Medicare 2026
Medicare in Wisconsin for 2027: 15 Advantage Plans Leaving, 11 New, and What Else Changes
MADISON — People with Medicare in Wisconsin will see a modest reshuffle of Medicare Advantage choices for 2027, along with a lower stand-alone Part D footprint, a higher Part D out-of-pocket cap, and a Social Security cost-of-living bump that takes effect in January. The Annual Enrollment Period for coverage that starts January 1, 2027 runs October 15 through December 7, 2026.
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Key takeaways
- Wisconsin will have 117 Medicare Advantage plans in 2027, down from 121 in 2026, with 15 plans leaving, 11 new, and 55 changing.
- If a plan is not returning in 2027, the member gets a non-renewal letter and a Special Enrollment Period that runs through the end of February 2027.
- The Part D out-of-pocket cap rises to $2,400 in 2027 (from $2,100 in 2026), and no Part D plan may charge a deductible higher than $700.
- Open Enrollment for 2027 coverage runs October 15 – December 7, 2026; choices made during that window take effect January 1, 2027.
| Fact | Figure | Source |
|---|---|---|
| Part B standard monthly premium (2026) | $202.90 | Medicare.gov |
| Part D out-of-pocket cap (2026) | $2,100 | CMS |
| Part D out-of-pocket cap (2027) | $2,400 | CMS |
| Annual Enrollment Period (for 2027 coverage) | October 15 – December 7, 2026 | Medicare.gov |
| Medicare Advantage Open Enrollment Period | January 1 – March 31 | Medicare.gov |
Area counts are for the county as a whole and are not a recommendation of any plan. Program figures are set nationally.
How many Medicare Advantage plans are offered in Wisconsin for 2027?
Wisconsin will have 117 Medicare Advantage plans offered across 72 counties in 2027, compared with 121 in 2026, according to the CMS Landscape Source File. Within that total, 15 plans are not returning anywhere in the state, 11 plans are new, and 55 are changing in at least one of these ways: a different premium, a different drug deductible, a different plan type, or a different plan name.
Medicare Advantage is sold county by county, so the statewide count is a backdrop, not a menu. The plans available on any given street in Wisconsin depend on the ZIP code and county, and the specific premiums, copays, networks and drug lists must be checked on the Medicare Plan Finder at medicare.gov or by calling 1-800-MEDICARE.
One carrier footprint change to note: Aspirus Health Plan will not offer a Medicare Advantage plan anywhere in Wisconsin for 2027. Members of a non-returning plan will get a letter and will have options described in the next section.
What happens if my Medicare Advantage plan is leaving Wisconsin in 2027?
If a Medicare Advantage plan is not being offered in 2027, the insurer must send a non-renewal letter, typically in early October 2026, explaining that the plan will end December 31, 2026. The member is not automatically enrolled in another private plan; without action, coverage defaults back to Original Medicare on January 1, 2027.
Every current Medicare Advantage member — whether the plan is leaving, changing, or staying the same — also receives an Annual Notice of Change (ANOC) by late September 2026. The ANOC spells out what will be different in 2027: premium, deductibles, copays, drug tier placement, provider network and extra benefits. Read it next to the Evidence of Coverage before Annual Enrollment opens.
People losing a non-renewing plan get a Special Enrollment Period that runs from December 8, 2026 through the end of February 2027 to pick another Medicare Advantage plan or to join a stand-alone Part D plan with Original Medicare. The standard Annual Enrollment window — October 15 to December 7, 2026 — is open to everyone with Medicare, regardless of what their current plan is doing.
Which Wisconsin counties see the most Medicare Advantage change for 2027?
Five Wisconsin counties stand out in the 2027 CMS Landscape data for the number of Medicare Advantage plans leaving or changing. Waushara County has 17 plans leaving and 22 changing. Dodge County has 11 leaving and 24 changing. Columbia County has 13 leaving and 21 changing. Dane County has 11 leaving and 22 changing. Green Lake County has 19 leaving and 14 changing.
Residents of these counties are more likely than average to find that their current plan is either gone or materially different in 2027. That makes the ANOC and the non-renewal letter especially important pieces of mail this fall. The Medicare Plan Finder at medicare.gov will show which plans are actually available at a specific address for 2027 once the new plan year is loaded.
How many stand-alone Part D drug plans are available in Wisconsin for 2027?
Wisconsin will have 8 stand-alone Part D prescription drug plans available in 2027, offered by 4 insurers, down from 10 plans in 2026, per the CMS Landscape file. Stand-alone Part D is the drug coverage used with Original Medicare (and with most Medigap policies).
Two national Part D rules change in 2027. The annual out-of-pocket cap on covered Part D drugs rises to $2,400, from $2,100 in 2026. The maximum deductible any Part D plan may charge is $700. The base beneficiary premium used in the Part D late-enrollment penalty calculation is $41.33 for 2027; actual plan premiums are set plan by plan and should be checked on medicare.gov.
How many Medigap insurers are listed for Wisconsin on Medicare.gov?
Medicare.gov lists 23 Medigap insurers for a Wisconsin ZIP code for 2027. Wisconsin is one of three states (with Massachusetts and Minnesota) that standardizes Medigap differently from the lettered A–N plans used elsewhere, so Wisconsin shoppers will see a Wisconsin-specific base plan with optional riders rather than Plan G or Plan N.
Medigap is sold by private insurers under state and federal rules. Pricing, underwriting and the right to switch depend on when the person first enrolled in Part B and on state rules. Medicare.gov and 1-800-MEDICARE can walk through what applies.
What national Medicare numbers are confirmed for 2027?
For 2027, the Part D out-of-pocket cap is $2,400, the maximum Part D plan deductible is $700, and the Part D base beneficiary premium (used in the late-enrollment penalty) is $41.33. The Social Security Administration announced on October 14, 2026 a 3.6 percent cost-of-living adjustment for benefits payable beginning January 2027.
The 2027 Part B standard premium and deductible have not been announced; CMS typically releases those figures in the fall, usually November. The 2027 IRMAA income brackets and surcharges, which are published alongside the Part B figures, are also not yet released. Those numbers should be looked up directly on medicare.gov once posted.
What should Wisconsin Medicare members do before December 7, 2026?
A short checklist for Annual Enrollment 2027:
- Open the Annual Notice of Change from the current plan and mark anything that is different for 2027.
- If a non-renewal letter arrived, note that coverage ends December 31, 2026 and that the Special Enrollment Period runs through the end of February 2027.
- Make a current list of prescriptions, pharmacies and preferred doctors.
- Run the list through the Medicare Plan Finder at medicare.gov, or call 1-800-MEDICARE, to compare 2027 plans available at the home ZIP code.
- Make any change by December 7, 2026 for a January 1, 2027 start.
Where can Wisconsin residents get free Medicare help?
Free, unbiased help is available directly from Medicare at 1-800-MEDICARE (TTY 1-877-486-2048), 24 hours a day, 7 days a week, and at medicare.gov, which hosts the Plan Finder, plan documents, and the Medigap search tool.
By the numbers
Medicare Part B premium, 2006–2026
The standard monthly Part B premium has climbed from $88.50 in 2006 to $202.90 in 2026. Hover any point for that year’s premium.
Source: CMS. Standard premium shown; in some hold-harmless years many existing enrollees paid less. Confirm at Medicare.gov.
Key dates
Medicare enrollment periods at a glance
- Around your 65thInitial Enrollment PeriodA 7-month window around the month you turn 65 — your first chance to sign up.
- October 15 – December 7Annual Enrollment Period (Open Enrollment)Anyone with Medicare can join, switch, or drop a Medicare Advantage or Part D plan.
- January 1 – March 31Medicare Advantage Open EnrollmentIf you're already in a Medicare Advantage plan, you can make one change.
- January 1 – March 31General Enrollment PeriodFor people who missed their first chance to sign up for Part B.
- VariesSpecial Enrollment PeriodTriggered by life events like moving or losing other coverage.
Dates are set by Medicare and apply nationwide. Confirm your personal windows at Medicare.gov or 1-800-MEDICARE.
Prescription coverage
How Medicare Part D works in 2026
The old coverage gap (“donut hole”) is eliminated as of 2025 (three phases now). There’s now a hard yearly cap of $2,100 on what you pay out of pocket for covered drugs, and you can spread those costs across the year with the Medicare Prescription Payment Plan.
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When can you enroll? An interactive year
Enrollment windows are federal and the same nationwide. Confirm your personal dates at Medicare.gov or 1-800-MEDICARE.
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The parts of Medicare
Good to know
Frequently asked questions
When is Medicare Open Enrollment for 2027 coverage in Wisconsin?
What is the Part D out-of-pocket cap in 2027?
What happens if my Medicare Advantage plan is not offered in Wisconsin in 2027?
Has the 2027 Part B premium been announced?
- CMS — MA Landscape Source Files, current and coming plan year (year-over-year comparison)
- CMS — Medicare Part D program rules (medicare.gov)
- CMS — Medicare Supplement Insurance (Medigap) rules (medicare.gov)
- CMS — Medicare enrollment periods (medicare.gov)
For personalized answers, contact Medicare.gov or 1-800-MEDICARE.
Sources and methodology
- Medicare.gov, Medicare costs (Part B premium)
- CMS, Medicare prescription drug coverage (Part D) program rules
- CMS, Medicare Advantage and Part D plan-year announcements
- Medicare.gov, enrollment periods and plan rules
- CMS, Medicare Advantage and Part D Landscape Source Files
- Medicare.gov Medigap policy search
Figures cited in this article
- CMS — Medicare Advantage Landscape Source Files (2026 and 2027): Wisconsin plan counts, non-renewing carrier, and county-level change figures.
- CMS — Medicare Part D program rules (medicare.gov): 2027 out-of-pocket cap, maximum plan deductible, and base beneficiary premium.
- CMS — Medicare Supplement Insurance (Medigap) rules (medicare.gov): Medigap insurer count for a Wisconsin ZIP code.
- CMS — Medicare enrollment periods (medicare.gov): Annual Enrollment dates and the Special Enrollment Period for non-renewing plans.
- Social Security Administration: the 3.6 percent 2027 cost-of-living adjustment announced October 14, 2026.
How we put this together: area counts come from the CMS files listed above for the county that contains this city, program figures come from CMS, Medicare.gov and the Social Security Administration, and no plan is ranked or recommended.
By The Medicare Desk · Published . For personalized answers, contact Medicare.gov or 1-800-MEDICARE.
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This page was last updated: October 2026.