Wisconsin › Waukesha County
Medicare plans in Waukesha County, Wisconsin
2026 plans. Other years: 2026 · 2027
Where to start
This page lists every Medicare plan sold in Waukesha County for 2026, sorted from the lowest cost each month. They're in four tables below, by the kind of coverage. Jump to the one that fits you. Under each table, Compare these plans opens the same plans in our plan list, where you can add your prescriptions, narrow the list and compare plans side by side.
- Medicare Advantage with drug coverage (28 plans)
- Part D drug plans (10 plans)
- Special needs plans (18 plans)
- Medicare Advantage without drug coverage (11 plans)
- Medigap (Medicare Supplement) prices
Not sure which you need? Most people choose either a Medicare Advantage plan, which usually includes drug coverage, or Original Medicare with a Part D drug plan and often a Medigap policy to pay what Medicare leaves.
What would these plans cost you? Try the calculator → It's set to Waukesha County. Add your age, health and drugs to see what each kind of plan would cost you next year and over the years ahead.
The best plan here for…
- A low monthly premium
- Money back on your Part B premium
- The lowest cost in a bad year
- Dental coverage
- A high star rating
- Seeing doctors outside a network
- The lowest-priced Medigap Plan G
No plan is best for everyone, so we pick one for each of these and explain why. All our picks in Waukesha County
At a glance
- 39 Medicare Advantage plans are open to anyone with Medicare here; 27 charge no monthly premium.
- 15 give back part of your Part B premium, up to $145 a month.
- The lowest yearly limit on what you pay for in-network care is $1,500.
- 10 Part D drug plans, from $0 to $113.90 a month.
Medicare Advantage plans with drug coverage 28
Medical and drug coverage in one plan, open to anyone with Medicare who lives here. This is what most people mean by a Medicare Advantage plan.
| Plan | Network | Premium | Out-of-pocket limit | Stars |
|---|---|---|---|---|
| HumanaChoice Giveback H5216-252 (PPO) Humana · H5216-252-000 | PPO | $0/moGives back $51/mo of your Part B premium | $5,000 | 3.5★ |
| HumanaChoice Giveback H7617-011 (PPO) Humana · H7617-011-000 | PPO | $0/moGives back $51/mo of your Part B premium | $5,000 | 4.5★ |
| Network Health Anywhere (PPO) Network Health Medicare Advantage Plans · H5215-010-000 | PPO | $0/moGives back $21/mo of your Part B premium | $4,500 | 4.5★ |
| Humana Full Access H5216-410 (PPO) Humana · H5216-410-000 | PPO | $0/moGives back $2/mo of your Part B premium | $5,000 | 3.5★ |
| Humana Full Access H7617-020 (PPO) Humana · H7617-020-000 | PPO | $0/moGives back $2/mo of your Part B premium | $5,000 | 4.5★ |
| HumanaChoice H5216-253 (PPO) Humana · H5216-253-000 | PPO | $0/moGives back $1/mo of your Part B premium | $4,200 | 3.5★ |
| Aetna Medicare Signature (HMO-POS) Aetna Medicare · H1206-002-000 | HMO-POS | $0/mo | $5,900 | 3.0★ |
| Esteem Rx (HMO-POS) Security Health Plan of Wisconsin, Inc. · H5211-012-000 | HMO-POS | $0/mo | $5,000 | 4.5★ |
| Network Health Go (PPO) Network Health Medicare Advantage Plans · H5215-009-000 | PPO | $0/mo | $4,500 | 4.5★ |
| AARP Medicare Advantage Essentials from UHC WI-13 (HMO-POS) UnitedHealthcare · H5253-033-000 | HMO-POS | $0/mo | $4,900 | 4.0★ |
| AARP Medicare Advantage CareFlex from UHC WI-18 (HMO-POS) UnitedHealthcare · H5253-198-000 | HMO-POS | $0/mo | $6,700 | 4.0★ |
| AARP Medicare Advantage Extras from UHC WI-19 (HMO-POS) UnitedHealthcare · H5253-199-000 | HMO-POS | $0/mo | $6,700 | 4.0★ |
| Aetna Medicare Signature (PPO) Aetna Medicare · H5521-195-000 | PPO | $0/mo | $5,200 | 4.5★ |
| Aetna Medicare Signature Extra (PPO) Aetna Medicare · H5521-403-000 | PPO | $0/mo | $5,500 | 4.5★ |
| Humana Gold Plus H6622-001 (HMO) Humana · H6622-001-000 | HMO | $0/mo | $4,200 | 3.5★ |
| Wellcare Simple (HMO-POS) Wellcare · H8189-008-000 | HMO-POS | $0/mo | $5,300 | 3.5★ |
| Anthem Medicare Advantage (HMO-POS) Anthem Blue Cross and Blue Shield · H9525-004-000 | HMO-POS | $0/mo | $4,400 | 3.5★ |
| Humana Value Plus H5216-173 (PPO) Humana · H5216-173-000 | PPO | $21.10/moGives back $1/mo of your Part B premium | $9,250 | 3.5★ |
| Aetna Medicare Value Care (PPO) Aetna Medicare · H5521-400-000 | PPO | $21.10/mo | $5,900 | 4.5★ |
| Aetna Medicare Enhanced (PPO) Aetna Medicare · H5521-150-000 | PPO | $30/mo | $5,000 | 4.5★ |
| Humana Gold Choice H8145-006 (PFFS) Humana · H8145-006-000 | PFFS | $37/mo | $6,800 | 3.5★ |
| AARP Medicare Advantage from UHC WI-0010 (HMO-POS) UnitedHealthcare · H5253-004-000 | HMO-POS | $44/mo | $3,800 | 4.0★ |
| Anthem Medicare Advantage 3 (PPO) Anthem Blue Cross and Blue Shield · H4036-008-000 | PPO | $68/mo | $4,500 | 4.0★ |
| HumanaChoice H5216-001 (PPO) Humana · H5216-001-000 | PPO | $81/mo | $4,200 | 3.5★ |
| Essence Rx (HMO-POS) Security Health Plan of Wisconsin, Inc. · H5211-002-000 | HMO-POS | $87/mo | $3,800 | 4.5★ |
| AARP Medicare Advantage from UHC WI-0002 (PPO) UnitedHealthcare · H0294-004-000 | PPO | $95/mo | $6,700 | 3.5★ |
| HumanaChoice R5361-002 (Regional PPO) Humana · R5361-002-000 | Regional PPO | $103/mo | $7,200 | 3.0★ |
| Legacy Rx (HMO-POS) Security Health Plan of Wisconsin, Inc. · H5211-004-000 | HMO-POS | $269/mo | $2,200 | 4.5★ |
Part D drug plans 10
Standalone drug coverage, for people who keep Original Medicare (often with a Medigap policy). Drug plans are sold for a whole region, so the same plans are sold throughout Wisconsin.
| Plan | Premium | Drug deductible | Stars |
|---|---|---|---|
| AARP Medicare Rx Saver from UHC (PDP) UnitedHealthcare · S5921-361-000 | $0/mo | $615 | 2★ |
| HealthSpring Assurance Rx (PDP) Cigna Healthcare · S5617-223-000 | $0/mo | $615 | 2.5★ |
| Humana Basic Rx Plan (PDP) Humana · S5884-139-000 | $0/mo | $615 | 3★ |
| Humana Value Rx Plan (PDP) Humana · S5884-195-000 | $0/mo | $601 | 3★ |
| Wellcare Classic (PDP) Wellcare · S4802-097-000 | $0/mo | $615 | 3.5★ |
| Wellcare Value Script (PDP) Wellcare · S4802-132-000 | $0/mo | $615 | 3.5★ |
| SilverScript Choice (PDP) Aetna Medicare · S5601-032-000 | $26.70/mo | $615 | 3★ |
| HealthSpring Extra Rx (PDP) Cigna Healthcare · S5617-366-000 | $56.30/mo | $615 | 2.5★ |
| Humana Premier Rx Plan (PDP) Humana · S5884-162-000 | $110.60/mo | None | 3★ |
| AARP Medicare Rx Preferred from UHC (PDP) UnitedHealthcare · S5921-397-000 | $113.90/mo | $130 | 2★ |
Special needs plans 18
Medicare Advantage plans built for people with particular needs, and open only to people who have them. If one of the three below describes you, these are often worth a look before a general plan. Each row says who can join.
Who special needs plans are for
- D-SNP: you have Medicaid as well as Medicare (sometimes called "dual eligible" or "Medi-Medi").
- C-SNP: you have a chronic condition the plan is built around, such as diabetes, heart failure, chronic lung disease or dementia. The plan checks with your doctor.
- I-SNP: you live in a nursing home or similar facility, or need that level of care at home.
Why people choose them
- Care built around you. Most assign a care coordinator, and many run clinical programs for the condition they serve: diabetes education and supplies, heart or lung monitoring, medication reviews, or doctors who visit you in a facility.
- Often more generous extras. Many offer larger allowances than general plans for groceries, over-the-counter items, transportation, meals or utilities. Compare the figures; they vary widely from plan to plan.
- Lower costs for many members. With full Medicaid, a D-SNP member usually pays nothing for care Medicare covers.
The catch: you have to qualify, and the plan will check, for example your Medicaid status or a doctor's confirmation of your condition. If you're not sure, your State Health Insurance Assistance Program (SHIP) gives free, unbiased advice.
| Plan | Network | Who can join | Premium | Out-of-pocket limit | Stars |
|---|---|---|---|---|---|
| My Choice Wisconsin Medicare Dual Advantage Plan (HMO D-SNP) My Choice Wisconsin · H5209-006-001 | HMO | Only for people who have Medicaid as well as Medicare | $0/moGives back $1/mo of your Part B premium | $9,250 | 3.0★ |
| UHC Complete Care WI-1 (PPO C-SNP) UnitedHealthcare · H0294-002-000 | PPO | Only for people with certain chronic conditionsDiabetes, Heart | $0/mo | $6,700 | 3.5★ |
| UHC Complete Care WI-20 (HMO-POS C-SNP) UnitedHealthcare · H5253-202-000 | HMO-POS | Only for people with certain chronic conditionsDiabetes, Heart | $0/mo | $5,400 | 4.0★ |
| Anthem Full Dual Advantage 2 (HMO D-SNP) Anthem Blue Cross and Blue Shield · H9525-018-000 | HMO | Only for people who have Medicaid as well as Medicare | $0/mo | $9,250 | 3.5★ |
| Anthem Full Dual Advantage (HMO D-SNP) Anthem Blue Cross and Blue Shield · H9525-003-000 | HMO | Only for people who have Medicaid as well as Medicare | $3.60/mo | $9,250 | 3.5★ |
| UHC Dual Complete WI-D003 (HMO-POS D-SNP) UnitedHealthcare · H5253-024-000 | HMO-POS | Only for people who have Medicaid as well as Medicare | $7.50/mo | $9,250 | 4.0★ |
| UHC Nursing Home Plan WI-F001 (HMO-POS I-SNP) UnitedHealthcare · H5253-007-000 | HMO-POS | Only for people who live in a nursing home, or need that level of care at home | $7.70/mo | $9,250 | 4.0★ |
| UHC Dual Complete WI-D001 (PPO D-SNP) UnitedHealthcare · H0294-027-000 | PPO | Only for people who have Medicaid as well as Medicare | $9/mo | $9,250 | 3.5★ |
| Wellcare Dual Reserve (HMO-POS D-SNP) Wellcare · H8189-007-000 | HMO-POS | Only for people who have Medicaid as well as Medicare | $10.40/mo | $5,100 | 3.5★ |
| Wellcare Dual Access Sync (HMO-POS D-SNP) Wellcare · H8189-001-000 | HMO-POS | Only for people who have Medicaid as well as Medicare | $13.10/mo | $9,250 | 3.5★ |
| My Choice Wisconsin Partnership Plan (HMO D-SNP) My Choice Wisconsin · H5209-005-001 | HMO | Only for people who have Medicaid as well as Medicare | $13.30/mo | $9,250 | 3.0★ |
| HumanaChoice SNP-DE H5216-420 (PPO D-SNP) Humana · H5216-420-000 | PPO | Only for people who have Medicaid as well as Medicare | $15.30/mo | $9,250 | 3.5★ |
| UHC Dual Complete WI-V001 (HMO-POS D-SNP) UnitedHealthcare · H3794-004-000 | HMO-POS | Only for people who have Medicaid as well as Medicare | $17.30/moGives back $0.30/mo of your Part B premium | $4,900 | 4.0★ |
| Network Health Cares (PPO D-SNP) Network Health Medicare Advantage Plans · H5215-007-000 | PPO | Only for people who have Medicaid as well as Medicare | $21.10/moGives back $2.90/mo of your Part B premium | $9,250 | 4.5★ |
| UHC Dual Complete WI-D002 (HMO-POS D-SNP) UnitedHealthcare · H3794-002-000 | HMO-POS | Only for people who have Medicaid as well as Medicare | $18.90/moGives back $0.40/mo of your Part B premium | $9,250 | 4.0★ |
| UHC Care Advantage WI-E001 (HMO-POS I-SNP) UnitedHealthcare · H5253-064-000 | HMO-POS | Only for people who live in a nursing home, or need that level of care at home | $21.10/moGives back $0.90/mo of your Part B premium | $4,000 | 4.0★ |
| UHC Dual Complete WI-D3 (HMO-POS D-SNP) UnitedHealthcare · H3794-006-000 | HMO-POS | Only for people who have Medicaid as well as Medicare | $21.10/moGives back $0.50/mo of your Part B premium | $9,250 | 4.0★ |
| Community Care's Partnership Program (HMO D-SNP) Community Care · H2034-001-000 | HMO | Only for people who have Medicaid as well as Medicare | $21.10/mo | $9,250 | 3.5★ |
PACE
PACE isn't a special needs plan, but it isn't open to everyone either: it is for people 55 and older who need a nursing-home level of care and can live safely at home with its help. Sold here: Community Care's PACE Program (PACE), Community Care's PACE Program (PACE).
Medicare Advantage plans without drug coverage 11
Medical coverage only. These suit people who get their drugs elsewhere, such as from the VA or an employer, since you generally can't add a separate Part D plan to them.
| Plan | Network | Premium | Out-of-pocket limit | Stars |
|---|---|---|---|---|
| Humana USAA Honor Giveback (PPO) Humana · H5216-355-000 | PPO | $0/moGives back $145/mo of your Part B premium | $6,000 | 3.5★ |
| Humana USAA Honor Giveback (PPO) Humana · H7617-022-000 | PPO | $0/moGives back $145/mo of your Part B premium | $6,000 | 4.5★ |
| Anthem Veteran (PPO) Anthem Blue Cross and Blue Shield · H4036-024-000 | PPO | $0/moGives back $75/mo of your Part B premium | $6,751 | 4.0★ |
| Aetna Medicare Eagle (PPO) Aetna Medicare · H5521-286-000 | PPO | $0/moGives back $70/mo of your Part B premium | $4,900 | 4.5★ |
| AARP Medicare Advantage Patriot No Rx WI-MA02 (HMO-POS) UnitedHealthcare · H5253-021-000 | HMO-POS | $0/moGives back $65/mo of your Part B premium | $6,700 | 4.0★ |
| Humana USAA Honor Giveback (PPO) Humana · H5216-258-000 | PPO | $0/moGives back $30/mo of your Part B premium | $6,000 | 3.5★ |
| Humana USAA Honor Giveback (Regional PPO) Humana · R5361-001-000 | Regional PPO | $0/moGives back $30/mo of your Part B premium | $6,750 | 3.0★ |
| Network Health Bravo (PPO) Network Health Medicare Advantage Plans · H5215-014-000 | PPO | $0/moGives back $15/mo of your Part B premium | $4,500 | 4.5★ |
| Network Health Prime (MSA) Network Health Medicare Advantage Plans · H1181-001-000 | MSA | $0/mo | n/a | Not yet rated |
| Compass (HMO-POS) Security Health Plan of Wisconsin, Inc. · H5211-003-000 | HMO-POS | $0/mo | $3,400 | 4.5★ |
| Spirit (HMO-POS) Security Health Plan of Wisconsin, Inc. · H5211-001-000 | HMO-POS | $89/mo | $1,500 | 4.5★ |
Medigap (Medicare Supplement)
A Medigap policy pays some or all of what Original Medicare leaves you owing, and works with any doctor who takes Medicare. The coverage of each plan letter is the same whichever company sells it; only the price differs. Wisconsin standardizes Medigap its own way, so its plans don't use the usual letters.
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