Medicare Advantage Plans in Walworth County, WI:
Your Complete 2026 Guide
Walworth County, WI offers 22 Medicare Advantage plans in 2026. This includes 11 with $0 monthly premiums. Currently, about 8,045 beneficiaries in the County are enrolled, and 40% of available plans have a 4-star rating or higher. Special Needs Plans are not included in the figures shown above. Explore SNP options for Walworth County, WI here.
Page last revised:
Enrollment data refreshed: May 2, 2026
* Each year CMS evaluates Medicare Advantage plans on a 5-star scale. Data sources
Medicare Advantage PPO Plans
Preferred Provider Organization (PPO) plans offer flexibility by allowing you to see both in-network and out-of-network providers. Out-of-network care usually costs more, but PPOs may appeal to people who want more choice in doctors and hospitals.
- Total PPO Plans 13
- Average Premium $46.39/mo
- Beneficiaries Enrolled 2,044
- $0 Premium PPOs 5
- Average MOOP $6,515
- Most Popular PPO HumanaChoice H5216-006 (PPO) with 419 enrollees
- PPOs Without Drug Coverage 5
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| Humana USAA Honor Giveback | $0 | $6,000 | N/A | H7617 022 0 | |
| HumanaChoice H7617-007 | $47 | $9,250 | $615 | H7617 007 0 | |
| Anthem Medicare Advantage 3 | $68 | $4,500 | $275 | H4036 008 0 | |
| Anthem Veteran | $0 | $6,751 | N/A | H4036 024 0 | |
| AARP Medicare Advantage from UHC WI-0002 | $95 | $6,700 | $600 | H0294 004 0 | |
| AARP Medicare Advantage from UHC WI-0007 | $89 | $6,700 | $600 | H0294 016 0 | |
| Humana USAA Honor Giveback | $0 | $6,000 | N/A | H5216 355 0 | |
| Humana USAA Honor Giveback | $0 | $6,000 | N/A | H5216 258 0 | |
| Humana Value Plus H5216-173 | $21 | $9,250 | $615 | H5216 173 0 | |
| HumanaChoice H5216-006 | $26 | $5,400 | $615 | H5216 006 0 | |
| HumanaChoice H5216-168 | $154 | $4,200 | $615 | H5216 168 0 | |
| Humana USAA Honor Giveback | $0 | $6,750 | N/A | R5361 001 0 | |
| HumanaChoice R5361-002 | $103 | $7,200 | $615 | R5361 002 0 |
What is the most popular PPO plan in Walworth?
HumanaChoice H5216-006 (PPO) is the top PPO in Walworth, with 419 enrollees.
What is the number of PPO plans without Part D coverage in Walworth?
There are 5 PPO plans in Walworth without prescription drug coverage.
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
- 1
- Average Premium
- $0.00/mo
- Beneficiaries Enrolled
- 1,480
- $0 Premium HMOs
- 1
- Average MOOP
- $4,200
- Most Popular HMO
- Humana Gold Plus H6622-001 (HMO) with 1,480 enrollees
- HMOs Without Drug Coverage
- 0
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| Humana Gold Plus H6622-001 | $0 | $4,200 | $615 | H6622 001 0 |
What is the typical premium for HMO plans in Walworth?
On average, HMO plans in Walworth cost $0.00 per month.
Which HMO plan do most beneficiaries choose in Walworth?
The leading HMO in Walworth is Humana Gold Plus H6622-001 (HMO), with 1,480 members.
How many HMO options are offered without prescription drug coverage in Walworth?
There are 0 HMO plans available in Walworth 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 5
- Average Premium $8.80/mo
- Beneficiaries Enrolled 4,150
- $0 Premium HMO-POS 4
- Average MOOP $5,880
- Most Popular HMO-POS AARP Medicare Advantage from UHC WI-0012 (HMO-POS) with 1,721 enrollees
- HMO-POS Without Drug Coverage 1
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| AARP Medicare Advantage CareFlex from UHC WI-18 | $0 | $6,700 | $600 | H5253 198 0 | |
| AARP Medicare Advantage from UHC WI-0012 | $44 | $4,900 | $440 | H5253 030 0 | |
| AARP Medicare Advantage from UHC WI-0017 | $0 | $6,700 | $520 | H5253 097 0 | |
| AARP Medicare Advantage Patriot No Rx WI-MA02 | $0 | $6,700 | N/A | H5253 021 0 | |
| Anthem Medicare Advantage | $0 | $4,400 | $315 | H9525 004 0 |
What is the total number of HMO-POS plans in Walworth?
In 2026, Walworth has 5 HMO-POS plans, with 4,150 enrollees.
How much do HMO-POS plans cost on average in Walworth?
The mean monthly HMO-POS premium is $8.80, and 4 have no premium.
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
- $37.00/mo
- Beneficiaries Enrolled
- 334
- $0 Premium PFFS
- 0
- Average MOOP
- $6,800
- Most Popular PFFS
- Humana Gold Choice H8145-006 (PFFS) with 334 enrollees
- PFFS Without Drug Coverage
- 0
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| Humana Gold Choice H8145-006 | $37 | $6,800 | $615 | H8145 006 0 |
- What is the average monthly premium for PFFS plans?
- On average, PFFS plans in Walworth cost $37.00 per month.
- Which PFFS plan is most popular in Walworth?
- The leading PFFS plan in Walworth is Humana Gold Choice H8145-006 (PFFS), with 334 members.
- How many PFFS plans in Walworth do not include drug coverage?
- There are 0 PFFS plans in Walworth without Part D benefits.
The table below shows the quality ratings for Medicare Advantage plans offered in Walworth County, WI for 2026.
| Rating Category | Number of Plans | Percent of Plans |
|---|---|---|
| 5 Stars | No 5-star plans available. | 0% |
| 4 Stars (includes 5 Stars) | 8 | 40% |
| 3 Stars | 12 | 60% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 1 | 5% |
| Average Rating | 3.7 | |
For residents of Walworth County, signing up for a Medicare Advantage plan isn’t just about benefits—it’s about timing. Learning the key enrollment periods ensures you don’t lose access to the coverage that works best for you.
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): From October 15 through December 7 each year, you can make changes to your Medicare coverage for the following 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 Darien, Delavan, East Troy, Elkhorn, Fontana, Genoa City, Lake Geneva, Walworth, Whitewater, Williams Bay, Sharon, and all other areas of Walworth County, Wisconsin.
Plans Offered for Enrollment through Medicare.org
Medicare Advantage and Part D plans and benefits offered by the following carriers: Medicare Advantage and Part D plans and benefits offered by the following carriers: Aetna Medicare, Anthem Blue Cross and Blue Shield, Aspire Health Plan, Baylor Scott & White Health Plan, Capital Blue Cross, Dean Health Plan, Devoted Health, Florida Blue Medicare, Freedom Health, GlobalHealth, Health Care Service Corporation, HealthSpring℠, HealthSun, Healthy Blue, Humana, Molina Healthcare, Mutual of Omaha, Medica Central Health Plan, Optimum HealthCare, Premera Blue Cross, SCAN Health Plan, Simply, UnitedHealthcare(R), Wellcare, WellPoint
- CMS.gov, Landscape Source Files — Last accessed September 26, 2025
- CMS.gov, Medicare Part C & D Performance — Last accessed October 10, 2025
- CMS.gov, Plan Benefits Package — Last accessed October 13, 2025
- CMS.gov, Medicare Advantage/Part D Contract and Enrollment Data — Last accessed May 2, 2026
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.
- CMS.gov, "Medicare Advantage Plan Fact Sheet" — Last accessed 25 May, 2025
- Medicare.gov, "Your coverage options" — Last accessed 25 May, 2025
- Medicare.gov, "Joining a plan" — Last accessed 25 May, 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 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.
To explore how 2026 Medicare Advantage plans available in Walworth County compare with plans offered elsewhere, you can search the Medicare Advantage plan directory to review options nationwide using the same authoritative data sources.
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 independently curated and maintained by David W. Bynon, Medicare Technical Operator, using a standardized, data-driven methodology designed for accurate, non-commercial Medicare plan interpretation and resolution.