name = "Atlas Commons research objects — Medicare plans in Ozaukee, Wisconsin (CY2026)"
description = "CMS CY2026 Medicare Advantage and Part D plans available in Ozaukee, Wisconsin: plan count (AGGREGATED), premium range (RECORDED from CMS Landscape Files), CMS star ratings (DETERMINATION — CMS-issued institutional quality rating), and epistemic boundary (INTERPRETATION). Premiums are base plan premiums; actual cost depends on Part B premium, IRMAA, and LIS. Star ratings are CMS quality scores. This surface informs; it does not rank or advise. Use medicare.gov/plan-compare to enroll. CC0."
license = "CC0-1.0"
jsonld = "https://coverage-atlas.ryanjhunter.workers.dev/coverage/medicare-plans/wi/ozaukee.jsonld"

[[claims]]
id = "https://coverage-atlas.ryanjhunter.workers.dev/coverage/medicare-plans/wi/ozaukee/plan-count"
warrant = "DERIVED"
name = "52 Medicare plans are available in Ozaukee, Wisconsin for contract year 2026"
text = "The CMS CY2026 Medicare Landscape Files record 52 Medicare Advantage and Part D plans available in Ozaukee, Wisconsin. Atlas Commons counted the rows; CMS published the underlying plan×county records, not this county-level total."
source = "CMS CY2026 Medicare Landscape Files"
sourceUrl = "https://www.cms.gov/medicare/health-drug-plans/medicare-advantage/plan-information/plan-information"
falsifier = "occurred=TRUE: a faithful COUNT/SUM/total over the named record set that introduces NO modeling choice — it IS the case in the record. adjudged=FALSE: Atlas Commons computed the aggregate; CMS CY2026 Medicare Landscape Files published the underlying records, NOT this figure. Re-count it from the named source to verify. Distinct from a median/ratio/index (which picks a population, weighting, denominator, or threshold — a constructed statistic → 'derived', occurred=FALSE) and from an authority-published total (→ 'recorded', adjudged=TRUE)."

[[claims]]
id = "https://coverage-atlas.ryanjhunter.workers.dev/coverage/medicare-plans/wi/ozaukee/premium-range"
warrant = "RECORDED"
name = "Monthly premiums for Medicare plans in Ozaukee, Wisconsin range from $0.00/mo to $103.00/mo (CY2026)"
text = "The CMS CY2026 Medicare Landscape Files publish per-plan monthly consolidated premiums for Ozaukee, Wisconsin. Across the 52 plans with a published premium, the range is $0.00/mo to $103.00/mo. These are the plan's base monthly premium — your actual cost depends on income-related adjustments (IRMAA), any applicable Low Income Subsidy (LIS/Extra Help), and your Part B premium. A $0 plan premium does not mean $0 total cost."
source = "CMS CY2026 Medicare Landscape Files"
sourceUrl = "https://www.cms.gov/medicare/health-drug-plans/medicare-advantage/plan-information/plan-information"
falsifier = "Verify in the CMS CY2026 Medicare Landscape Files for Ozaukee, Wisconsin. Falsified if the CMS-published per-plan premium figures differ."

[[claims]]
id = "https://coverage-atlas.ryanjhunter.workers.dev/coverage/medicare-plans/wi/ozaukee/star-ratings"
warrant = "PROJECTED"
name = "CMS assigned star ratings to 49 of 52 Medicare plans in Ozaukee, Wisconsin (CY2026); average overall: 3.8 stars"
text = "CMS issued Overall star ratings (1–5 stars) to 49 of 52 Medicare plans in Ozaukee, Wisconsin for CY2026. The unweighted average overall star rating across rated plans is 3.8. Star ratings are CMS quality scores — an institutional determination, not a measured event. A higher rating reflects better performance across CMS quality measures. Ratings cover the contract's overall performance, not this county specifically; a plan may be available in your county with a rating earned across its full service area."
source = "CMS CY2026 Medicare Landscape Files"
sourceUrl = "https://www.cms.gov/medicare/health-drug-plans/medicare-advantage/plan-information/plan-information"
falsifier = "Verify CMS star ratings for these contract IDs at the CMS Medicare Plan Finder or the CMS star ratings dataset. Falsified if the CMS-published ratings for these contracts differ. Note: PDP-only plans and newly contracted plans may not have an overall star rating — the 3 unrated plans in this county are not rated, not unqualified."

[[claims]]
id = "https://coverage-atlas.ryanjhunter.workers.dev/coverage/medicare-plans/wi/ozaukee/boundary"
warrant = "INTERPRETATION"
name = "What these Medicare plan figures are — and are NOT — for Ozaukee, Wisconsin (the epistemic boundary)"
text = "This page lists Medicare Advantage (MA) and Part D Prescription Drug Plan (PDP) plans available in Ozaukee, Wisconsin for CY2026, with their CMS-published base premiums and CMS star ratings. The premiums shown are the PLAN's base monthly premium — your actual monthly cost depends on the Part B premium (deducted from Social Security for most enrollees), income-related premium adjustments (IRMAA), and any Low Income Subsidy (Extra Help). A star rating is CMS's quality score for the plan's overall performance — a higher rating is generally better, but the \"best\" plan depends on your specific prescriptions, preferred doctors, and budget. This surface informs and compares; it does NOT rank plans, recommend a \"best\" plan, or account for your individual situation. To compare plans with your specific drugs and providers and to enroll, use the official Medicare Plan Finder at medicare.gov/plan-compare. For free, unbiased help, contact your State Health Insurance Assistance Program (SHIP) or call 1-800-MEDICARE (1-800-633-4227)."
source = "Coverage Atlas framing (over the CMS facts above)"
sourceUrl = "https://coverage-atlas.ryanjhunter.workers.dev/coverage/medicare-plans/wi/ozaukee"
falsifier = "occurred=FALSE (a framing) and adjudged=FALSE (the atlas's reading, not a CMS verdict) — the LOWEST-warrant claim here."

[[medicarePlans]]
contract_plan_id = "H0294_002"
plan_name = "UHC Complete Care WI-1 (PPO C-SNP)"
category = "SNP"
plan_type = "PPO C-SNP"
organization = "UnitedHealthcare"
monthly_premium_usd = 0
overall_stars = 3.5
moop_in_network_usd = 6700
snp = "No"

[[medicarePlans]]
contract_plan_id = "H0294_004"
plan_name = "AARP Medicare Advantage from UHC WI-0002 (PPO)"
category = "MA-PD"
plan_type = "PPO"
organization = "UnitedHealthcare"
monthly_premium_usd = 95
overall_stars = 3.5
moop_in_network_usd = 6700
snp = "No"

[[medicarePlans]]
contract_plan_id = "H0294_027"
plan_name = "UHC Dual Complete WI-D001 (PPO D-SNP)"
category = "SNP"
plan_type = "PPO D-SNP"
organization = "UnitedHealthcare"
monthly_premium_usd = 9
overall_stars = 3.5
moop_in_network_usd = 9250
snp = "No"

[[medicarePlans]]
contract_plan_id = "H1181_001"
plan_name = "Network Health Prime (MSA)"
category = "MA"
plan_type = "MSA"
organization = "Network Health Medicare Advantage Plans"
monthly_premium_usd = "N/A"
overall_stars = "Not rated"
moop_in_network_usd = "N/A"
snp = "No"

[[medicarePlans]]
contract_plan_id = "H1206_002"
plan_name = "Aetna Medicare Signature (HMO-POS)"
category = "MA-PD"
plan_type = "HMO-POS"
organization = "Aetna Medicare"
monthly_premium_usd = 0
overall_stars = "Not rated"
moop_in_network_usd = 5900
snp = "No"

[[medicarePlans]]
contract_plan_id = "H2034_001"
plan_name = "Community Care's  Partnership Program (HMO D-SNP)"
category = "SNP"
plan_type = "HMO D-SNP"
organization = "Community Care"
monthly_premium_usd = 21.1
overall_stars = "Not rated"
moop_in_network_usd = 9250
snp = "No"

[[medicarePlans]]
contract_plan_id = "H3794_002"
plan_name = "UHC Dual Complete WI-D002 (HMO-POS D-SNP)"
category = "SNP"
plan_type = "HMO-POS D-SNP"
organization = "UnitedHealthcare"
monthly_premium_usd = 18.9
overall_stars = 4
moop_in_network_usd = 9250
snp = "No"

[[medicarePlans]]
contract_plan_id = "H3794_004"
plan_name = "UHC Dual Complete WI-V001 (HMO-POS D-SNP)"
category = "SNP"
plan_type = "HMO-POS D-SNP"
organization = "UnitedHealthcare"
monthly_premium_usd = 17.3
overall_stars = 4
moop_in_network_usd = 4900
snp = "No"

[[medicarePlans]]
contract_plan_id = "H3794_006"
plan_name = "UHC Dual Complete WI-D3 (HMO-POS D-SNP)"
category = "SNP"
plan_type = "HMO-POS D-SNP"
organization = "UnitedHealthcare"
monthly_premium_usd = 21.1
overall_stars = 4
moop_in_network_usd = 9250
snp = "No"

[[medicarePlans]]
contract_plan_id = "H4036_008"
plan_name = "Anthem Medicare Advantage 3 (PPO)"
category = "MA-PD"
plan_type = "PPO"
organization = "Anthem Blue Cross and Blue Shield"
monthly_premium_usd = 68
overall_stars = 4
moop_in_network_usd = 4500
snp = "No"

[[medicarePlans]]
contract_plan_id = "H4036_024"
plan_name = "Anthem Veteran (PPO)"
category = "MA"
plan_type = "PPO"
organization = "Anthem Blue Cross and Blue Shield"
monthly_premium_usd = "N/A"
overall_stars = 4
moop_in_network_usd = 6751
snp = "No"

[[medicarePlans]]
contract_plan_id = "H5209_005"
plan_name = "My Choice Wisconsin Partnership Plan (HMO D-SNP)"
category = "SNP"
plan_type = "HMO D-SNP"
organization = "My Choice Wisconsin"
monthly_premium_usd = 13.3
overall_stars = 3
moop_in_network_usd = 9250
snp = "No"

[[medicarePlans]]
contract_plan_id = "H5209_006"
plan_name = "My Choice Wisconsin Medicare Dual Advantage Plan (HMO D-SNP)"
category = "SNP"
plan_type = "HMO D-SNP"
organization = "My Choice Wisconsin"
monthly_premium_usd = 0
overall_stars = 3
moop_in_network_usd = 9250
snp = "No"

[[medicarePlans]]
contract_plan_id = "H5215_007"
plan_name = "Network Health Cares (PPO D-SNP)"
category = "SNP"
plan_type = "PPO D-SNP"
organization = "Network Health Medicare Advantage Plans"
monthly_premium_usd = 21.1
overall_stars = 4.5
moop_in_network_usd = 9250
snp = "No"

[[medicarePlans]]
contract_plan_id = "H5215_009"
plan_name = "Network Health Go (PPO)"
category = "MA-PD"
plan_type = "PPO"
organization = "Network Health Medicare Advantage Plans"
monthly_premium_usd = 0
overall_stars = 4.5
moop_in_network_usd = 4500
snp = "No"

[[medicarePlans]]
contract_plan_id = "H5215_010"
plan_name = "Network Health Anywhere (PPO)"
category = "MA-PD"
plan_type = "PPO"
organization = "Network Health Medicare Advantage Plans"
monthly_premium_usd = 0
overall_stars = 4.5
moop_in_network_usd = 4500
snp = "No"

[[medicarePlans]]
contract_plan_id = "H5215_014"
plan_name = "Network Health Bravo (PPO)"
category = "MA"
plan_type = "PPO"
organization = "Network Health Medicare Advantage Plans"
monthly_premium_usd = "N/A"
overall_stars = 4.5
moop_in_network_usd = 4500
snp = "No"

[[medicarePlans]]
contract_plan_id = "H5216_001"
plan_name = "HumanaChoice H5216-001 (PPO)"
category = "MA-PD"
plan_type = "PPO"
organization = "Humana"
monthly_premium_usd = 81
overall_stars = 3.5
moop_in_network_usd = 4200
snp = "No"

[[medicarePlans]]
contract_plan_id = "H5216_173"
plan_name = "Humana Value Plus H5216-173 (PPO)"
category = "MA-PD"
plan_type = "PPO"
organization = "Humana"
monthly_premium_usd = 21.1
overall_stars = 3.5
moop_in_network_usd = 9250
snp = "No"

[[medicarePlans]]
contract_plan_id = "H5216_252"
plan_name = "HumanaChoice Giveback H5216-252 (PPO)"
category = "MA-PD"
plan_type = "PPO"
organization = "Humana"
monthly_premium_usd = 0
overall_stars = 3.5
moop_in_network_usd = 5000
snp = "No"

[[medicarePlans]]
contract_plan_id = "H5216_253"
plan_name = "HumanaChoice H5216-253 (PPO)"
category = "MA-PD"
plan_type = "PPO"
organization = "Humana"
monthly_premium_usd = 0
overall_stars = 3.5
moop_in_network_usd = 4200
snp = "No"

[[medicarePlans]]
contract_plan_id = "H5216_258"
plan_name = "Humana USAA Honor Giveback (PPO)"
category = "MA"
plan_type = "PPO"
organization = "Humana"
monthly_premium_usd = "N/A"
overall_stars = 3.5
moop_in_network_usd = 6000
snp = "No"

[[medicarePlans]]
contract_plan_id = "H5216_355"
plan_name = "Humana USAA Honor Giveback (PPO)"
category = "MA"
plan_type = "PPO"
organization = "Humana"
monthly_premium_usd = "N/A"
overall_stars = 3.5
moop_in_network_usd = 6000
snp = "No"

[[medicarePlans]]
contract_plan_id = "H5216_410"
plan_name = "Humana Full Access H5216-410 (PPO)"
category = "MA-PD"
plan_type = "PPO"
organization = "Humana"
monthly_premium_usd = 0
overall_stars = 3.5
moop_in_network_usd = 5000
snp = "No"

[[medicarePlans]]
contract_plan_id = "H5216_420"
plan_name = "HumanaChoice SNP-DE H5216-420 (PPO D-SNP)"
category = "SNP"
plan_type = "PPO D-SNP"
organization = "Humana"
monthly_premium_usd = 15.3
overall_stars = 3.5
moop_in_network_usd = 9250
snp = "No"

[[medicarePlans]]
contract_plan_id = "H5253_004"
plan_name = "AARP Medicare Advantage from UHC WI-0010 (HMO-POS)"
category = "MA-PD"
plan_type = "HMO-POS"
organization = "UnitedHealthcare"
monthly_premium_usd = 44
overall_stars = 4
moop_in_network_usd = 3800
snp = "No"

[[medicarePlans]]
contract_plan_id = "H5253_007"
plan_name = "UHC Nursing Home Plan WI-F001 (HMO-POS I-SNP)"
category = "SNP"
plan_type = "HMO-POS I-SNP"
organization = "UnitedHealthcare"
monthly_premium_usd = 7.7
overall_stars = 4
moop_in_network_usd = 9250
snp = "No"

[[medicarePlans]]
contract_plan_id = "H5253_021"
plan_name = "AARP Medicare Advantage Patriot No Rx WI-MA02 (HMO-POS)"
category = "MA"
plan_type = "HMO-POS"
organization = "UnitedHealthcare"
monthly_premium_usd = "N/A"
overall_stars = 4
moop_in_network_usd = 6700
snp = "No"

[[medicarePlans]]
contract_plan_id = "H5253_024"
plan_name = "UHC Dual Complete WI-D003 (HMO-POS D-SNP)"
category = "SNP"
plan_type = "HMO-POS D-SNP"
organization = "UnitedHealthcare"
monthly_premium_usd = 7.5
overall_stars = 4
moop_in_network_usd = 9250
snp = "No"

[[medicarePlans]]
contract_plan_id = "H5253_033"
plan_name = "AARP Medicare Advantage Essentials from UHC WI-13 (HMO-POS)"
category = "MA-PD"
plan_type = "HMO-POS"
organization = "UnitedHealthcare"
monthly_premium_usd = 0
overall_stars = 4
moop_in_network_usd = 4900
snp = "No"

[[medicarePlans]]
contract_plan_id = "H5253_064"
plan_name = "UHC Care Advantage WI-E001 (HMO-POS I-SNP)"
category = "SNP"
plan_type = "HMO-POS I-SNP"
organization = "UnitedHealthcare"
monthly_premium_usd = 21.1
overall_stars = 4
moop_in_network_usd = 4000
snp = "No"

[[medicarePlans]]
contract_plan_id = "H5253_198"
plan_name = "AARP Medicare Advantage CareFlex from UHC WI-18 (HMO-POS)"
category = "MA-PD"
plan_type = "HMO-POS"
organization = "UnitedHealthcare"
monthly_premium_usd = 0
overall_stars = 4
moop_in_network_usd = 6700
snp = "No"

[[medicarePlans]]
contract_plan_id = "H5253_199"
plan_name = "AARP Medicare Advantage Extras from UHC WI-19 (HMO-POS)"
category = "MA-PD"
plan_type = "HMO-POS"
organization = "UnitedHealthcare"
monthly_premium_usd = 0
overall_stars = 4
moop_in_network_usd = 6700
snp = "No"

[[medicarePlans]]
contract_plan_id = "H5253_202"
plan_name = "UHC Complete Care WI-20 (HMO-POS C-SNP)"
category = "SNP"
plan_type = "HMO-POS C-SNP"
organization = "UnitedHealthcare"
monthly_premium_usd = 0
overall_stars = 4
moop_in_network_usd = 5400
snp = "No"

[[medicarePlans]]
contract_plan_id = "H5521_150"
plan_name = "Aetna Medicare Enhanced (PPO)"
category = "MA-PD"
plan_type = "PPO"
organization = "Aetna Medicare"
monthly_premium_usd = 30
overall_stars = 4.5
moop_in_network_usd = 5000
snp = "No"

[[medicarePlans]]
contract_plan_id = "H5521_195"
plan_name = "Aetna Medicare Signature (PPO)"
category = "MA-PD"
plan_type = "PPO"
organization = "Aetna Medicare"
monthly_premium_usd = 0
overall_stars = 4.5
moop_in_network_usd = 5200
snp = "No"

[[medicarePlans]]
contract_plan_id = "H5521_286"
plan_name = "Aetna Medicare Eagle (PPO)"
category = "MA"
plan_type = "PPO"
organization = "Aetna Medicare"
monthly_premium_usd = "N/A"
overall_stars = 4.5
moop_in_network_usd = 4900
snp = "No"

[[medicarePlans]]
contract_plan_id = "H5521_400"
plan_name = "Aetna Medicare Value Care (PPO)"
category = "MA-PD"
plan_type = "PPO"
organization = "Aetna Medicare"
monthly_premium_usd = 21.1
overall_stars = 4.5
moop_in_network_usd = 5900
snp = "No"

[[medicarePlans]]
contract_plan_id = "H5521_403"
plan_name = "Aetna Medicare Signature Extra (PPO)"
category = "MA-PD"
plan_type = "PPO"
organization = "Aetna Medicare"
monthly_premium_usd = 0
overall_stars = 4.5
moop_in_network_usd = 5500
snp = "No"

[[medicarePlans]]
contract_plan_id = "H6622_001"
plan_name = "Humana Gold Plus H6622-001 (HMO)"
category = "MA-PD"
plan_type = "HMO"
organization = "Humana"
monthly_premium_usd = 0
overall_stars = 3.5
moop_in_network_usd = 4200
snp = "No"

[[medicarePlans]]
contract_plan_id = "H7617_011"
plan_name = "HumanaChoice Giveback H7617-011 (PPO)"
category = "MA-PD"
plan_type = "PPO"
organization = "Humana"
monthly_premium_usd = 0
overall_stars = 4.5
moop_in_network_usd = 5000
snp = "No"

[[medicarePlans]]
contract_plan_id = "H7617_020"
plan_name = "Humana Full Access H7617-020 (PPO)"
category = "MA-PD"
plan_type = "PPO"
organization = "Humana"
monthly_premium_usd = 0
overall_stars = 4.5
moop_in_network_usd = 5000
snp = "No"

[[medicarePlans]]
contract_plan_id = "H7617_022"
plan_name = "Humana USAA Honor Giveback (PPO)"
category = "MA"
plan_type = "PPO"
organization = "Humana"
monthly_premium_usd = "N/A"
overall_stars = 4.5
moop_in_network_usd = 6000
snp = "No"

[[medicarePlans]]
contract_plan_id = "H8145_006"
plan_name = "Humana Gold Choice H8145-006 (PFFS)"
category = "MA-PD"
plan_type = "PFFS"
organization = "Humana"
monthly_premium_usd = 37
overall_stars = 3.5
moop_in_network_usd = 6800
snp = "No"

[[medicarePlans]]
contract_plan_id = "H8189_001"
plan_name = "Wellcare Dual Access Sync (HMO-POS D-SNP)"
category = "SNP"
plan_type = "HMO-POS D-SNP"
organization = "Wellcare"
monthly_premium_usd = 13.1
overall_stars = 3.5
moop_in_network_usd = 9250
snp = "No"

[[medicarePlans]]
contract_plan_id = "H8189_007"
plan_name = "Wellcare Dual Reserve (HMO-POS D-SNP)"
category = "SNP"
plan_type = "HMO-POS D-SNP"
organization = "Wellcare"
monthly_premium_usd = 10.4
overall_stars = 3.5
moop_in_network_usd = 5100
snp = "No"

[[medicarePlans]]
contract_plan_id = "H8189_008"
plan_name = "Wellcare Simple (HMO-POS)"
category = "MA-PD"
plan_type = "HMO-POS"
organization = "Wellcare"
monthly_premium_usd = 0
overall_stars = 3.5
moop_in_network_usd = 5300
snp = "No"

[[medicarePlans]]
contract_plan_id = "H9525_003"
plan_name = "Anthem Full Dual Advantage (HMO D-SNP)"
category = "SNP"
plan_type = "HMO D-SNP"
organization = "Anthem Blue Cross and Blue Shield"
monthly_premium_usd = 3.6
overall_stars = 3.5
moop_in_network_usd = 9250
snp = "No"

[[medicarePlans]]
contract_plan_id = "H9525_006"
plan_name = "Anthem Medicare Advantage (HMO-POS)"
category = "MA-PD"
plan_type = "HMO-POS"
organization = "Anthem Blue Cross and Blue Shield"
monthly_premium_usd = 39
overall_stars = 3.5
moop_in_network_usd = 4300
snp = "No"

[[medicarePlans]]
contract_plan_id = "H9525_018"
plan_name = "Anthem Full Dual Advantage 2 (HMO D-SNP)"
category = "SNP"
plan_type = "HMO D-SNP"
organization = "Anthem Blue Cross and Blue Shield"
monthly_premium_usd = 0
overall_stars = 3.5
moop_in_network_usd = 9250
snp = "No"

[[medicarePlans]]
contract_plan_id = "R5361_001"
plan_name = "Humana USAA Honor Giveback (Regional PPO)"
category = "MA"
plan_type = "Regional PPO"
organization = "Humana"
monthly_premium_usd = "N/A"
overall_stars = 3
moop_in_network_usd = 6750
snp = "No"

[[medicarePlans]]
contract_plan_id = "R5361_002"
plan_name = "HumanaChoice R5361-002 (Regional PPO)"
category = "MA-PD"
plan_type = "Regional PPO"
organization = "Humana"
monthly_premium_usd = 103
overall_stars = 3
moop_in_network_usd = 7200
snp = "No"
