Plan year 2027 · Medicare AdvantageCMS files of Sept. 22 and Oct. 1, 2026
Medical Associates Community Plan, 2027
H5256Contract002Plan
Cost · 4 counties in Wisconsin
Run by Medical Associates Clinic Health Plan (contract H5256), sold as Medical Associates Clinic Health Plan of Wisconsin, owned by Medical Associates Clinic, P.C.
Medical Associates Community Plan (H5256-002) costs $190 a month in 2027, up $20 from 2026.
What changes from 2026 to 2027?
| What you pay or get | 2026 | 2027 | Change |
|---|---|---|---|
| Monthly premium | $170 | $190 | ▲up $20 |
| 14 lines do not change | |||
| In-network out-of-pocket limit | not filed | not filed | not filed |
| Part B premium reduction, monthly | none | none | no change |
| Primary care visit | $0 copay | $0 copay | no change |
| Specialist visit | $0 copay | $0 copay | no change |
| Emergency room | $0 copay | $0 copay | no change |
| Medical deductible, in network | none | none | no change |
| Hospital stay, in network | $0 a stay | $0 a stay | no change |
| Skilled nursing facility, in network | $0 a stay | $0 a stay | no change |
| Ground ambulance, in network | $0 copay | $0 copay | no change |
| Comprehensive dental, yearly limit | not offered | not offered | no change |
| Eyewear, yearly limit | not offered | not offered | no change |
| Hearing aids, yearly limit for both ears | not offered | not offered | no change |
| Over-the-counter items, yearly | not offered | not offered | no change |
| Counties served | 4 | 4 | no change |
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; CMS plan crosswalk from 2026 to 2027 (Oct. 1, 2026). Plan details can change during the year; confirm on Medicare Plan Finder.
Where is it sold, and what does it cost there?
The premium and the out-of-pocket limit are the same in all 4 counties: $190 a month and not filed.
Wisconsin
Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision).
Who runs this plan?
- Plan ID
- H5256-002
- Legal name of the contract
- Medical Associates Clinic Health Plan
- Sold as
- Medical Associates Clinic Health Plan of Wisconsin
- Parent company
- Medical Associates Clinic, P.C.
- Plan type
- Cost
- 2026 star rating of the contract
- not rated overall; health plan not rated, drug plan not rated
- Members, September 2026
- 416
- Plan website, as filed with CMS
- www.mahealthplans.com
Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision); CMS 2026 Star Ratings (October 2025); CMS monthly enrollment by plan and by county, September 2026 (CMS hides counts under 11). CMS publishes the 2027 Star Ratings in October 2026.
What else should you check?
- Other 2027 plans in Grant, WIWhere most of its members live; premiums and limits side by side
- Every Medical Associates Clinic Health Plan of Wisconsin plan for 2027Its contracts, counties and plans that end
- The other 3 plans of contract H5256Same company, same contract
- Is your prescription covered?Coverage share and tier for 2,259 drugs
Data, not advice. These are the plan's filed amounts, not a quote for you; confirm on Medicare Plan Finder or call the plan before you enroll.