Aspirus Health Plan Elite (PPO) in Wood 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
Aspirus Health Plan Elite (PPO) (H6874-003) is a $0-premium Medicare Advantage PPO from Aspirus, Inc. available in Wood County, Wisconsin in 2026, with a 3.5-star overall rating, a $3,200 in-network out-of-pocket maximum, and a $0 annual Part D drug deductible.
Plan facts (CMS CY2026 Landscape file)
| Organization | Aspirus, Inc. |
|---|---|
| Plan name | Aspirus Health Plan Elite (PPO) |
| Contract ID | H6874 |
| Plan ID | 003 |
| Segment ID | 0 |
| Contract year | 2026 |
| Contract category | MA |
| Plan type | PPO |
| SNP | No |
| Monthly consolidated premium | — |
| Part C premium | $0.00 |
| Part D basic premium | — |
| Part D total premium | — |
| Annual Part D deductible | — |
| Maximum out-of-pocket (in-network) | $3200.00 |
| Overall star rating | 3.5 |
How this plan is structured
- $0 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.
- PPO plan type. Plan-type rules determine in-network use and referrals. See how Medicare Advantage HMO and PPO plans differ.
- $3,200 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 = Wood 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 Wood County
The CMS CY2026 Landscape file lists 31 Medicare Advantage plans in Wood County, Wisconsin, of which 0 carry a 5.0-star overall rating and 20 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 Wood 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 — H6874-003.
- Call the plan (Aspirus, 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 H6874-003 means
CMS assigns every Medicare Advantage and Part D offering a plan identifier made of three parts. In H6874-003, the leading H marks the contract type (H = Medicare Advantage / Part C contract), the four digits 6874 are the contract number issued to the organization, and the three-digit 003 is the plan benefit package under that contract. The segment ID 0 identifies the service-area segment within the plan (0 = the default single segment).
Frequently asked questions
Is Aspirus Health Plan Elite (PPO) an HMO or PPO?
Aspirus Health Plan Elite (PPO) is a PPO Medicare Advantage plan.
Does Aspirus Health Plan Elite (PPO) include prescription drug coverage?
Aspirus Health Plan Elite (PPO) does not include Part D prescription drug coverage in its consolidated benefits.
What is the maximum out-of-pocket cost for Aspirus Health Plan Elite (PPO)?
The 2026 in-network maximum out-of-pocket limit for Aspirus Health Plan Elite (PPO) is $3200.00, per the CMS CY2026 Landscape file.
What counties offer Aspirus Health Plan Elite (PPO) (H6874-003)?
Aspirus Health Plan Elite (PPO) (H6874-003) is offered in 21 Wisconsin counties: Adams County, Clark County, Columbia County, Florence County, Forest County, Iron County, Juneau County, Langlade County, Lincoln County, Marathon County, Marquette County, Oneida County, Portage County, Price County, Sauk County, Shawano County, Taylor County, Vilas County, Waupaca County, Waushara County, and Wood 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.