My Choice Wisconsin Partnership Plan (HMO D-SNP) in Waushara County, Wisconsin — 2026 plan details
Last updated Jul 18, 2026
Reviewed by Jason Burns, Editorial Steward
Published by Senior Direct Answers · Licensed under Citation License 1.0
My Choice Wisconsin Partnership Plan (HMO D-SNP) (H5209-005) is a $13-premium Medicare Advantage HMO D-SNP from Molina Healthcare, Inc. available in Waushara County, Wisconsin in 2026, with a 3.0-star overall rating, a $9,250 in-network out-of-pocket maximum, and a $615 annual Part D drug deductible.
Plan facts (CMS CY2026 Landscape file)
| Organization | Molina Healthcare, Inc. |
|---|---|
| Plan name | My Choice Wisconsin Partnership Plan (HMO D-SNP) |
| Contract ID | H5209 |
| Plan ID | 005 |
| Segment ID | 2 |
| Contract year | 2026 |
| Contract category | SNP |
| Plan type | HMO D-SNP |
| SNP | Yes — Dual-Eligible |
| Monthly consolidated premium | $13.30 |
| Part C premium | $0.00 |
| Part D basic premium | $13.30 |
| Part D total premium | $13.30 |
| Annual Part D deductible | $615.00 |
| Maximum out-of-pocket (in-network) | $9250.00 |
| Overall star rating | 3.0 |
How this plan is structured
- $13 consolidated premium. A $0 or near-$0 consolidated premium does not remove the Part B premium — the standard 2026 Part B premium is $202.90 per month and still applies. See the 2026 Medicare Part B premium.
- HMO D-SNP plan type. In an HMO-style Medicare Advantage plan, in-network care and primary-care referral rules generally apply. See how Medicare Advantage HMO and PPO plans differ.
- $9,250 in-network out-of-pocket maximum. The MOOP is the annual cap on what a member pays in-network for covered Part A and Part B services. See how the Medicare Advantage MOOP works.
- Service area = Waushara County. Medicare Advantage plans are sold by service area; moving out of the plan's service area triggers a Special Enrollment Period to switch plans. See how moving changes your Medicare options.
How it compares in Waushara County
The CMS CY2026 Landscape file lists 54 Medicare Advantage plans in Waushara County, Wisconsin, of which 0 carry a 5.0-star overall rating and 30 have a $0 consolidated monthly premium. Consolidated premiums range from $0.00 to $269.00 per month, and in-network out-of-pocket maximums range from $1500.00 to $9250.00.
For the full county plan directory, see all Medicare plans in Waushara County, Wisconsin.
How to verify your doctors take this plan
Network participation changes throughout the year; we hold no provider-network data, so verify directly with these three sources before you decide:
- Open the plan's official Medicare.gov page and use its provider-directory link: Medicare.gov Plan Finder — H5209-005.
- Call the plan (Molina Healthcare, Inc.) using the member-services number listed on that plan page and ask whether each doctor, hospital, and pharmacy is in-network for 2026.
- Get free, unbiased help from your State Health Insurance Assistance Program (SHIP) — see free unbiased Medicare help from SHIP.
What H5209-005 means
CMS assigns every Medicare Advantage and Part D offering a plan identifier made of three parts. In H5209-005, the leading H marks the contract type (H = Medicare Advantage / Part C contract), the four digits 5209 are the contract number issued to the organization, and the three-digit 005 is the plan benefit package under that contract. The segment ID 2 identifies the service-area segment within the plan (0 = the default single segment).
Frequently asked questions
Is My Choice Wisconsin Partnership Plan (HMO D-SNP) an HMO or PPO?
My Choice Wisconsin Partnership Plan (HMO D-SNP) is an HMO D-SNP — a Health Maintenance Organization-style Medicare Advantage plan, meaning in-network care and referral rules generally apply.
Does My Choice Wisconsin Partnership Plan (HMO D-SNP) include prescription drug coverage?
Yes — My Choice Wisconsin Partnership Plan (HMO D-SNP) is a Medicare Advantage plan with prescription drug coverage (MA-PD) and a $615.00 annual Part D drug deductible for 2026.
What is the maximum out-of-pocket cost for My Choice Wisconsin Partnership Plan (HMO D-SNP)?
The 2026 in-network maximum out-of-pocket limit for My Choice Wisconsin Partnership Plan (HMO D-SNP) is $9250.00, per the CMS CY2026 Landscape file.
What counties offer My Choice Wisconsin Partnership Plan (HMO D-SNP) (H5209-005)?
My Choice Wisconsin Partnership Plan (HMO D-SNP) (H5209-005) is offered in 32 Wisconsin counties: Adams County, Brown County, Buffalo County, Columbia County, Crawford County, Dane County, Dodge County, Fond du Lac County, Grant County, Green County, Green Lake County, Iowa County, Jackson County, Jefferson County, Juneau County, La Crosse County, Lafayette County, Manitowoc County, Marquette County, Milwaukee County, Monroe County, Ozaukee County, Pepin County, Richland County, Rock County, Sauk County, Trempealeau County, Vernon County, Washington County, Waukesha County, Waushara County, and Winnebago County.
Sources
- CMS, Plan Year 2026 Medicare Advantage & Part D Landscape source file (March 2026) — retrieved 2026-07-18. Overall star rating year: 2026.
- Medicare.gov Plan Finder — compare plans and enroll.