Medicare Plan LookupOfficial CMS data · Contract Year 2027
CMS 2027 data

CMS Contract Year 2027 exact county directory

Medicare plans in Outagamie County, Wisconsin

50 exact segment-backed medical plan records are listed for this county in the current CMS release.

50medical records
9organizations
50whole-county records
0partial records

Exact county discovery

Plans with exact segment geography

These results are limited to medical plan segments whose CMS Landscape geography names this county. Contract-wide service areas and standalone Part D records are not expanded into county cards.

Plan yearContract Year 2027
Plan typesHMO (5) · HMOPOS (13) · Local PPO (28) · MSA (1) · PFFS (1) · Regional PPO (2)
Part D pathWisconsin plan directory

County snapshot

Reported cost context by plan type

Descriptive summaries of the primary county cohort; they are not plan recommendations.

50whole-county plans in the comparison cohort
9organizations in the comparison cohort
17SNP plans
42plans with drug coverage reported
HMO 18 · PPO 30 · PFFS 1 · Other 1whole-county plan-type mix; HMO includes HMOPOS and PPO includes Local/Regional PPO

HMO plans

18 whole-county
Monthly premium
Median $0 · range $0–$69
Based on 18 of 18 whole-county HMO plans with a reported value.
In-network MOOP
Median $7,150 · range $4,000–$9,850
Based on 18 of 18 whole-county HMO plans with a reported value.

PPO plans

30 whole-county
Monthly premium
Median $0 · range $0–$257
Based on 30 of 30 whole-county PPO plans with a reported value.
In-network MOOP
Median $6,050 · range $3,400–$9,850
Based on 30 of 30 whole-county PPO plans with a reported value.

PFFS plans

1 whole-county
Monthly premium
Not enough reported values
Based on 1 of 1 whole-county PFFS plans with a reported value. At least 3 reported values are required for a range.
In-network MOOP
Not enough reported values
Based on 0 of 1 whole-county PFFS plans with a reported value. At least 3 reported values are required for a range.

Primary statistics use current-year medical records with exact plan_segment geography and a whole-county relationship. Partial-county records are shown separately below and are excluded here. Contract-scope records, standalone Part D plans, and employer/group-only relationships are not part of this county comparison. Missing or unreported values remain outside each metric denominator. Confirm benefits, eligibility, and service area in official Medicare or plan materials.

Showing all 50 exact medical plan records.

Exact segment records

Medical plans reported for the whole county

50 records
H5521-195-000 Local PPO
Exact segment geography

Aetna Medicare Signature (PPO)

Aetna Medicare

Prescription-drug coverage reported
Premium
$0 / month
MOOP
$5,500 in-network
Drug coverage
Reported
H5521-195-000 — Open exact plan page
H9525-028-000 HMO
Exact segment geography

Anthem Dual Advantage Plus (HMO D-SNP)

Anthem Blue Cross and Blue Shield

Dual-EligiblePrescription-drug coverage reported
Premium
$0 / month
MOOP
$9,850 in-network
Drug coverage
Reported
H9525-028-000 — Open exact plan page
H9525-027-000 HMO
Exact segment geography

Anthem Full Dual Advantage (HMO D-SNP)

Anthem Blue Cross and Blue Shield

Dual-EligiblePrescription-drug coverage reported
Premium
$0 / month
MOOP
$9,850 in-network
Drug coverage
Reported
H9525-027-000 — Open exact plan page
H9525-006-000 HMOPOS
Exact segment geography

Anthem Medicare Advantage (HMO-POS)

Anthem Blue Cross and Blue Shield

Prescription-drug coverage reported
Premium
$38 / month
MOOP
$4,300 in-network
Drug coverage
Reported
H9525-006-000 — Open exact plan page
H4036-008-000 Local PPO
Exact segment geography

Anthem Medicare Advantage 3 (PPO)

Anthem Blue Cross and Blue Shield

Prescription-drug coverage reported
Premium
$84 / month
MOOP
$7,150 in-network
Drug coverage
Reported
H4036-008-000 — Open exact plan page
H2034-001-000 HMO
Exact segment geography

Community Care's Partnership Program (HMO D-SNP)

Community Care

Dual-EligiblePrescription-drug coverage reported
Premium
$6.30 / month
MOOP
$9,850 in-network
Drug coverage
Reported
H2034-001-000 — Open exact plan page
H6309-001-000 Local PPO
Exact segment geography

HealthPartners Birch (PPO)

HealthPartners

Prescription-drug coverage reported
Premium
$0 / month
MOOP
$6,750 in-network
Drug coverage
Reported
H6309-001-000 — Open exact plan page
H6309-002-000 Local PPO
Exact segment geography

HealthPartners Cedar (PPO)

HealthPartners

Prescription-drug coverage reported
Premium
$0 / month
MOOP
$9,850 in-network
Drug coverage
Reported
H6309-002-000 — Open exact plan page
H7617-011-000 Local PPO
Exact segment geography

Humana Essentials Plus Giveback (PPO)

Humana

Prescription-drug coverage reported
Premium
$0 / month
MOOP
$5,250 in-network
Drug coverage
Reported
H7617-011-000 — Open exact plan page
H5216-410-000 Local PPO
Exact segment geography

Humana Full Access (PPO)

Humana

Prescription-drug coverage reported
Premium
$0 / month
MOOP
$6,400 in-network
Drug coverage
Reported
H5216-410-000 — Open exact plan page
H7617-020-000 Local PPO
Exact segment geography

Humana Full Access (PPO)

Humana

Prescription-drug coverage reported
Premium
$0 / month
MOOP
$6,100 in-network
Drug coverage
Reported
H7617-020-000 — Open exact plan page
H8145-006-000 PFFS
Exact segment geography

Humana Gold Choice H8145-006 (PFFS)

Humana

Prescription-drug coverage reported
Premium
$60 / month
MOOP
Not reported
Drug coverage
Reported
H8145-006-000 — Open exact plan page
H3642-001-000 Local PPO
Exact segment geography

Humana Value Choice (PPO)

Humana

Prescription-drug coverage reported
Premium
$0 / month
MOOP
$4,450 in-network
Drug coverage
Reported
H3642-001-000 — Open exact plan page
H5216-253-000 Local PPO
Exact segment geography

Humana Value Choice (PPO)

Humana

Prescription-drug coverage reported
Premium
$0 / month
MOOP
$4,450 in-network
Drug coverage
Reported
H5216-253-000 — Open exact plan page
H5216-173-000 Local PPO
Exact segment geography

Humana Value Plus H5216-173 (PPO)

Humana

Prescription-drug coverage reported
Premium
$6.30 / month
MOOP
$9,850 in-network
Drug coverage
Reported
H5216-173-000 — Open exact plan page
H7617-121-000 Local PPO
Exact segment geography

HumanaChoice - Diabetes and Heart (PPO C-SNP)

Humana

Chronic or Disabling ConditionPrescription-drug coverage reported
Premium
$0 / month
MOOP
$4,400 in-network
Drug coverage
Reported
H7617-121-000 — Open exact plan page
H5216-252-000 Local PPO
Exact segment geography

HumanaChoice Giveback H5216-252 (PPO)

Humana

Prescription-drug coverage reported
Premium
$0 / month
MOOP
$5,250 in-network
Drug coverage
Reported
H5216-252-000 — Open exact plan page
H5216-001-000 Local PPO
Exact segment geography

HumanaChoice H5216-001 (PPO)

Humana

Prescription-drug coverage reported
Premium
$94 / month
MOOP
$4,200 in-network
Drug coverage
Reported
H5216-001-000 — Open exact plan page
R5361-002-000 Regional PPO
Exact segment geography

HumanaChoice R5361-002 (Regional PPO)

Humana

Prescription-drug coverage reported
Premium
$87 / month
MOOP
$7,700 in-network
Drug coverage
Reported
R5361-002-000 — Open exact plan page
H5216-420-000 Local PPO
Exact segment geography

HumanaChoice SNP-DE H5216-420 (PPO D-SNP)

Humana

Dual-EligiblePrescription-drug coverage reported
Premium
$0 / month
MOOP
$9,850 in-network
Drug coverage
Reported
H5216-420-000 — Open exact plan page
H5209-006-002 HMO
Exact segment geography

Molina My Choice Dual Advantage (HMO D-SNP)

Molina Healthcare of Wisconsin

Dual-EligiblePrescription-drug coverage reported
Premium
$0 / month
MOOP
$9,850 in-network
Drug coverage
Reported
H5209-006-002 — Open exact plan page
H5215-013-000 Local PPO
Exact segment geography

Network Health Armor (PPO)

Network Health Medicare Advantage Plans

Premium
$0 / month
MOOP
$4,900 in-network
Drug coverage
Not reported
H5215-013-000 — Open exact plan page
H5215-007-000 Local PPO
Exact segment geography

Network Health Cares (PPO D-SNP)

Network Health Medicare Advantage Plans

Dual-EligiblePrescription-drug coverage reported
Premium
$6.30 / month
MOOP
$9,850 in-network
Drug coverage
Reported
H5215-007-000 — Open exact plan page
H5215-011-000 Local PPO
Exact segment geography

Network Health Choice (PPO)

Network Health Medicare Advantage Plans

Prescription-drug coverage reported
Premium
$0 / month
MOOP
$5,100 in-network
Drug coverage
Reported
H5215-011-000 — Open exact plan page
H5215-002-000 Local PPO
Exact segment geography

Network Health PlusRx (PPO)

Network Health Medicare Advantage Plans

Prescription-drug coverage reported
Premium
$105 / month
MOOP
$3,400 in-network
Drug coverage
Reported
H5215-002-000 — Open exact plan page
H5215-005-000 Local PPO
Exact segment geography

Network Health PremierRx (PPO)

Network Health Medicare Advantage Plans

Prescription-drug coverage reported
Premium
$257 / month
MOOP
$3,400 in-network
Drug coverage
Reported
H5215-005-000 — Open exact plan page
H5215-008-000 Local PPO
Exact segment geography

Network Health Select (PPO)

Network Health Medicare Advantage Plans

Prescription-drug coverage reported
Premium
$0 / month
MOOP
$4,450 in-network
Drug coverage
Reported
H5215-008-000 — Open exact plan page
H0294-004-000 Local PPO
Exact segment geography

AARP Medicare Advantage from UHC WI-0002 (PPO)

UnitedHealthcare

Prescription-drug coverage reported
Premium
$99 / month
MOOP
$7,150 in-network
Drug coverage
Reported
H0294-004-000 — Open exact plan page
H5253-011-000 HMOPOS
Exact segment geography

AARP Medicare Advantage from UHC WI-0011 (HMO-POS)

UnitedHealthcare

Prescription-drug coverage reported
Premium
$69 / month
MOOP
$4,450 in-network
Drug coverage
Reported
H5253-011-000 — Open exact plan page
H5253-034-000 HMOPOS
Exact segment geography

AARP Medicare Advantage from UHC WI-0014 (HMO-POS)

UnitedHealthcare

Prescription-drug coverage reported
Premium
$0 / month
MOOP
$7,150 in-network
Drug coverage
Reported
H5253-034-000 — Open exact plan page
H0294-015-000 Local PPO
Exact segment geography

AARP Medicare Advantage from UHC WI-6 (PPO)

UnitedHealthcare

Prescription-drug coverage reported
Premium
$56 / month
MOOP
$7,150 in-network
Drug coverage
Reported
H0294-015-000 — Open exact plan page
H5253-021-000 HMOPOS
Exact segment geography

AARP Medicare Advantage Patriot No Rx WI-MA02 (HMO-POS)

UnitedHealthcare

Premium
$0 / month
MOOP
$7,150 in-network
Drug coverage
Not reported
H5253-021-000 — Open exact plan page
H5253-064-000 HMOPOS
Exact segment geography

UHC Care Advantage WI-E001 (HMO-POS I-SNP)

UnitedHealthcare

InstitutionalPrescription-drug coverage reported
Premium
$6.30 / month
MOOP
$4,000 in-network
Drug coverage
Reported
H5253-064-000 — Open exact plan page
H0294-002-000 Local PPO
Exact segment geography

UHC Complete Care WI-1 (PPO C-SNP)

UnitedHealthcare

Chronic or Disabling ConditionPrescription-drug coverage reported
Premium
$0 / month
MOOP
$7,150 in-network
Drug coverage
Reported
H0294-002-000 — Open exact plan page
H5253-202-000 HMOPOS
Exact segment geography

UHC Complete Care WI-20 (HMO-POS C-SNP)

UnitedHealthcare

Chronic or Disabling ConditionPrescription-drug coverage reported
Premium
$0 / month
MOOP
$5,900 in-network
Drug coverage
Reported
H5253-202-000 — Open exact plan page
H3794-004-000 HMOPOS
Exact segment geography

UHC Dual Advantage WI-V1 (HMO-POS D-SNP)

UnitedHealthcare

Dual-EligiblePrescription-drug coverage reported
Premium
$0 / month
MOOP
$5,400 in-network
Drug coverage
Reported
H3794-004-000 — Open exact plan page
H0294-027-000 Local PPO
Exact segment geography

UHC Dual Advantage WI-V2 (PPO D-SNP)

UnitedHealthcare

Dual-EligiblePrescription-drug coverage reported
Premium
$6.30 / month
MOOP
$9,850 in-network
Drug coverage
Reported
H0294-027-000 — Open exact plan page
H3794-002-000 HMOPOS
Exact segment geography

UHC Dual Complete WI-Q1 (HMO-POS D-SNP)

UnitedHealthcare

Dual-EligiblePrescription-drug coverage reported
Premium
$0 / month
MOOP
$9,850 in-network
Drug coverage
Reported
H3794-002-000 — Open exact plan page
H3794-011-001 HMOPOS
Exact segment geography

UHC Dual Complete WI-S1 (HMO-POS D-SNP)

UnitedHealthcare

Dual-EligiblePrescription-drug coverage reported
Premium
$0 / month
MOOP
$9,850 in-network
Drug coverage
Reported
H3794-011-001 — Open exact plan page
H5253-007-000 HMOPOS
Exact segment geography

UHC Nursing Home Plan WI-F001 (HMO-POS I-SNP)

UnitedHealthcare

InstitutionalPrescription-drug coverage reported
Premium
$0 / month
MOOP
$9,850 in-network
Drug coverage
Reported
H5253-007-000 — Open exact plan page
H8189-001-000 HMOPOS
Exact segment geography

Wellcare MHS Health Wisconsin Dual Liberty Sync (HMO-POS D-SNP)

Wellcare

Dual-EligiblePrescription-drug coverage reported
Premium
$0 / month
MOOP
$9,850 in-network
Drug coverage
Reported
H8189-001-000 — Open exact plan page
H8189-007-000 HMOPOS
Exact segment geography

Wellcare MHS Health Wisconsin Dual Select (HMO-POS D-SNP)

Wellcare

Dual-EligiblePrescription-drug coverage reported
Premium
$0 / month
MOOP
$5,100 in-network
Drug coverage
Reported
H8189-007-000 — Open exact plan page
H8189-008-000 HMOPOS
Exact segment geography

Wellcare Simple (HMO-POS)

Wellcare

Prescription-drug coverage reported
Premium
$0 / month
MOOP
$5,800 in-network
Drug coverage
Reported
H8189-008-000 — Open exact plan page

Source and scope

How this county directory is built

This page uses the CMS Contract Year 2027 PBP benefits, Landscape, and aligned MA service-area data. County identity comes from exact contract, plan, and segment geography; stable FIPS or SSA values are used only for source-backed identity and route disambiguation.

Contract-level geography and standalone Part D geography remain available through state, carrier, and contract directories rather than being presented as exact county plan cards. Medicare Plan Lookup is an independent quick-reference tool.

Read the detailed data-source methodology →