Medicare Advantage plans in Waupaca, WI, 2027
Waupaca, Wisconsin has 34 Medicare Advantage plans open to everyone for 2027 (38 in 2026) and 18 special needs plans, according to the CMS landscape files; 20 of the open plans have a $0 premium. 4 plans that served the county in 2026 end or leave it, with 241 members living here in September 2026.
What changes in Waupaca for 2027?
| In the county | 2026 | 2027 | Change |
|---|---|---|---|
| Plans open to everyone | 38 | 34 | ▼down 4 |
| Special needs plans | 17 | 18 | ▲up 1 |
| Plans with a $0 premium | 25 | 20 | ▼down 5 |
| Plans that lower the Part B premium | 17 | 8 | ▼down 9 |
| Median out-of-pocket limit | $5,000 | $6,000 | ▲up $1,000 |
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 Waupaca 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 |
| Network Health SelectH5215-008 · PPO | $0 | $4,450 | none | 4.5 of 5 |
| Humana Value ChoiceH5216-253 · PPO | $0 | $4,450 | none | 3.5 of 5 |
| Network Health ArmorH5215-013 · PPO | $0 | $4,900 | $55 | 4.5 of 5 |
| CompassH5211-003 · HMO | $0 | $5,000 | none | 4.5 of 5 |
| Network Health ChoiceH5215-011 · PPO | $0 | $5,100 | none | 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 |
| 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 |
| Humana Full AccessH5216-410 · PPO | $0 | $6,400 | none | 3.5 of 5 |
| Cooperative Medicare AdvantageH7598-004 · HMO | $0 | $6,700 | none | not rated (too little data) |
| HealthPartners BirchH6309-001 · PPO | $0 | $6,750 | none | not rated (too new) |
| Humana USAA Honor GivebackR5361-001 · Regional PPO | $0 | $6,750 | $30 | 3 of 5 |
| AARP Medicare Advantage Patriot No Rx WI-MA02H5253-021 · HMO-POS | $0 | $7,150 | $105 | 4 of 5 |
| AARP Medicare Advantage from UHC WI-0014H5253-034 · HMO-POS | $0 | $7,150 | none | 4 of 5 |
| HealthPartners CedarH6309-002 · PPO | $0 | $9,850 | $50 | not rated (too new) |
Show the other 14 plans, by premium
| Plan | Premium | Out-of-pocket limit | Part B reduction | 2026 stars |
|---|---|---|---|---|
| Humana Value PlusH5216-173 · PPO | $6.30 | $9,850 | none | 3.5 of 5 |
| Esteem RxH5211-012 · HMO | $20 | $7,150 | none | 4.5 of 5 |
| AARP Medicare Advantage from UHC WI-6H0294-015 · PPO | $56 | $7,150 | none | 3.5 of 5 |
| Humana Gold ChoiceH8145-006 · PFFS | $60 | $7,800 | none | 3.5 of 5 |
| Esteem Rx SilverH5211-014 · HMO-POS | $65 | $6,500 | none | 4.5 of 5 |
| AARP Medicare Advantage from UHC WI-0011H5253-011 · HMO-POS | $69 | $4,450 | none | 4 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 |
| Network Health PlusRxH5215-002 · PPO | $105 | $3,400 | none | 4.5 of 5 |
| Esteem Rx GoldH5211-015 · HMO-POS | $125 | $5,000 | none | 4.5 of 5 |
| Network Health PremierRxH5215-005 · PPO | $257 | $3,400 | none | 4.5 of 5 |
| Legacy RxH5211-004 · HMO-POS | $300 | $3,000 | none | 4.5 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 Waupaca 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 | 156 | Not offered |
| Essence RxH5211-002 | 46 | Not offered |
| Aspirus Health Plan Essential RxH6874-001 | 39 | Not offered |
| Aspirus Health Plan EliteH6874-003 | fewer than 11 | Not offered |
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 |
| UHC Dual Complete WI-Q1H3794-002 | Dual-Eligible | $0 |
| UHC Dual Complete WI-S1H3794-011 | 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 |
| Cooperative AdvantageH7598-003 | Dual-Eligible | $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 |
| 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 Waupaca use Medicare Advantage?
10,961 of the county's 14,862 people with Medicare were in a Medicare Advantage plan in September 2026, 73.8%; 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