- 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
- Portage County
- state
- Wisconsin
- label
- Total Medicare Advantage plans
- value
- 32
- label
- $0 premium plans
- value
- 24
- label
- HMO plans
- value
- 1
- label
- PPO plans
- value
- 23
- label
- HMO-POS plans
- value
- 7
- label
- PFFS plans
- value
- 0
- label
- Plans with drug coverage
- value
- 20
- label
- Lowest MOOP
- value
- $0
- label
- Highest MOOP
- value
- $9,250
- label
- Highest Part B giveback
- value
- $205.00
- 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
- Portage 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
- Portage 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
- Portage County
- state
- Wisconsin
- label
- Total Special Needs Plans
- value
- 10
- label
- Dual Eligible Special Needs Plans (D-SNP)
- value
- 10
- label
- Chronic Condition Special Needs Plans (C-SNP)
- value
- 0
- label
- Institutional Special Needs Plans (I-SNP)
- value
- 0
- 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
- Portage County
- state
- Wisconsin
- label
- Coverage area
- value
- Portage County, Wisconsin
- label
- Medicare Advantage plans
- value
- 32
- label
- Part D plans
- value
- 10
- label
- Medigap carriers
- value
- 32
- label
- Special Needs Plans
- value
- 10
- label
- D-SNP plans
- value
- 10
- label
- C-SNP plans
- value
- 0
- label
- I-SNP plans
- value
- 0
- 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
- Portage County
- state
- Wisconsin
- name
- Cooperative Medicare Advantage
- plan_id
- H7598-004-0
- plan_url
- https://www.medicare.org/medicare-advantage-plans/plan/H7598-004-0/
- cms_rating
- 0.0
- enrollment
- 860
- name
- Network Health Select
- plan_id
- H5215-008-0
- plan_url
- https://www.medicare.org/medicare-advantage-plans/plan/H5215-008-0/
- cms_rating
- 4.5
- enrollment
- 42,830
- name
- Network Health Choice
- plan_id
- H5215-011-0
- plan_url
- https://www.medicare.org/medicare-advantage-plans/plan/H5215-011-0/
- cms_rating
- 4.5
- enrollment
- 35,339
- 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
- Esteem Rx
- plan_id
- H5211-012-0
- plan_url
- https://www.medicare.org/medicare-advantage-plans/plan/H5211-012-0/
- cms_rating
- 4.5
- enrollment
- 35,800
- name
- Essence Rx
- plan_id
- H5211-002-0
- plan_url
- https://www.medicare.org/medicare-advantage-plans/plan/H5211-002-0/
- cms_rating
- 4.5
- enrollment
- 19,157
- name
- Compass
- plan_id
- H5211-003-0
- plan_url
- https://www.medicare.org/medicare-advantage-plans/plan/H5211-003-0/
- cms_rating
- 4.5
- enrollment
- 16,909
- 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
Understand Your 2026 Medicare Options in Portage County, WI
Last update: .
Medicare gives you several ways to get your health and prescription drug coverage. This page explains the Medicare options available in Portage County, Wisconsin, and how each type of coverage works.
Understanding Your Medicare Coverage Choices
Before choosing a Medicare plan, it helps to understand the different ways you can receive Medicare coverage in Portage 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 Portage County.
Medicare Advantage Plan Options in Portage County
Medicare Advantage provides another way to receive your Medicare benefits in Portage County. These private plans cover Part A and Part B, often bundle prescription drug coverage, and may offer additional benefits. The plans available locally differ in network type, costs, and out-of-pocket limits.
| Medicare Advantage Plan Snapshot | Portage County |
|---|---|
| Total Medicare Advantage plans | 32 |
| $0 premium plans | 24 |
| HMO plans | 1 |
| PPO plans | 23 |
| Plans with drug coverage | 20 |
| Lowest MOOP | $0 |
| Highest MOOP | $9,250 |
| Highest Part B giveback | $205.00 |
Highest-Enrollment PPO Plans
| Plan | CMS Rating | Enrollment |
|---|---|---|
| Network Health Select | 4.5 ★ | 42,830 |
| Network Health Choice | 4.5 ★ | 35,339 |
| Humana USAA Honor Giveback | 3.5 ★ | 12,181 |
Highest-Enrollment HMO Plans
| Plan | CMS Rating | Enrollment |
|---|---|---|
| Cooperative Medicare Advantage | 0.0 ★ | 860 |
Highest-Enrollment HMO-POS Plans
| Plan | CMS Rating | Enrollment |
|---|---|---|
| Esteem Rx | 4.5 ★ | 35,800 |
| Essence Rx | 4.5 ★ | 19,157 |
| Compass | 4.5 ★ | 16,909 |
The Medicare Advantage plans available in Portage 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 Portage County, WI
If you use Original Medicare, you can add a standalone Medicare Part D plan for prescription drug coverage. Plans available in Portage 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 Medicare Supplement (Medigap) in Portage County
Medicare Supplement Insurance (Medigap) works alongside Original Medicare to help pay certain out-of-pocket costs, such as deductibles, copayments, and coinsurance. You keep Original Medicare as your primary coverage and can add a separate Part D plan for prescription drugs.
Medigap benefits are standardized by plan letter, but premiums are not. Sample rates from 32 insurers serving Portage County range from about $30 to more than $1,174 per month, depending on the plan, insurer, location, and other rating factors.
| Medigap Snapshot | Portage 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 SNP Eligibility and Coverage in Portage County
Special Needs Plans provide Medicare Advantage coverage tailored to specific groups of beneficiaries. D-SNPs serve people who qualify for Medicare and Medicaid, C-SNPs serve people with certain chronic conditions, and I-SNPs serve people who meet institutional care requirements.
| SNP Snapshot | Portage County |
|---|---|
| Total SNP plans | 10 |
| D-SNP plans | 10 |
| C-SNP plans | 0 |
| I-SNP plans | 0 |
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 |
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 Portage 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 | Portage 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 Portage 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, "Drug coverage (part D)" — Last accessed August 2, 2026
- Medicare.gov, "Understanding Medicare Advantage Plans" — Last accessed August 6, 2026
- AARP.org, "The Big Choice: Original Medicare vs. Medicare Advantage" — Last accessed August 6, 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.