Medicare Advantage · Wisconsin · 2026 plan year

Medicare Advantage in Door, WI

According to the Centers for Medicare & Medicaid Services (CMS) 2026 Landscape and Star Ratings files, every Medicare Advantage plan available in Door, WI for 2026 is ranked by CMS star rating, with premiums and benefits laid out plainly.

37
Plans available
4.5★
Best plan: Top-rated
$0
Lowest premium/mo
$38.42
Avg premium/mo
RSS updates for this county

The short answer

Door has 37 Medicare Advantage plans for 2026, the best earns 4.5★ from CMS, 21 reach 4★ or higher, and 13 carry a $0 monthly premium.

37
plans to compare
4.5★
highest CMS rating here
13
$0-premium plans
21
plans rated 4★ or higher

Premiums shown are the monthly plan premium (Part C + D). Every enrollee also pays the standard Part B premium (about $202.90/mo in 2026). Confirm any plan's current details on Medicare.gov before enrolling.

What the CMS Plan Finder Shows for Door, WI

Door, WI (FIPS 55029): 37 individual Medicare Advantage plans available (employer-group plans excluded). Highest CMS Star rating: 4.5/5 via SECURITY HEALTH PLAN OF WISCONSIN, INC.. Plan-type mix: 21 Local PPO, 12 HMO POS, 3 HMO, 1 Regional PPO. Monthly plan premiums (Part C + D) range $0 – $269.00 (avg $38.42), with 13 $0-premium plans. 34 of 37 plans include Part D drug coverage. CMS Star Ratings methodology →

How to read these figures

The figures above come from the Centers for Medicare & Medicaid Services 2026 plan year file, which CMS publishes each autumn before the October 15 to December 7 open enrollment window. A county premium reflects only the Part C portion that a plan charges. Most enrollees still pay the standard Part B premium of about $202.90 a month on top of it, so a $0 plan is rarely free in practice. The CMS star rating runs from one to five and weights more than 40 measures, including how well a plan manages chronic conditions, how fast it answers member calls, and how members rate their own care. A plan that holds five stars earns a special enrollment period that lets people switch into it at almost any time of year. Premiums alone can mislead a shopper, because a low monthly cost often pairs with a higher deductible or a tighter provider network. Federal rules cap in-network out-of-pocket spending at $9,250 for 2026, which is why two plans with identical premiums can leave very different bills after a hospital stay. Read our methodology for how each value here is sourced and computed.

Where Door sits on CMS quality

Average CMS star rating across the plans sold in this county, against every county with rated plans

3.99★ Top 15% higher than 85% of 3,121 US counties

2.5★–2.75★: 19 US counties (1%). Below this entry. 2.75★–3★: 5 US counties (0%). Below this entry. 3★–3.25★: 31 US counties (1%). Below this entry. 3.25★–3.5★: 164 US counties (5%). Below this entry. 3.5★–3.75★: 1,089 US counties (35%). Below this entry. 3.75★–4★: 1,344 US counties (43%). This entry sits in this band. 4★–4.25★: 351 US counties (11%). Above this entry. 4.25★–4.5★: 37 US counties (1%). Above this entry. 4.5★–4.75★: 3 US counties (0%). Above this entry. 4.75★–5★: 78 US counties (2%). Above this entry. This county 2.5★ 5★ every rated county, bucketed by value

Each bar is a band; taller bars hold more US counties. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Medicare Advantage Star Ratings 2026 · 2026-09-01

All plans in Door, ranked by CMS rating

#PlanInsurerTypePremium/moCMS stars
1Security Health Plan OF Wisconsin, Inc. (SNP)Security Health Plan of Wisconsin, Inc.HMO POS-4.5★
2Security Health Plan OF Wisconsin, Inc. (SNP)Security Health Plan of Wisconsin, Inc.HMO POS-4.5★
3Network Health Insurance Corporation (SNP)Network Health Medicare Advantage PlansLocal PPO-4.5★
4Emphesys Insurance Company (SNP)HumanaLocal PPO-4.5★
5Security Health Plan OF Wisconsin, Inc. (SNP)Security Health Plan of Wisconsin, Inc.HMO POS$04.5★
6Network Health Insurance Corporation (SNP)Network Health Medicare Advantage PlansLocal PPO$04.5★
7Network Health Insurance Corporation (SNP)Network Health Medicare Advantage PlansLocal PPO$04.5★
8Emphesys Insurance Company (SNP)HumanaLocal PPO$04.5★
9Network Health Insurance Corporation (SNP)Network Health Medicare Advantage PlansLocal PPO$21.104.5★
10Network Health Insurance Corporation (SNP)Network Health Medicare Advantage PlansLocal PPO$73.004.5★
11Security Health Plan OF Wisconsin, Inc. (SNP)Security Health Plan of Wisconsin, Inc.HMO POS$87.004.5★
12Network Health Insurance Corporation (SNP)Network Health Medicare Advantage PlansLocal PPO$226.004.5★
13Security Health Plan OF Wisconsin, Inc. (SNP)Security Health Plan of Wisconsin, Inc.HMO POS$269.004.5★
14Unitedhealthcare OF Wisconsin, Inc. (SNP)UnitedHealthcareHMO POS-4.0★
15Unitedhealthcare OF Wisconsin, Inc. (SNP)UnitedHealthcareHMO POS$04.0★
16Unitedhealthcare OF Wisconsin, Inc. (SNP)UnitedHealthcareHMO POS$04.0★
17Unitedhealthcare OF Wisconsin, Inc. (SNP)UnitedHealthcareHMO POS$04.0★
18Unitedhealthcare OF Wisconsin, Inc. (SNP)UnitedHealthcareHMO POS$17.304.0★
19Unitedhealthcare OF Wisconsin, Inc. (SNP)UnitedHealthcareHMO POS$18.904.0★
20Unitedhealthcare OF Wisconsin, Inc. (SNP)UnitedHealthcareHMO POS$59.004.0★
21Anthem Insurance Companies, Inc. (SNP)Anthem Blue Cross and Blue ShieldLocal PPO$68.004.0★
22Humana Insurance Company (SNP)HumanaLocal PPO-3.5★
23Humana Insurance Company (SNP)HumanaLocal PPO-3.5★
24Unitedhealthcare Insurance Company (SNP)UnitedHealthcareLocal PPO$03.5★
25Humana Insurance Company (SNP)HumanaLocal PPO$03.5★
26Compcare Health Services Insurance Corporation (SNP)Anthem Blue Cross and Blue ShieldHMO$03.5★
27Compcare Health Services Insurance Corporation (SNP)Anthem Blue Cross and Blue ShieldHMO$3.603.5★
28Unitedhealthcare Insurance Company (SNP)UnitedHealthcareLocal PPO$9.003.5★
29Humana Insurance Company (SNP)HumanaLocal PPO$15.303.5★
30Humana Insurance Company (SNP)HumanaLocal PPO$21.103.5★
31Unitedhealthcare Insurance Company (SNP)UnitedHealthcareLocal PPO$50.003.5★
32Humana Insurance Company (SNP)HumanaLocal PPO$81.003.5★
33Unitedhealthcare Insurance Company (SNP)UnitedHealthcareLocal PPO$95.003.5★
34Molina Healthcare of Wisconsin, Inc. (SNP)My Choice WisconsinHMO$03.0★
35Network Health Insurance Corporation (SNP)Network Health Medicare Advantage PlansRegional PPO-N/R
36Healthpartners Insurance Company (SNP)HealthPartnersLocal PPO$0N/R
37Healthpartners Insurance Company (SNP)HealthPartnersLocal PPO$0N/R

Nationwide counties with similar Medicare Advantage markets

Data-derived peers across the CMS county landscape file: nearest enrollable plan count and nearest county-wide average CMS star rating. Not same-state neighbors or geographic containment.

Similar plan availability

Similar average CMS star rating

Choosing a plan in this county

Star rating first, then total cost, not the premium alone.

  • Shortlist the 4★+ plans above (21 here) - higher-rated plans manage chronic care and member service better. How star ratings work
  • Weigh total cost, not just premium: compare plan details using Medicare.gov before you enroll. Medicare Plan Compare
  • Check that your doctors and drugs are in-network before you enroll, and confirm the plan on Medicare.gov. Choosing a plan

Premiums shown are the monthly plan premium (Part C + D) from the CMS CY2026 Landscape file. Every enrollee also pays the standard Part B premium (about $202.90/mo in 2026). Always confirm current premiums, copays, and networks on Medicare.gov before enrolling.

Frequently Asked Questions

How many Medicare Advantage plans are available in Door, WI?

There are 37 Medicare Advantage plans available in Door, WI for the 2026 plan year, including 21 Local PPO, 12 HMO POS, 3 HMO, 1 Regional PPO. Counts are individual consumer plans (employer-group / EGHP offerings excluded). Plan availability is determined by CMS and individual insurers.

What is the best-rated Medicare Advantage plan in Door?

The highest-rated plan in Door has a CMS star rating of 4.5 out of 5 - SECURITY HEALTH PLAN OF WISCONSIN, INC.. Star ratings reflect quality measures including preventive care, chronic disease management, and member satisfaction.

How much do Medicare Advantage plans cost in Door?

Monthly plan premiums (Part C + D combined) in Door range from $0 to $269.00, averaging $38.42. 13 plans offer a $0 monthly premium. Every enrollee also pays the standard Part B premium (about $202.90/month in 2026) on top of the plan premium. Premiums are from the CMS CY2026 Landscape file; always confirm current details on Medicare.gov.

What types of Medicare Advantage plans are offered in Door?

Door has 21 Local PPO, 12 HMO POS, 3 HMO, 1 Regional PPO. HMO plans require in-network providers, PPO plans allow out-of-network visits at higher cost, and PFFS plans let you see any Medicare-accepting provider.

Important: PlainMedicare provides CMS data for informational purposes only. This is not medical or insurance advice. Plan availability, premiums, and benefits change annually. Always verify with Medicare.gov or call 1-800-MEDICARE before enrolling.
Data sourced from official public datasets. See our methodology for details. Retrieved and formatted by PlainMedicare