Medicare Advantage Plans in Fond Du Lac County, WI:
Your Complete 2025 Guide
In Fond Du Lac County, WI, Medicare beneficiaries have 31 Medicare Advantage plans to consider for 2025. Among them, 19 are offered at a $0 premium. About 13,943 people in the County are currently enrolled, and 63% of plans are rated 4 stars or higher. Special Needs Plans are not included in the figures shown above. Explore SNP options for Fond Du Lac County, WI here.
Page last revised:
Enrollment data refreshed: September 16, 2025
* Each year CMS evaluates Medicare Advantage plans on a 5-star scale. Data sources
Medicare Advantage PPO Plans
PPO, or Preferred Provider Organization, plans give Medicare beneficiaries the ability to see a wide range of providers. These plans cover in-network care at the lowest cost but also include the option to use out-of-network providers for a higher fee, offering added choice compared with other plan types.
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. |
|---|---|---|---|---|
| Network Health Armor | $0 | $4,900 | N/A | |
| Network Health Choice | $0 | $4,000 | $300 | |
| Network Health PlusRx | $73 | $3,400 | $370 | |
| Network Health PremierRx | $226 | $3,400 | $310 | |
| Network Health Select | $0 | $3,900 | $340 | |
| Network Health Zero | $0 | $3,860 | $145 | |
| Anthem Medicare Advantage | $0 | $4,700 | $195 | |
| Anthem Medicare Advantage 3 | $39 | $4,500 | $120 | |
| Anthem Veteran | $0 | $6,751 | N/A | |
| Humana Full Access H5216-410 | $0 | $5,000 | $350 | |
| Humana USAA Honor Giveback | $0 | $5,500 | N/A | |
| Humana USAA Honor Giveback | $0 | $6,750 | N/A | |
| Humana USAA Honor Giveback | $0 | $5,500 | N/A | |
| Humana Value Plus H5216-173 | $39 | $9,350 | $590 | |
| HumanaChoice H5216-001 | $82 | $4,150 | $590 | |
| HumanaChoice R5361-002 | $104 | $7,200 | $590 | |
| AARP Medicare Advantage from UHC WI-0002 | $55 | $6,700 | $495 | |
| AARP Medicare Advantage from UHC WI-6 | $0 | $5,900 | $420 |
What is the total number of PPO plans offered in Fond Du Lac?
Fond Du Lac County has 18 PPO plans for 2025, with enrollment of 10,173.
How much do PPO plans cost on average in Fond Du Lac?
The mean monthly PPO premium in Fond Du Lac is $34.33, and 11 plans have no premium.
Medicare Advantage HMO Plans
With an HMO, you’ll typically get care from providers and facilities in the plan’s network. In exchange for this limitation, HMO plans usually feature lower monthly premiums and reduced cost-sharing, which can help enrollees better manage their healthcare expenses.
- Total HMO Plans
- 3
- Average Premium
- $85.33/mo
- Beneficiaries Enrolled
- 1,012
- $0 Premium HMOs
- 2
- Average MOOP
- $3,883
- Most Popular HMO
- Humana Gold Plus H6622-001 (HMO) with 956 enrollees
- HMOs Without Drug Coverage
- 0
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. |
|---|---|---|---|---|
| Dean Advantage Complete | $256 | $2,000 | $0 | |
| Dean Advantage Essential | $0 | $5,500 | $420 | |
| Humana Gold Plus H6622-001 | $0 | $4,150 | $250 |
- What is the average monthly premium for HMO plans?
- On average, HMO plans in Fond Du Lac cost $85.33 per month.
- Which HMO plan is most popular in Fond Du Lac?
- The leading HMO in Fond Du Lac is Humana Gold Plus H6622-001 (HMO), with 956 members.
- How many HMO plans in Fond Du Lac do not include drug coverage?
- There are 0 HMO plans available in Fond Du Lac without Part D benefits.
Medicare Advantage HMO-POS Plans
HMO Point-of-Service (HMO-POS) plans blend elements of HMO and PPO coverage. You can see providers outside the network, but out-of-network services typically cost more. This type of plan may appeal to people who like the lower costs of an HMO but also want occasional flexibility to go out of network.
- Total HMO-POS Plans 8
- Average Premium $24.75/mo
- Beneficiaries Enrolled 2,705
- $0 Premium HMO-POS 5
- Average MOOP $4,969
- Most Popular HMO-POS AARP Medicare Advantage from UHC WI-0011 (HMO-POS) with 1,135 enrollees
- HMO-POS Without Drug Coverage 2
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. |
|---|---|---|---|---|
| AARP Medicare Advantage CareFlex from UHC WI-18 | $0 | $6,700 | $495 | |
| AARP Medicare Advantage from UHC WI-0011 | $43 | $4,100 | $340 | |
| AARP Medicare Advantage from UHC WI-0014 | $0 | $4,900 | $340 | |
| AARP Medicare Advantage Patriot No Rx WI-MA02 | $0 | $6,700 | N/A | |
| Dean Advantage Assurance | $53 | $4,500 | $300 | |
| Dean Advantage Balance | $102 | $3,650 | $200 | |
| Dean Advantage Harmony | $0 | $4,900 | N/A | |
| Anthem Medicare Advantage | $0 | $4,300 | $150 |
What is the total number of HMO-POS plans in Fond Du Lac?
There are 8 HMO-POS plans in 2025, covering 2,705 beneficiaries.
How much do HMO-POS plans cost on average in Fond Du Lac?
The average HMO-POS premium is $24.75, with 5 costing $0.
What is the leading HMO-POS plan in Fond Du Lac?
AARP Medicare Advantage from UHC WI-0011 (HMO-POS) is the most popular HMO-POS plan in Fond Du Lac, with 1,135 enrollees.
What is the number of HMO-POS plans without Part D coverage in Fond Du Lac?
2 HMO-POS plans in Fond Du Lac do not include drug coverage.
Medicare Advantage PFFS Plans
With a PFFS plan, you can see any Medicare-approved provider who agrees to the plan’s conditions and payment structure. These plans offer broader choice compared to network-based options, but coverage depends on provider participation, so always confirm acceptance in advance.
- Total PFFS Plans
- 1
- Average Premium
- $38.00/mo
- Beneficiaries Enrolled
- 21
- $0 Premium PFFS
- 0
- Average MOOP
- $7,000
- Most Popular PFFS
- Humana Gold Choice H8145-006 (PFFS) with 21 enrollees
- PFFS Without Drug Coverage
- 0
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. |
|---|---|---|---|---|
| Humana Gold Choice H8145-006 | $38 | $7,000 | $590 |
What is the average monthly premium for PFFS plans?
On average, PFFS plans in Fond Du Lac cost $38.00 per month.
Which PFFS plan is most popular in Fond Du Lac?
The leading PFFS plan in Fond Du Lac is Humana Gold Choice H8145-006 (PFFS), with 21 members.
How many PFFS plans in Fond Du Lac do not include drug coverage?
There are 0 PFFS plans in Fond Du Lac without Part D benefits.
The table below shows the quality ratings for Medicare Advantage plans offered in Fond Du Lac County, WI for 2025.
| Rating Category | Number of Plans | Percent of Plans |
|---|---|---|
| 5 Stars | 6 | 20% |
| 4 Stars (includes 5 Stars) | 19 | 63% |
| 3 Stars | 11 | 37% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 1 | 3% |
| Average Rating | 3.98 | |
In Fond Du Lac County, Medicare Advantage enrollment follows specific timelines. Understanding these options—whether it’s your first time enrolling or switching plans—helps you choose coverage that matches your health and budget.
When You Can Sign Up
- Initial Enrollment Period (IEP): Lasting seven months around your 65th birthday, this period lets you enroll in Medicare for the first time. You may also choose a Medicare Advantage plan during this time. Learn more
- Medicare Advantage Open Enrollment Period (MA OEP): Between January 1 and March 31, people already enrolled in Medicare Advantage can make a one-time change—switch to another plan or return to Original Medicare. Learn more
- Annual Enrollment Period (AEP): Each fall, from October 15 to December 7, Medicare beneficiaries can review their coverage and make changes for the next plan year. Learn more
- Special Enrollment Periods (SEPs): Life events like moving to a new service area, losing other health coverage, or becoming eligible for assistance may open a Special Enrollment Period to adjust your Medicare coverage. Learn more
Ways to Enroll in Medicare Advantage
- Consult a Licensed Agent: Call a licensed insurance agent at HealthCompare 1-833-748-3201 (TTY 711), available Monday through Friday 5am–6pm and Saturday 6am–5pm PST, for help reviewing your Medicare options.
- Contact the Plan Provider Directly: Start enrollment by reaching out to the plan provider through their website or by phone with their member services team.
- Use Medicare.gov: At Medicare.gov, you can compare Medicare Advantage plans side by side and enroll securely online.
The MA and MAPD plans on this page are available to people on Medicare enrolled in both Medicare Part A and Part B living in Campbellsport, Eden, Malone, Mount Calvary, Oakfield, Saint Cloud, Brandon, Eldorado, Fond Du Lac, Ripon, Rosendale, Van Dyne, and all other areas of Fond Du Lac County, Wisconsin.
Plans Offered for Enrollment through Medicare.org
Medicare Advantage and Part D plans and benefits offered by the following carriers: Aetna Medicare, Anthem Blue Cross, Anthem Blue Cross and Blue Shield, Aspire Health Plan, Baylor Scott & White Health Plan, Capital Blue Cross, Cigna Healthcare, Dean Health Plan, Devoted Health, Florida Blue Medicare, Freedom Health, GlobalHealth, Health Care Service Corporation, Healthy Blue, HealthSun, Humana, Molina Healthcare, Mutual of Omaha, Medica Central Health Plan, Optimum HealthCare, Premera Blue Cross, SCAN Health Plan, Simply, UnitedHealthcare(R), Wellcare, WellPoint.
CMS Plan IDs Presented
The Medicare Advantage plan pages listed in the tables above include localization to assist beneficiaries with plans available in their service area. However, most Part C plans are available in more than one service area, which can lead to confusion. The following list of CMS IDs links to our master plan pages without localization.
- CMS.gov, Landscape Source Files — Last accessed September 13, 2025
- CMS.gov, Medicare Part C & D Performance — Last accessed September 13, 2025
- CMS.gov, Plan Benefits Package — Last accessed September 13, 2025
- CMS.gov, Medicare Advantage/Part D Contract and Enrollment Data — Last accessed September 16, 2025
Some facts and percentages shown on this page (such as average premiums, distribution of plan types, and percentage of $0 premium plans) are calculated by Medicare.org using data from the CMS Landscape file, Plan Benefits Package (PBP) files and Part C & D Performance files. All underlying values originate from CMS, and calculations are refreshed whenever CMS issues updated data. Enrollment counts and rankings (such as Top 3 plans by enrollment) are derived from CMS monthly enrollment files and aggregated at the county level.
Medicare.org separates Medicare Advantage (MA/MAPD) plans and Special Needs Plans (SNPs) into different pages for clarity. As a result, plan counts, percentages, and other calculations shown here may differ from the aggregate totals published in the CMS Landscape files. All plan availability and benefit details originate from CMS.
Learn more about how we use CMS data.
- Medicare.gov, "Compare types of Medicare Advantage Plans" — Last accessed 25 May, 2025
- Medicare.gov, "Your coverage options" — Last accessed 25 May, 2025
- AARP.org, "The Big Choice: Original Medicare vs. Medicare Advantage" — Last accessed 25 May, 2025
Medicare.org is owned and operated by Health Network Group, LLC, an Allstate company. Medicare.org provides information only and is not connected with or endorsed by the U.S. Government or the federal Medicare program.
Data provenance documentation is maintained in alignment with the U.S. Core Data for Interoperability (USCDI) Provenance standard.
Page content managed by David Bynon, Medicare Analyst.