- methodology
- WebMEM® HTML-in-HTML Semantic Data Template
- status
- Patent Pending. Registered trademark of David W. Bynon
- copyright
- Copyright © 2026 David W. Bynon. All rights reserved.
- county
- Jefferson County
- state
- Wisconsin
- label
- Total Medicare Advantage plans
- value
- 25
- label
- $0 premium plans
- value
- 13
- label
- HMO plans
- value
- 3
- label
- PPO plans
- value
- 13
- label
- HMO-POS plans
- value
- 8
- label
- PFFS plans
- value
- 0
- label
- Plans with drug coverage
- value
- 17
- label
- Lowest MOOP
- value
- $0
- label
- Highest MOOP
- value
- $9,250
- label
- Highest Part B giveback
- value
- $189.50
- methodology
- WebMEM® HTML-in-HTML Semantic Data Template
- status
- Patent Pending. Registered trademark of David W. Bynon
- copyright
- Copyright © 2026 David W. Bynon. All rights reserved.
- county
- Jefferson County
- state
- Wisconsin
- label
- Total Part D plans
- value
- 10
- label
- $0 premium plans
- value
- 6
- label
- Basic coverage plans
- value
- 5
- label
- Enhanced coverage plans
- value
- 5
- label
- Lowest monthly premium
- value
- $0.00
- label
- Highest monthly premium
- value
- $113.90
- label
- Lowest deductible
- value
- $0
- label
- Highest deductible
- value
- $615
- methodology
- WebMEM® HTML-in-HTML Semantic Data Template
- status
- Patent Pending. Registered trademark of David W. Bynon
- copyright
- Copyright © 2026 David W. Bynon. All rights reserved.
- county
- Jefferson County
- state
- Wisconsin
- label
- Participating Medigap carriers
- value
- 32
- label
- Lowest sample monthly premium
- value
- $30
- label
- Highest sample monthly premium
- value
- $1,174
- label
- Plan G lowest sample premium
- value
- ${plan_g_min}
- label
- Plan G highest sample premium
- value
- ${plan_g_max}
- label
- Plan N lowest sample premium
- value
- ${plan_n_min}
- label
- Plan N highest sample premium
- value
- ${plan_n_max}
- methodology
- WebMEM® HTML-in-HTML Semantic Data Template
- status
- Patent Pending. Registered trademark of David W. Bynon
- copyright
- Copyright © 2026 David W. Bynon. All rights reserved.
- county
- Jefferson County
- state
- Wisconsin
- label
- Total Special Needs Plans
- value
- 15
- label
- Dual Eligible Special Needs Plans (D-SNP)
- value
- 11
- label
- Chronic Condition Special Needs Plans (C-SNP)
- value
- 2
- label
- Institutional Special Needs Plans (I-SNP)
- value
- 2
- methodology
- WebMEM® HTML-in-HTML Semantic Data Template
- status
- Patent Pending. Registered trademark of David W. Bynon
- copyright
- Copyright © 2026 David W. Bynon. All rights reserved.
- county
- Jefferson County
- state
- Wisconsin
- label
- Coverage area
- value
- Jefferson County, Wisconsin
- label
- Medicare Advantage plans
- value
- 25
- label
- Part D plans
- value
- 10
- label
- Medigap carriers
- value
- 32
- label
- Special Needs Plans
- value
- 15
- label
- D-SNP plans
- value
- 11
- label
- C-SNP plans
- value
- 2
- label
- I-SNP plans
- value
- 2
- label
- CMS Enrollment Data Version
- value
- 2026-07
- methodology
- WebMEM® HTML-in-HTML Semantic Data Template
- status
- Patent Pending. Registered trademark of David W. Bynon
- copyright
- Copyright © 2026 David W. Bynon. All rights reserved.
- county
- Jefferson County
- state
- Wisconsin
- name
- Humana Gold Plus H6622-001
- plan_id
- H6622-001-0
- plan_url
- https://www.medicare.org/medicare-advantage-plans/plan/H6622-001-0/
- cms_rating
- 3.5
- enrollment
- 30,489
- name
- Dean Advantage Essential
- plan_id
- H9096-004-0
- plan_url
- https://www.medicare.org/medicare-advantage-plans/plan/H9096-004-0/
- cms_rating
- 3.5
- enrollment
- 4,088
- name
- Dean Advantage Complete
- plan_id
- H9096-005-0
- plan_url
- https://www.medicare.org/medicare-advantage-plans/plan/H9096-005-0/
- cms_rating
- 3.5
- enrollment
- 864
- name
- Humana USAA Honor Giveback
- plan_id
- H5216-355-0
- plan_url
- https://www.medicare.org/medicare-advantage-plans/plan/H5216-355-0/
- cms_rating
- 3.5
- enrollment
- 12,181
- name
- Humana USAA Honor Giveback
- plan_id
- H7617-022-0
- plan_url
- https://www.medicare.org/medicare-advantage-plans/plan/H7617-022-0/
- cms_rating
- 4.5
- enrollment
- 10,570
- name
- HumanaChoice H5216-006
- plan_id
- H5216-006-0
- plan_url
- https://www.medicare.org/medicare-advantage-plans/plan/H5216-006-0/
- cms_rating
- 3.5
- enrollment
- 4,214
- name
- Anthem Medicare Advantage
- plan_id
- H9525-004-0
- plan_url
- https://www.medicare.org/medicare-advantage-plans/plan/H9525-004-0/
- cms_rating
- 3.5
- enrollment
- 7,388
- name
- AARP Medicare Advantage Patriot No Rx WI-MA02
- plan_id
- H5253-021-0
- plan_url
- https://www.medicare.org/medicare-advantage-plans/plan/H5253-021-0/
- cms_rating
- 4.0
- enrollment
- 6,791
- name
- AARP Medicare Advantage from UHC WI-0012
- plan_id
- H5253-030-0
- plan_url
- https://www.medicare.org/medicare-advantage-plans/plan/H5253-030-0/
- cms_rating
- 4.0
- enrollment
- 5,031
- name
- AARP Medicare Rx Saver from UHC
- plan_id
- S5921-361-0
- plan_url
- https://www.medicare.org/medicare-part-d-plans/plan/S5921-361-0/
- cms_rating
- 2.0
- enrollment
- 31,686
- name
- SilverScript Choice
- plan_id
- S5601-032-0
- plan_url
- https://www.medicare.org/medicare-part-d-plans/plan/S5601-032-0/
- cms_rating
- 2.5
- enrollment
- 31,287
- name
- HealthSpring Assurance Rx
- plan_id
- S5617-223-0
- plan_url
- https://www.medicare.org/medicare-part-d-plans/plan/S5617-223-0/
- cms_rating
- 2.5
- enrollment
- 23,532
- name
- Wellcare Value Script
- plan_id
- S4802-132-0
- plan_url
- https://www.medicare.org/medicare-part-d-plans/plan/S4802-132-0/
- cms_rating
- 3.5
- enrollment
- 123,653
- name
- Humana Value Rx Plan
- plan_id
- S5884-195-0
- plan_url
- https://www.medicare.org/medicare-part-d-plans/plan/S5884-195-0/
- cms_rating
- 3.5
- enrollment
- 73,163
- name
- AARP Medicare Rx Preferred from UHC
- plan_id
- S5921-397-0
- plan_url
- https://www.medicare.org/medicare-part-d-plans/plan/S5921-397-0/
- cms_rating
- 2.0
- enrollment
- 24,932
- name
- UHC Dual Complete WI-D002
- plan_id
- H3794-002-0
- plan_url
- https://www.medicare.org/medicare-snp-plans/plan/H3794-002-0/
- cms_rating
- 4.0
- enrollment
- 25,562
- name
- Anthem Full Dual Advantage
- plan_id
- H9525-003-0
- plan_url
- https://www.medicare.org/medicare-snp-plans/plan/H9525-003-0/
- cms_rating
- 3.5
- enrollment
- 9,269
- name
- Wellcare Dual Access Sync
- plan_id
- H8189-001-0
- plan_url
- https://www.medicare.org/medicare-snp-plans/plan/H8189-001-0/
- cms_rating
- 3.5
- enrollment
- 9,155
- name
- UHC Complete Care WI-1
- plan_id
- H0294-002-0
- plan_url
- https://www.medicare.org/medicare-snp-plans/plan/H0294-002-0/
- cms_rating
- 3.5
- enrollment
- 7,749
- name
- UHC Complete Care WI-20
- plan_id
- H5253-202-0
- plan_url
- https://www.medicare.org/medicare-snp-plans/plan/H5253-202-0/
- cms_rating
- 4.0
- enrollment
- 6,188
- name
- UHC Nursing Home Plan WI-F001
- plan_id
- H5253-007-0
- plan_url
- https://www.medicare.org/medicare-snp-plans/plan/H5253-007-0/
- cms_rating
- 4.0
- enrollment
- 1,287
- name
- UHC Care Advantage WI-E001
- plan_id
- H5253-064-0
- plan_url
- https://www.medicare.org/medicare-snp-plans/plan/H5253-064-0/
- cms_rating
- 4.0
- enrollment
- 1,236
Understand Your 2026 Medicare Options in Jefferson County, WI
Last update: .
There is more than one way to structure your Medicare coverage. Explore the options available to residents of Jefferson County, Wisconsin, and understand how they differ before deciding which path fits your needs.
Understanding Your Medicare Coverage Choices
Before choosing a Medicare plan, it helps to understand the different ways you can receive Medicare coverage in Jefferson County, Wisconsin. Your choices may include:
- Original Medicare: Medicare Part A and Part B administered by the federal government, with broad nationwide provider access.
- Medicare Advantage: Private plans that provide your Part A and Part B benefits, often together with prescription drug coverage and additional benefits.
- Part D: Standalone prescription drug plans that can be added to Original Medicare.
- Medigap: Supplemental insurance that works alongside Original Medicare to help with certain deductibles, copayments, and coinsurance.
- SNPs: Specialized Medicare Advantage plans for people who meet certain health, Medicaid, or institutional eligibility requirements.
- Other Options: Coverage or assistance may also be available through VA benefits, employer or retiree plans, and local programs.
The first step is understanding which coverage path fits your situation. From there, you can evaluate the specific plans, costs, benefits, and providers available to you in Jefferson County.
Medicare Advantage Plan Options in Jefferson County
Medicare Advantage is an alternative to Original Medicare offered by private insurance companies. Plans available in Jefferson County provide your Part A and Part B benefits and may also include prescription drug coverage and additional benefits, with costs and provider networks that vary by plan.
| Medicare Advantage Plan Snapshot | Jefferson County |
|---|---|
| Total Medicare Advantage plans | 25 |
| $0 premium plans | 13 |
| HMO plans | 3 |
| PPO plans | 13 |
| Plans with drug coverage | 17 |
| Lowest MOOP | $0 |
| Highest MOOP | $9,250 |
| Highest Part B giveback | $189.50 |
Highest-Enrollment PPO Plans
| Plan | CMS Rating | Enrollment |
|---|---|---|
| Humana USAA Honor Giveback | 3.5 ★ | 12,181 |
| Humana USAA Honor Giveback | 4.5 ★ | 10,570 |
| HumanaChoice H5216-006 | 3.5 ★ | 4,214 |
Highest-Enrollment HMO Plans
| Plan | CMS Rating | Enrollment |
|---|---|---|
| Humana Gold Plus H6622-001 | 3.5 ★ | 30,489 |
| Dean Advantage Essential | 3.5 ★ | 4,088 |
| Dean Advantage Complete | 3.5 ★ | 864 |
Highest-Enrollment HMO-POS Plans
| Plan | CMS Rating | Enrollment |
|---|---|---|
| Anthem Medicare Advantage | 3.5 ★ | 7,388 |
| AARP Medicare Advantage Patriot No Rx WI-MA02 | 4.0 ★ | 6,791 |
| AARP Medicare Advantage from UHC WI-0012 | 4.0 ★ | 5,031 |
The Medicare Advantage plans available in Jefferson County can differ substantially even when their monthly premiums are similar. Check whether your doctors and hospitals participate, how your prescriptions are covered, and what you could pay for care during the year.
Prescription Drug Plan Options in Jefferson County, WI
If you use Original Medicare, you can add a standalone Medicare Part D plan for prescription drug coverage. Plans available in Jefferson County differ in premiums, deductibles, covered drugs, and the pharmacies where you may pay the lowest costs.
Highest-Enrollment Basic Part D Plans
| Plan | Premium | Deductible | Enrollment |
|---|---|---|---|
| AARP Medicare Rx Saver from UHC | $0.00 | $615 | 31,686 |
| SilverScript Choice | $26.70 | $615 | 31,287 |
| HealthSpring Assurance Rx | $0.00 | $615 | 23,532 |
Highest-Enrollment Enhanced Part D Plans
| Plan | Premium | Deductible | Enrollment |
|---|---|---|---|
| Wellcare Value Script | $0.00 | $615 | 123,653 |
| Humana Value Rx Plan | $0.00 | $601 | 73,163 |
| AARP Medicare Rx Preferred from UHC | $113.90 | $130 | 24,932 |
Part D plans can have very different costs for the same prescriptions. Compare each plan's formulary, pharmacy network, deductible, and drug costs based on the medications you actually take.
See Medicare Part D plans in Wisconsin
Understanding Medigap and Medicare Supplement Coverage in Jefferson County
Medicare Supplement (Medigap) is an option for people who want to remain with Original Medicare while reducing some of the deductibles, copayments, and coinsurance they would otherwise pay themselves. Medigap does not replace Original Medicare or provide standalone prescription drug coverage.
Where you live can affect what you pay for Medigap coverage. Sample premiums from 32 insurers serving Jefferson County begin around $30 and can exceed $1,174 per month, with rates varying by insurer, plan letter, location, and rating method.
| Medigap Snapshot | Jefferson County |
|---|---|
| Works with Original Medicare | Yes |
| Includes prescription drug coverage | No |
| Requires separate Part D plan | Usually yes |
| Often considered by | Beneficiaries who want broad provider access and predictable cost sharing |
Adding Medigap to Original Medicare can make covered medical expenses more predictable by reducing certain deductibles, copayments, and coinsurance. The amount a policy pays depends on the standardized Medigap plan you choose.
Explore all Medicare Supplement plans in Wisconsin for more details.
Understanding Special Needs Plans (SNPs) in Jefferson County
Special Needs Plans (SNPs) are Medicare Advantage plans for people who meet specific eligibility requirements. Depending on the plan, eligibility may be based on having both Medicare and Medicaid, living with certain chronic conditions, or needing an institutional level of care.
| SNP Snapshot | Jefferson County |
|---|---|
| Total SNP plans | 15 |
| D-SNP plans | 11 |
| C-SNP plans | 2 |
| I-SNP plans | 2 |
Highest-Enrollment D-SNPs
| Plan | CMS Rating | Enrollment |
|---|---|---|
| UHC Dual Complete WI-D002 | 4.0 ★ | 25,562 |
| Anthem Full Dual Advantage | 3.5 ★ | 9,269 |
| Wellcare Dual Access Sync | 3.5 ★ | 9,155 |
Highest-Enrollment C-SNPs
| Plan | CMS Rating | Enrollment |
|---|---|---|
| UHC Complete Care WI-1 | 3.5 ★ | 7,749 |
| UHC Complete Care WI-20 | 4.0 ★ | 6,188 |
Highest-Enrollment I-SNPs
| Plan | CMS Rating | Enrollment |
|---|---|---|
| UHC Nursing Home Plan WI-F001 | 4.0 ★ | 1,287 |
| UHC Care Advantage WI-E001 | 4.0 ★ | 1,236 |
Meeting the eligibility requirements for an SNP is only the first step. If you qualify, consider how each available plan covers your doctors, prescriptions, health care needs, and other benefits before choosing a plan.
Additional Medicare Coverage and Help in Jefferson County
Your Medicare choices may be affected by coverage or benefits you already have. VA health benefits, employer or retiree coverage, and other programs can sometimes work alongside Medicare, while local counseling resources can help you understand how your coverage fits together.
| Additional Support Options | Jefferson County |
|---|---|
| VA health coverage may coordinate with Medicare | Yes |
| SHIP / local counseling availability | Medicare Outreach for Wisconsin |
| Local help resource | SHIP |
Choosing Your Medicare Coverage Path
Not sure which Medicare coverage path fits your needs? HealthCompare licensed insurance representatives[1] can help you understand your options in Jefferson County. Call 1-833-748-3201 (TTY: 711), M-F 8AM-10PM, Sat 9AM-8PM EST. No obligation.
- CMS.gov, Medicare Advantage & Special Needs Plan Landscape Source Files — Version: 202608
- CMS.gov, Medicare Part C & D Performance Data — Version: 2026
- CMS.gov, Medicare Advantage & Part D Contract and Enrollment Data — Version: 2026-07
Figures shown on this page (including plan availability, enrollment, premiums, CMS ratings, and other coverage data) are derived from published source datasets using a standardized aggregation methodology.
Data sources and methodology documentation .
- Medicare.gov, "What's Medicare Drug Coverage (Part D)?" — Last accessed August 1, 2026
- Medicare.gov, "Understanding Medicare Advantage Plans" — Last accessed August 6, 2026
- Medicare.gov, "Joining a plan" — Last accessed August 7, 2026
- Medicare.gov, "What Is Medigap and How Does It Work?" — Last accessed August 6, 2026
Medicare.org is a non-government website and is not affiliated 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, Editorial Steward, using a standardized, data-driven methodology for accurate Medicare coverage interpretation and resolution.