Care's Partnership Program (HMO D-SNP)H2034-001-0 · CareSource | Advantage with drugsHMO D-SNP | $6.30 | $9,850 | $700 | Not enough data |
| Compass (HMO)H5211-003-0 · Sanford Health | AdvantageHMO | $0 | $5,000 | n/a | 4 |
| Cooperative Advantage (HMO D-SNP)H7598-003-0 · Group Health Cooperative of Eau Claire | Advantage with drugsHMO D-SNP | $0 | $9,850 | $700 | Not enough data |
| Cooperative Medicare Advantage (HMO)H7598-004-0 · Group Health Cooperative of Eau Claire | Advantage with drugsHMO | $0 | $6,700 | $275 | Not enough data |
| Esteem Rx (HMO)H5211-012-0 · Sanford Health | Advantage with drugsHMO | $20 | $7,150 | $550 | 4 |
| Esteem Rx Gold (HMO-POS)H5211-015-0 · Sanford Health | Advantage with drugsHMO-POS | $125 | $5,000 | $300 | 4 |
| Esteem Rx Silver (HMO-POS)H5211-014-0 · Sanford Health | Advantage with drugsHMO-POS | $65 | $6,500 | $450 | 4 |
| HealthPartners Birch (PPO)H6309-001-0 · HealthPartners, Inc. | Advantage with drugsPPO | $0 | $6,750 | $700 | Too new to rate |
| HealthPartners Cedar (PPO)H6309-002-0 · HealthPartners, Inc. | Advantage with drugsPPO | $0 | $9,850 | $700 | Too new to rate |
| HealthSpring Assurance Rx (PDP)S5715-037-0 · Health Care Service Corporation | Drug onlyPDP | $11.40 | n/a | $700 | 2.5 |
| Humana Basic Rx Plan (PDP)S5884-139-0 · Humana Inc. | Drug onlyPDP | $6.30 | n/a | $700 | 4.5 |
| Humana Essentials Plus Giveback (PPO)H7617-011-0 · Humana Inc. | Advantage with drugsPPO | $0 | $5,250 | $700 | 4.5 |
| Humana Full Access (PPO)H5216-410-0 · Humana Inc. | Advantage with drugsPPO | $0 | $6,400 | $700 | 4 |
| Humana Full Access (PPO)H7617-020-0 · Humana Inc. | Advantage with drugsPPO | $0 | $6,100 | $700 | 4.5 |
| Humana Gold Choice H8145-006 (PFFS)H8145-006-0 · Humana Inc. | Advantage with drugsPFFS | $60 | $7,800 | $700 | 4 |
| Humana Premier Rx Plan (PDP)S5884-162-0 · Humana Inc. | Drug onlyPDP | $129.90 | n/a | $350 | 4.5 |
| Humana Total Complete (HMO)H6622-001-0 · Humana Inc. | Advantage with drugsHMO | $0 | $4,200 | $500 | 4 |
| Humana USAA Honor Giveback (PPO)H5216-355-0 · Humana Inc. | AdvantagePPO | $0 | $6,000 | n/a | 4 |
| Humana USAA Honor Giveback (PPO)H7617-022-0 · Humana Inc. | AdvantagePPO | $0 | $6,000 | n/a | 4.5 |
| Humana USAA Honor Giveback (Regional PPO)R5361-001-0 · Humana Inc. | AdvantageRegional PPO | $0 | $6,750 | n/a | 3.5 |
| Humana Value Choice (PPO)H3642-001-0 · Humana Inc. | Advantage with drugsPPO | $0 | $4,450 | $700 | Too new to rate |
| Humana Value Choice (PPO)H5216-253-0 · Humana Inc. | Advantage with drugsPPO | $0 | $4,450 | $700 | 4 |
| Humana Value Plus H5216-173 (PPO)H5216-173-0 · Humana Inc. | Advantage with drugsPPO | $6.30 | $9,850 | $700 | 4 |
| Humana Value Rx Plan (PDP)S5884-195-0 · Humana Inc. | Drug onlyPDP | $22.30 | n/a | $687 | 4.5 |
| HumanaChoice - Diabetes and Heart (PPO C-SNP)H7617-121-0 · Humana Inc. | Advantage with drugsPPO C-SNP | $0 | $4,400 | $500 | 4.5 |
| HumanaChoice Giveback H5216-252 (PPO)H5216-252-0 · Humana Inc. | Advantage with drugsPPO | $0 | $5,250 | $700 | 4 |
| HumanaChoice H5216-001 (PPO)H5216-001-0 · Humana Inc. | Advantage with drugsPPO | $94 | $4,200 | $700 | 4 |
| HumanaChoice R5361-002 (Regional PPO)R5361-002-0 · Humana Inc. | Advantage with drugsRegional PPO | $87 | $7,700 | $700 | 3.5 |
| HumanaChoice SNP-DE H5216-420 (PPO D-SNP)H5216-420-0 · Humana Inc. | Advantage with drugsPPO D-SNP | $0 | $9,850 | $600 | 4 |
| Legacy Rx (HMO-POS)H5211-004-0 · Sanford Health | Advantage with drugsHMO-POS | $300 | $3,000 | $0 | 4 |
| Molina My Choice Dual Advantage (HMO D-SNP)H5209-006-2 · Molina Healthcare, Inc. | Advantage with drugsHMO D-SNP | $0 | $9,850 | $605 | 3.5 |
| Network Health Armor (PPO)H5215-013-0 · Network Health, Inc. | AdvantagePPO | $0 | $4,900 | n/a | 4 |
| Network Health Cares (PPO D-SNP)H5215-007-0 · Network Health, Inc. | Advantage with drugsPPO D-SNP | $6.30 | $9,850 | $700 | 4 |
| Network Health Choice (PPO)H5215-011-0 · Network Health, Inc. | Advantage with drugsPPO | $0 | $5,100 | $300 | 4 |
| Network Health PlusRx (PPO)H5215-002-0 · Network Health, Inc. | Advantage with drugsPPO | $105 | $3,400 | $340 | 4 |
| Network Health PremierRx (PPO)H5215-005-0 · Network Health, Inc. | Advantage with drugsPPO | $257 | $3,400 | $340 | 4 |
| Network Health Prime (MSA)H1181-001-0 · Network Health, Inc. | AdvantageMSA | $0 | n/a | n/a | No rating |
| Network Health Select (PPO)H5215-008-0 · Network Health, Inc. | Advantage with drugsPPO | $0 | $4,450 | $330 | 4 |
| UHC Care Advantage WI-E001 (HMO-POS I-SNP)H5253-064-0 · UnitedHealth Group, Inc. | Advantage with drugsHMO-POS I-SNP | $6.30 | $4,000 | $270 | 4 |
| UHC Complete Care WI-1 (PPO C-SNP)H0294-002-0 · UnitedHealth Group, Inc. | Advantage with drugsPPO C-SNP | $0 | $7,150 | $685 | 3 |
Source: CMS Medicare Advantage and Part D landscape files, as of September 30, 2026. Publisher page
Source: CMS 2027 Medicare Part C and D Star Ratings, as of October 8, 2026. Publisher page
For agents, pharmacies, and practices
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Neighboring counties
Health data for Waupaca County, WI
About this data
Plans, premiums, out-of-pocket maximums, and drug deductibles come from the CMS CY2027 Medicare Advantage and Part D landscape file. Change from 2026 compares it with the CY2026 landscape. Stars are the 2027 Star Ratings CMS released October 8, 2026: the overall rating for Advantage plans and the Part D summary rating for drug-only plans, which have no overall rating.
Advantage counts include Special Needs Plans, which are open only to people who qualify. Drug-only plans are listed by CMS for a whole state, so every county page shows them. Employer group plans are not in the file. This page lists plans; it does not say which plan fits anyone, and Rivvi does not sell plans.
Source: CMS Medicare Advantage and Part D landscape files, as of September 30, 2026. Publisher page
Source: CMS CY2026 Medicare Advantage and Part D landscape file, as of September 25, 2025. Publisher page
Source: CMS 2027 Medicare Part C and D Star Ratings, as of October 8, 2026. Publisher page