Pepin County, Wisconsin — 2026 Medicare Advantage plans
26 individual Medicare Advantage plan segments from 7 parent organizations are filed for Pepin County for 2026, per CMS public files. This page reports what was filed; it does not rank or recommend plans.
| Plan | Type | Premium | In-network MOOP | Part D deductible | Star rating | OTC allowance | Supplemental benefits reported |
|---|---|---|---|---|---|---|---|
| Anthem Full Dual Advantage 2 (HMO D-SNP) Elevance Health, Inc. · H9525-018-000 · SoB ✓ | HMO D-SNP | $0 | $9,250 | $590 | 3.5out of 5 stars, Average | Reported | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
| Cooperative Medicare Advantage (HMO) Group Health Cooperative of Eau Claire · H7598-004-000 · SoB | HMO | $0 | $6,000 | $275 | Not rated | $55 | Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance |
| Esteem Rx (HMO-POS) Marshfield Clinic Health System, Inc. · H5211-012-000 · SoB | HMO-POS | $0 | $5,000 | $250 | 4.5out of 5 stars, Above average | $45 | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance |
| Gundersen Quartz Med Advantage Basic D (w/Rx) (HMO) University of Wisconsin Hospitals and Clincs Autho · H5262-032-000 · SoB | HMO | $0 | $6,700 | $270 | 4.0out of 5 stars, Above average | — | Vision exam Eyewear |
| My Choice Wisconsin Medicare Dual Advantage Plan (HMO D-SNP) Molina Healthcare, Inc. · H5209-006-002 · SoB | HMO D-SNP | $0 | $9,250 | $615 | 3.0out of 5 stars, Average | Reported | Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
| Anthem Full Dual Advantage (HMO D-SNP) Elevance Health, Inc. · H9525-003-000 · SoB ✓ | HMO D-SNP | $3.60 | $9,250 | $615 | 3.5out of 5 stars, Average | $175 | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
| UHC Dual Complete WI-D001 (PPO D-SNP) UnitedHealth Group, Inc. · H0294-027-000 · SoB ✓ | PPO D-SNP | $9 | $9,250 | $615 | 3.5out of 5 stars, Average | Reported | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals |
| My Choice Wisconsin Partnership Plan (HMO D-SNP) Molina Healthcare, Inc. · H5209-005-002 · SoB | HMO D-SNP | $13.30 | $9,250 | $615 | 3.0out of 5 stars, Average | Reported | Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
| UHC Dual Complete WI-V001 (HMO-POS D-SNP) UnitedHealth Group, Inc. · H3794-004-000 · SoB ✓ | HMO-POS D-SNP | $17.30 | $4,900 | $615 | 4.0out of 5 stars, Above average | Reported | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
| UHC Dual Complete WI-D002 (HMO-POS D-SNP) UnitedHealth Group, Inc. · H3794-002-000 · SoB ✓ | HMO-POS D-SNP | $18.90 | $9,250 | $615 | 4.0out of 5 stars, Above average | Reported | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
| iCare Family Care Partnership (HMO D-SNP) Humana Inc. · H2237-007-000 · SoB ✓ | HMO D-SNP | $20.90 | $9,250 | $615 | 2.5out of 5 stars, Below average | Reported | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals |
| Cooperative Advantage (HMO D-SNP) Group Health Cooperative of Eau Claire · H7598-003-000 · SoB | HMO D-SNP | $21.10 | $9,250 | $615 | Not rated | $90 | Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
| Gundersen Quartz Med Advantage Core D (w/Rx) (HMO) University of Wisconsin Hospitals and Clincs Autho · H5262-021-000 · SoB | HMO | $29 | $5,900 | $270 | 4.0out of 5 stars, Above average | — | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids |
| HumanaChoice H7617-007 (PPO) Humana Inc. · H7617-007-000 · SoB ✓ | PPO | $47 | $9,250 | $615 | 4.5out of 5 stars, Above average | — | Vision exam Eyewear Hearing aids Meals |
| Essence Rx (HMO-POS) Marshfield Clinic Health System, Inc. · H5211-002-000 · SoB | HMO-POS | $87 | $3,800 | $330 | 4.5out of 5 stars, Above average | $30 | Vision exam Eyewear Hearing aids OTC allowance |
| Gundersen Quartz Med Advantage Value D (w/Rx) (HMO) University of Wisconsin Hospitals and Clincs Autho · H5262-003-000 · SoB | HMO | $90 | $4,200 | $225 | 4.0out of 5 stars, Above average | — | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids |
| Gundersen Quartz Med Advantage Elite D (w/Rx) (HMO) University of Wisconsin Hospitals and Clincs Autho · H5262-001-000 · SoB | HMO | $196 | $3,500 | $200 | 4.0out of 5 stars, Above average | — | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids |
| Legacy Rx (HMO-POS) Marshfield Clinic Health System, Inc. · H5211-004-000 · SoB | HMO-POS | $269 | $2,200 | $0 | 4.5out of 5 stars, Above average | $30 | Vision exam Eyewear Hearing aids OTC allowance |
| AARP Medicare Advantage Patriot No Rx WI-MA01 (PPO) UnitedHealth Group, Inc. · H0294-014-000 · SoB ✓ | PPO | — | $6,700 | — | 3.5out of 5 stars, Average | — | Vision exam Eyewear Hearing aids Meals |
| Compass (HMO-POS) Marshfield Clinic Health System, Inc. · H5211-003-000 · SoB | HMO-POS | — | $3,400 | — | 4.5out of 5 stars, Above average | $30 | Vision exam Eyewear Hearing aids OTC allowance |
| Gundersen Quartz Med Advantage Elite (HMO) University of Wisconsin Hospitals and Clincs Autho · H5262-005-000 · SoB | HMO | — | $3,500 | — | 4.0out of 5 stars, Above average | — | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids |
| Gundersen Quartz Med Advantage Value (HMO) University of Wisconsin Hospitals and Clincs Autho · H5262-004-000 · SoB | HMO | — | $4,200 | — | 4.0out of 5 stars, Above average | — | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids |
| Humana USAA Honor Giveback (PPO) Humana Inc. · H7617-022-000 · SoB ✓ | PPO | — | $6,000 | — | 4.5out of 5 stars, Above average | Reported | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals |
| Humana USAA Honor Giveback (PPO) Humana Inc. · H5216-355-000 · SoB ✓ | PPO | — | $6,000 | — | 3.5out of 5 stars, Average | Reported | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals |
| Humana USAA Honor Giveback (PPO) Humana Inc. · H5216-258-000 · SoB ✓ | PPO | — | $6,000 | — | 3.5out of 5 stars, Average | Reported | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals |
| Spirit (HMO-POS) Marshfield Clinic Health System, Inc. · H5211-001-000 · SoB | HMO-POS | — | $1,500 | — | 4.5out of 5 stars, Above average | $30 | Vision exam Eyewear Hearing aids OTC allowance |
What the star rating means. CMS rates every Medicare Advantage contract (the "H" number in the plan ID — all plans under it share the rating) on a 1-to-5 scale each October, from about 40 measures of care quality, member experience, complaints and appeals, customer service and, for plans with drug coverage, drug safety and pricing. The 2026 rating is largely based on performance measured in 2024.
5 Excellent4 Above average3 Average2 Below average1 Poor
Not rated means CMS published no overall rating — usually a contract too new to be measured or with too few members ("not enough data"); it is not a low score. A 5-star contract can be joined outside the normal enrollment windows (the 5-star Special Enrollment Period, Dec 8 – Nov 30). Medicare.gov flags contracts rated below 3 stars for three years running as low-performing. Stars describe the contract's past performance as CMS measured it; they are not a recommendation, and they do not tell you whether a plan's network, drugs or costs fit you.
How to read this table
Yes — the plan's approved bid reports the benefit. No — the bid reports it is not offered. — — CMS did not publish a value for this field; that is not the same as No. Reported under an allowance column means the benefit is offered but CMS published no dollar amount. Premium is the CMS consolidated monthly premium (Part C + Part D). MOOP is the in-network maximum out-of-pocket. Star rating is the contract's overall rating in the CMS file used for this build. SNP plans (D-SNP, C-SNP, I-SNP) are limited to people who meet the plan's eligibility rules. A plan's own Summary of Benefits and Evidence of Coverage govern the details.
Click a column header to sort. On small screens the Part D deductible and OTC columns are hidden; open a plan for the full record.
Is a drug covered by plans in Pepin County?
Download all 26 Pepin County plans as CSVEvery column on this page plus the 14 benefit flags and published allowances — part of Pro, $99/month or $990/year.