Medicare Special Needs Plans in Wisconsin
Every Special Needs Plan in Wisconsin for 2027, from the CMS plan landscape file. You can join one only if you fit its group: Medicare and Medicaid (D-SNP), a qualifying chronic condition (C-SNP) or nursing-home-level care (I-SNP). Pick your county to see the plans sold there.
Showing all 28 plans.
D-SNPs: Medicare and Medicaid
Sorted by CMS star rating, then by how closely the plan is integrated with Wisconsin Medicaid, then by worst-case year. If Medicaid or the QMB program pays your Medicare cost sharing, the out-of-pocket maximum matters less than the network and how well the plan works with Medicaid.
| # | Plan | Premium / month | In-network max out-of-pocket | Worst-case year | Stars |
|---|---|---|---|---|---|
| 1 | HumanaChoice SNP-DE H5216-420 (PPO D-SNP)Humana · PPO D-SNPHighly integrated (HIDE)33 of 72 counties | $0 | $9,850 | $9,850 | 4★ |
| 2 | Gundersen Quartz Med Advantage Dual Eligible (HMO D-SNP)Quartz Medicare Advantage (HMO) · HMO D-SNPHighly integrated (HIDE)1 of 72 counties | $6.30 | $9,850 | $9,926 | 4★ |
| 3 | Network Health Cares (PPO D-SNP)Network Health Medicare Advantage Plans · PPO D-SNPHighly integrated (HIDE)24 of 72 counties | $6.30 | $9,850 | $9,926 | 4★ |
| 4 | UW Health Quartz Med Advantage Dual Eligible (HMO D-SNP)Quartz Medicare Advantage (HMO) · HMO D-SNPHighly integrated (HIDE)1 of 72 counties | $6.30 | $9,850 | $9,926 | 4★ |
| 5 | iCare Family Care Partnership (HMO D-SNP)iCare · HMO D-SNPFully integrated (FIDE) · $0 Medicare cost sharing33 of 72 counties | $0 | $9,250 | $9,250 | 3.5★ |
| 6 | Molina My Choice Partnership (HMO D-SNP)Molina Healthcare of Wisconsin · HMO D-SNPFully integrated (FIDE) · $0 Medicare cost sharing27 of 72 counties | $0 | $9,850 | $9,850 | 3.5★ |
| 7 | Molina My Choice Partnership (HMO D-SNP)Molina Healthcare of Wisconsin · HMO D-SNPFully integrated (FIDE) · $0 Medicare cost sharing9 of 72 counties | $0 | $9,850 | $9,850 | 3.5★ |
| 8 | UHC Dual Complete WI-YL (HMO-POS D-SNP)UnitedHealthcare · HMO-POS D-SNPFully integrated (FIDE) · $0 Medicare cost sharing7 of 72 counties | $6.30 | $9,850 | $9,926 | 3.5★ |
| 9 | Anthem Full Dual Advantage (HMO D-SNP)Anthem Blue Cross and Blue Shield · HMO D-SNPHighly integrated (HIDE) · $0 Medicare cost sharingAll 72 counties | $0 | $9,850 | $9,850 | 3.5★ |
| 10 | Molina My Choice Dual Advantage (HMO D-SNP)Molina Healthcare of Wisconsin · HMO D-SNPHighly integrated (HIDE) · $0 Medicare cost sharing36 of 72 counties | $0 | $9,850 | $9,850 | 3.5★ |
| 11 | Molina My Choice Dual Advantage (HMO D-SNP)Molina Healthcare of Wisconsin · HMO D-SNPHighly integrated (HIDE) · $0 Medicare cost sharing9 of 72 counties | $0 | $9,850 | $9,850 | 3.5★ |
| 12 | UHC Dual Complete WI-S1 (HMO-POS D-SNP)UnitedHealthcare · HMO-POS D-SNPHighly integrated (HIDE) · $0 Medicare cost sharing29 of 72 counties | $0 | $9,850 | $9,850 | 3.5★ |
| 13 | UHC Dual Complete WI-S1 (HMO-POS D-SNP)UnitedHealthcare · HMO-POS D-SNPHighly integrated (HIDE) · $0 Medicare cost sharing16 of 72 counties | $0 | $9,850 | $9,850 | 3.5★ |
| 14 | UHC Dual Complete WI-S1 (HMO-POS D-SNP)UnitedHealthcare · HMO-POS D-SNPHighly integrated (HIDE) · $0 Medicare cost sharing25 of 72 counties | $0 | $9,850 | $9,850 | 3.5★ |
| 15 | UHC Dual Advantage WI-V1 (HMO-POS D-SNP)UnitedHealthcare · HMO-POS D-SNPCoordination-only70 of 72 counties | $0 | $5,400 | $5,400 | 3.5★ |
| 16 | Anthem Dual Advantage Plus (HMO D-SNP)Anthem Blue Cross and Blue Shield · HMO D-SNPCoordination-only · $0 Medicare cost sharingAll 72 counties | $0 | $9,850 | $9,850 | 3.5★ |
| 17 | UHC Dual Complete WI-Q1 (HMO-POS D-SNP)UnitedHealthcare · HMO-POS D-SNPCoordination-only · $0 Medicare cost sharing70 of 72 counties | $0 | $9,850 | $9,850 | 3.5★ |
| 18 | Wellcare MHS Health Wisconsin Dual Liberty Sync (HMO-POS D-SNP)Wellcare · HMO-POS D-SNPHighly integrated (HIDE) · $0 Medicare cost sharing28 of 72 counties | $0 | $9,850 | $9,850 | 3★ |
| 19 | UHC Dual Advantage WI-V2 (PPO D-SNP)UnitedHealthcare · PPO D-SNPHighly integrated (HIDE)70 of 72 counties | $6.30 | $9,850 | $9,926 | 3★ |
| 20 | Wellcare MHS Health Wisconsin Dual Select (HMO-POS D-SNP)Wellcare · HMO-POS D-SNPCoordination-only28 of 72 counties | $0 | $5,100 | $5,100 | 3★ |
| 21 | Community Care's Partnership Program (HMO D-SNP)Community Care · HMO D-SNPFully integrated (FIDE) · $0 Medicare cost sharing8 of 72 counties | $6.30 | $9,850 | $9,926 | Not rated |
| 22 | Cooperative Advantage (HMO D-SNP)Group Health Cooperative of Eau Claire · HMO D-SNPHighly integrated (HIDE) · $0 Medicare cost sharing50 of 72 counties | $0 | $9,850 | $9,850 | Not rated |
C-SNPs: chronic conditions
Sorted by worst-case year: 12 months of premiums plus the in-network out-of-pocket maximum. Each plan lists the conditions it serves; you need one of them, confirmed by your doctor or another clinician, to join.
| # | Plan | Premium / month | In-network max out-of-pocket | Worst-case year | Stars |
|---|---|---|---|---|---|
| 1 | HumanaChoice - Diabetes and Heart (PPO C-SNP)Humana · PPO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes25 of 72 counties | $0 | $4,400 | $4,400 | 4.5★ |
| 2 | UHC Complete Care WI-21 (HMO-POS C-SNP)UnitedHealthcare · HMO-POS C-SNPCardiovascular disorders, Chronic heart failure, Diabetes1 of 72 counties | $0 | $5,100 | $5,100 | 4★ |
| 3 | UHC Complete Care WI-20 (HMO-POS C-SNP)UnitedHealthcare · HMO-POS C-SNPCardiovascular disorders, Chronic heart failure, Diabetes32 of 72 counties | $0 | $5,900 | $5,900 | 4★ |
| 4 | UHC Complete Care WI-1 (PPO C-SNP)UnitedHealthcare · PPO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes32 of 72 counties | $0 | $7,150 | $7,150 | 3★ |
I-SNPs: institutional care
For people who live, or are expected to live, at least 90 days in a nursing home or similar facility, or who need that level of care at home. Sorted by worst-case year.
| # | Plan | Premium / month | In-network max out-of-pocket | Worst-case year | Stars |
|---|---|---|---|---|---|
| 1 | UHC Care Advantage WI-E001 (HMO-POS I-SNP)UnitedHealthcare · HMO-POS I-SNPInstitutional-equivalent (at home)17 of 72 counties | $6.30 | $4,000 | $4,076 | 4★ |
| 2 | UHC Nursing Home Plan WI-F001 (HMO-POS I-SNP)UnitedHealthcare · HMO-POS I-SNPFacility-based16 of 72 counties | $0 | $9,850 | $9,850 | 4★ |
Worst-case year = 12 × monthly plan premium + in-network maximum out-of-pocket, for covered Part A and B services. Many D-SNP members pay $0 in premiums with Extra Help. Star ratings are CMS’s 2027 overall ratings for the contract behind each plan. Plans under CMS sanction aren’t listed. How we sort
Before you enroll: check the plan’s network and drug list in the official Medicare Plan Finder, and ask the plan whether you qualify. Free one-on-one help: your State Health Insurance Assistance Program.
Questions
How many Special Needs Plans are in Wisconsin for 2027?
CMS lists 28: 22 D-SNPs (Medicare and Medicaid), 4 C-SNPs (chronic conditions) and 2 I-SNPs (institutional), from 9 parent companies. Not every plan is sold in every county; use the county filter.
Which D-SNPs in Wisconsin are integrated with Medicaid?
18 of the 22 D-SNPs are fully integrated, highly integrated or applicable integrated plans, which cover or coordinate Medicaid benefits more closely. The rest are coordination-only plans. Integrated plans are listed first among plans with the same star rating.
Do Special Needs Plans include drug coverage?
Yes. Every Special Needs Plan must include Part D drug coverage.
Can I stay in a Special Needs Plan if I no longer qualify?
Only while you still meet the plan's rules. If you lose eligibility, you may get a Special Enrollment Period to join another plan.
Sources
- CMS, CY 2027 Medicare Advantage and Prescription Drug Plan Landscape (CY2027_Landscape_202609.csv), Special Needs Plan rows — cms.gov; star ratings from the CMS 2027 Star Ratings Data Tables — cms.gov.
- Medicare.gov, “Special Needs Plans” — medicare.gov.
Educational information, not a recommendation to join any plan. We are not an insurance agent or broker, and we are not connected with or endorsed by the U.S. government or the federal Medicare program. Plan details can change; confirm with the plan or Medicare.gov. · Advertiser disclosure
Keep going
- How Special Needs Plans work →
- General Medicare Advantage plans in Wisconsin →
- Medicare Savings Programs →
- Extra Help with drug costs →
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