Medicare Advantage plans in Waukesha, WI, 2027
Waukesha, Wisconsin has 33 Medicare Advantage plans open to everyone for 2027 (39 in 2026) and 20 special needs plans, according to the CMS landscape files; 25 of the open plans have a $0 premium. 6 plans that served the county in 2026 end or leave it, with 214 members living here in September 2026.
What changes in Waukesha for 2027?
| In the county | 2026 | 2027 | Change |
|---|---|---|---|
| Plans open to everyone | 39 | 33 | ▼down 6 |
| Special needs plans | 18 | 20 | ▲up 2 |
| Plans with a $0 premium | 27 | 25 | ▼down 2 |
| Plans that lower the Part B premium | 15 | 9 | ▼down 6 |
| Median out-of-pocket limit | $5,000 | $5,650 | ▲up $650 |
Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision); CMS plan benefit package files, 2027 and 2026.
Which plans can anyone in Waukesha join?
| Plan | Premium | Out-of-pocket limit | Part B reduction | 2026 stars |
|---|---|---|---|---|
| Network Health PrimeH1181-001 · MSA | $0 | not filed | none | not rated |
| Humana Total CompleteH6622-001 · HMO | $0 | $4,200 | none | 3.5 of 5 |
| Humana Value ChoiceH3642-001 · PPO | $0 | $4,450 | none | not rated |
| Humana Value ChoiceH5216-253 · PPO | $0 | $4,450 | none | 3.5 of 5 |
| Network Health AnywhereH5215-010 · PPO | $0 | $4,500 | none | 4.5 of 5 |
| Network Health BravoH5215-014 · PPO | $0 | $4,500 | $15 | 4.5 of 5 |
| Anthem Medicare AdvantageH9525-004 · HMO-POS | $0 | $4,900 | none | 3.5 of 5 |
| Network Health GoH5215-009 · PPO | $0 | $5,000 | none | 4.5 of 5 |
| Aetna Medicare EagleH5521-286 · PPO | $0 | $5,200 | $70 | 4.5 of 5 |
| HumanaChoice GivebackH5216-252 · PPO | $0 | $5,250 | $38 | 3.5 of 5 |
| Humana Essentials Plus GivebackH7617-011 · PPO | $0 | $5,250 | $39 | 4.5 of 5 |
| AARP Medicare Advantage Essentials from UHC WI-13H5253-033 · HMO-POS | $0 | $5,400 | none | 4 of 5 |
| Aetna Medicare SignatureH5521-195 · PPO | $0 | $5,500 | none | 4.5 of 5 |
| Aetna Medicare Signature ExtraH5521-403 · PPO | $0 | $5,500 | none | 4.5 of 5 |
| Wellcare SimpleH8189-008 · HMO-POS | $0 | $5,800 | none | 3.5 of 5 |
| Aetna Medicare SignatureH1206-002 · HMO-POS | $0 | $5,900 | none | not rated (too little data) |
| Humana USAA Honor GivebackH5216-355 · PPO | $0 | $6,000 | $150 | 3.5 of 5 |
| Humana USAA Honor GivebackH7617-022 · PPO | $0 | $6,000 | $150 | 4.5 of 5 |
| Humana Full AccessH7617-020 · PPO | $0 | $6,100 | none | 4.5 of 5 |
| Aetna Medicare Value CareH5521-400 · PPO | $0 | $6,350 | none | 4.5 of 5 |
Show the other 13 plans, by premium
| Plan | Premium | Out-of-pocket limit | Part B reduction | 2026 stars |
|---|---|---|---|---|
| Humana Full AccessH5216-410 · PPO | $0 | $6,400 | none | 3.5 of 5 |
| Humana USAA Honor GivebackR5361-001 · Regional PPO | $0 | $6,750 | $30 | 3 of 5 |
| Anthem VeteranH4036-024 · PPO | $0 | $6,751 | $95 | 4 of 5 |
| AARP Medicare Advantage Patriot No Rx WI-MA02H5253-021 · HMO-POS | $0 | $7,150 | $105 | 4 of 5 |
| AARP Medicare Advantage Extras from UHC WI-19H5253-199 · HMO-POS | $0 | $7,150 | none | 4 of 5 |
| Humana Value PlusH5216-173 · PPO | $6.30 | $9,850 | none | 3.5 of 5 |
| Aetna Medicare EnhancedH5521-150 · PPO | $40 | $5,000 | none | 4.5 of 5 |
| AARP Medicare Advantage from UHC WI-0010H5253-004 · HMO-POS | $57 | $4,450 | none | 4 of 5 |
| Humana Gold ChoiceH8145-006 · PFFS | $60 | $7,800 | none | 3.5 of 5 |
| Anthem Medicare Advantage 3H4036-008 · PPO | $84 | $7,150 | none | 4 of 5 |
| HumanaChoiceR5361-002 · Regional PPO | $87 | $7,700 | none | 3 of 5 |
| HumanaChoiceH5216-001 · PPO | $94 | $4,200 | none | 3.5 of 5 |
| AARP Medicare Advantage from UHC WI-0002H0294-004 · PPO | $99 | $7,150 | none | 3.5 of 5 |
Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision); CMS plan benefit package files, 2027 and 2026. Stars are the contract's 2026 rating. confirm on Medicare Plan Finder.
Which plans leave Waukesha in 2027?
Members of these plans here choose a 2027 plan during open enrollment, October 15 to December 7, 2026; choosing by December 31 means no gap; because their plan is leaving the county, they can still join until the end of February 2027, with coverage from the first of the next month. Each plan's page says what happens to its members.
| 2026 plan | Members here, Sept. 2026 | For 2027 |
|---|---|---|
| AARP Medicare Advantage CareFlex from UHC WI-18H5253-198 | 95 | Not offered |
| Esteem RxH5211-012 | 77 | Leaves the county |
| Essence RxH5211-002 | 27 | Not offered |
| Legacy RxH5211-004 | 15 | Leaves the county |
| SpiritH5211-001 | fewer than 11 | Leaves the county |
| CompassH5211-003 | fewer than 11 | Leaves the county |
Source: CMS plan crosswalk from 2026 to 2027 (Oct. 1, 2026); CMS monthly enrollment by plan and by county, September 2026 (CMS hides counts under 11); CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision).
Which special needs plans are sold here?
Open only to people with Medicaid as well as Medicare, with certain chronic conditions, or living in an institution.
| Plan | Who can join | Premium |
|---|---|---|
| HumanaChoice: Diabetes and HeartH7617-121 | Chronic or Disabling Condition | $0 |
| Wellcare MHS Health Wisconsin Dual SelectH8189-007 | Dual-Eligible | $0 |
| UHC Dual Advantage WI-V1H3794-004 | Dual-Eligible | $0 |
| UHC Complete Care WI-20H5253-202 | Chronic or Disabling Condition | $0 |
| UHC Complete Care WI-1H0294-002 | Chronic or Disabling Condition | $0 |
| iCare Family Care PartnershipH2237-007 | Dual-Eligible | $0 |
| UHC Dual Complete WI-Q1H3794-002 | Dual-Eligible | $0 |
| UHC Dual Complete WI-S1H3794-011 | Dual-Eligible | $0 |
| Molina My Choice PartnershipH5209-005 | Dual-Eligible | $0 |
| Molina My Choice Dual AdvantageH5209-006 | Dual-Eligible | $0 |
| HumanaChoice SNP-DEH5216-420 | Dual-Eligible | $0 |
| UHC Nursing Home Plan WI-F001H5253-007 | Institutional | $0 |
| Wellcare MHS Health Wisconsin Dual Liberty SyncH8189-001 | Dual-Eligible | $0 |
| Anthem Full Dual AdvantageH9525-027 | Dual-Eligible | $0 |
| Anthem Dual Advantage PlusH9525-028 | Dual-Eligible | $0 |
| UHC Care Advantage WI-E001H5253-064 | Institutional | $6.30 |
| UHC Dual Advantage WI-V2H0294-027 | Dual-Eligible | $6.30 |
| Community Care's Partnership ProgramH2034-001 | Dual-Eligible | $6.30 |
| UHC Dual Complete WI-YLH3794-010 | Dual-Eligible | $6.30 |
| Network Health CaresH5215-007 | Dual-Eligible | $6.30 |
Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision).
How many people in Waukesha use Medicare Advantage?
63,631 of the county's 106,839 people with Medicare were in a Medicare Advantage plan in September 2026, 59.6%; in Wisconsin as a whole the share is 57.3%.
Source: CMS Medicare Advantage state and county penetration, September 2026.
What else should you check?
- Medicare Advantage in WisconsinEvery county of the state
- 8 stand-alone drug plans in WisconsinIf you keep Original Medicare
- Is your plan ending?Every plan not offered in 2027