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Open enrollment 2027 · Wisconsin

Medicare Advantage in Waupaca County, WI, for 2027.

CMS lists 52 Medicare Advantage plans here for 2027, 3 fewer than 2026 (55). 10,821 people in the county had an individual Medicare Advantage plan in October 2026.

Sources: CMS CY2027 plan file (October 2026 release), CMS CY2026 plan file (September 2026 release), CMS enrollment by county (CPSC), October 2026, CMS 2027 Plan Crosswalk (October 1, 2026), CMS 2027 Star Ratings Data Tables (October 8, 2026). Member counts are floors because CMS hides counts of 10 or fewer.

The county in numbers

2027 plans523 fewer than 2026 (55)
$0 premium plans34of 52
Insurers10parent companies
Must pick a plan240their plan ends here
Rated 4 stars or more31of 45 rated plans

Plans that end here for 2027

3 plans with members in the county end or leave it, plus 12 with 10 or fewer members here. CMS moves 948 members to another plan, and 9,121 stay in the same plan.

PlanInsurerMembersWhy
AARP Medicare Advantage CareFlex from UHC WI-18 (HMO-POS)UnitedHealth155Plan terminated
Essence Rx (HMO-POS)Sanford Health46Plan terminated
Aspirus Health Plan Essential Rx (PPO)Aspirus39Plan terminated

Where CMS moves members

2026 plan2027 planMembers
Network Health Zero (PPO)Network Health Select (PPO)735
Anthem Full Dual Advantage 2 (HMO D-SNP)Anthem Full Dual Advantage (HMO D-SNP)87
Anthem Full Dual Advantage (HMO D-SNP)Anthem Full Dual Advantage (HMO D-SNP)69
UHC Dual Complete WI-D003 (HMO-POS D-SNP)UHC Dual Complete WI-Q1 (HMO-POS D-SNP)57
UHC Dual Complete WI-D3 (HMO-POS D-SNP)UHC Dual Complete WI-Q1 (HMO-POS D-SNP)10 or fewer
Spirit (HMO-POS)Compass (HMO)10 or fewer
Humana USAA Honor Giveback (PPO)Humana USAA Honor Giveback (PPO)10 or fewer

Who holds the members

  • Network Health5,190
  • UnitedHealth2,674
  • Humana2,015
  • Elevance Health281
  • Sanford Health230
  • HealthPartners197

Individual Medicare Advantage members by parent company, October 2026.

Top rated plans sold here

  • Anthem Medicare Advantage 3 (PPO)Elevance Health4.5
  • Humana Essentials Plus Giveback (PPO)Humana4.5
  • Humana Full Access (PPO)Humana4.5
  • Humana USAA Honor Giveback (PPO)Humana4.5
  • HumanaChoice - Diabetes and Heart (PPO C-SNP)Humana4.5

2027 overall Star Rating, 4.5 or more. Each plan's measure stars are in the county lookup.

See every plan, premium and copay in the free lookup.

Sort all 52 plans, open each plan's benefits and star measures, and see what each insurer paid agents in 2026.

Open Waupaca in the lookup

Working this county for AEP?

The AEP 2027 County Kit puts this county and your others in one file: the plans that end, where members land, what is still sold and a crosswalk sheet, with every number tied to its CMS file.

See the AEP 2027 County Kit

All Wisconsin county pages. Facts from public CMS files, prepared by Health and Tech Now. Not plan advice. Check a plan's Summary of Benefits before you enroll.