name = "Atlas Commons research objects — Medicare plans in Sawyer, Wisconsin (CY2026)"
description = "CMS CY2026 Medicare Advantage and Part D plans available in Sawyer, 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/sawyer.jsonld"

[[claims]]
id = "https://coverage-atlas.ryanjhunter.workers.dev/coverage/medicare-plans/wi/sawyer/plan-count"
warrant = "DERIVED"
name = "23 Medicare plans are available in Sawyer, Wisconsin for contract year 2026"
text = "The CMS CY2026 Medicare Landscape Files record 23 Medicare Advantage and Part D plans available in Sawyer, 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/sawyer/premium-range"
warrant = "RECORDED"
name = "Monthly premiums for Medicare plans in Sawyer, Wisconsin range from $0.00/mo to $269.00/mo (CY2026)"
text = "The CMS CY2026 Medicare Landscape Files publish per-plan monthly consolidated premiums for Sawyer, Wisconsin. Across the 23 plans with a published premium, the range is $0.00/mo to $269.00/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 Sawyer, Wisconsin. Falsified if the CMS-published per-plan premium figures differ."

[[claims]]
id = "https://coverage-atlas.ryanjhunter.workers.dev/coverage/medicare-plans/wi/sawyer/star-ratings"
warrant = "PROJECTED"
name = "CMS assigned star ratings to 20 of 23 Medicare plans in Sawyer, Wisconsin (CY2026); average overall: 3.8 stars"
text = "CMS issued Overall star ratings (1–5 stars) to 20 of 23 Medicare plans in Sawyer, 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/sawyer/boundary"
warrant = "INTERPRETATION"
name = "What these Medicare plan figures are — and are NOT — for Sawyer, Wisconsin (the epistemic boundary)"
text = "This page lists Medicare Advantage (MA) and Part D Prescription Drug Plan (PDP) plans available in Sawyer, 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/sawyer"
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_014"
plan_name = "AARP Medicare Advantage Patriot No Rx WI-MA01 (PPO)"
category = "MA"
plan_type = "PPO"
organization = "UnitedHealthcare"
monthly_premium_usd = "N/A"
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 = "H2450_007"
plan_name = "Medica Prime Solution Thrift w/Rx (Cost)"
category = "Cost"
plan_type = "Cost"
organization = "Medica"
monthly_premium_usd = 92.8
overall_stars = 3.5
moop_in_network_usd = 6750
snp = "No"

[[medicarePlans]]
contract_plan_id = "H2450_030"
plan_name = "Medica Prime Solution Thrift (Cost)"
category = "Cost"
plan_type = "Cost"
organization = "Medica"
monthly_premium_usd = "N/A"
overall_stars = 3.5
moop_in_network_usd = 6750
snp = "No"

[[medicarePlans]]
contract_plan_id = "H2450_038"
plan_name = "Medica Prime Solution Focus (Cost)"
category = "Cost"
plan_type = "Cost"
organization = "Medica"
monthly_premium_usd = "N/A"
overall_stars = 3.5
moop_in_network_usd = 4000
snp = "No"

[[medicarePlans]]
contract_plan_id = "H2450_039"
plan_name = "Medica Prime Solution Focus w/Rx (Cost)"
category = "Cost"
plan_type = "Cost"
organization = "Medica"
monthly_premium_usd = 236.7
overall_stars = 3.5
moop_in_network_usd = 4000
snp = "No"

[[medicarePlans]]
contract_plan_id = "H2450_050"
plan_name = "Medica Prime Solution Standard (Cost)"
category = "Cost"
plan_type = "Cost"
organization = "Medica"
monthly_premium_usd = "N/A"
overall_stars = 3.5
moop_in_network_usd = 5900
snp = "No"

[[medicarePlans]]
contract_plan_id = "H2450_051"
plan_name = "Medica Prime Solution Core (Cost)"
category = "Cost"
plan_type = "Cost"
organization = "Medica"
monthly_premium_usd = "N/A"
overall_stars = 3.5
moop_in_network_usd = 4900
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 = "H5211_001"
plan_name = "Spirit (HMO-POS)"
category = "MA"
plan_type = "HMO-POS"
organization = "Security Health Plan of Wisconsin, Inc."
monthly_premium_usd = "N/A"
overall_stars = 4.5
moop_in_network_usd = 1500
snp = "No"

[[medicarePlans]]
contract_plan_id = "H5211_002"
plan_name = "Essence Rx (HMO-POS)"
category = "MA-PD"
plan_type = "HMO-POS"
organization = "Security Health Plan of Wisconsin, Inc."
monthly_premium_usd = 87
overall_stars = 4.5
moop_in_network_usd = 3800
snp = "No"

[[medicarePlans]]
contract_plan_id = "H5211_003"
plan_name = "Compass (HMO-POS)"
category = "MA"
plan_type = "HMO-POS"
organization = "Security Health Plan of Wisconsin, Inc."
monthly_premium_usd = "N/A"
overall_stars = 4.5
moop_in_network_usd = 3400
snp = "No"

[[medicarePlans]]
contract_plan_id = "H5211_004"
plan_name = "Legacy Rx (HMO-POS)"
category = "MA-PD"
plan_type = "HMO-POS"
organization = "Security Health Plan of Wisconsin, Inc."
monthly_premium_usd = 269
overall_stars = 4.5
moop_in_network_usd = 2200
snp = "No"

[[medicarePlans]]
contract_plan_id = "H5211_010"
plan_name = "Ally Rx (HMO D-SNP)"
category = "SNP"
plan_type = "HMO D-SNP"
organization = "Security Health Plan of Wisconsin, Inc."
monthly_premium_usd = 21.1
overall_stars = 4.5
moop_in_network_usd = 9050
snp = "No"

[[medicarePlans]]
contract_plan_id = "H5211_012"
plan_name = "Esteem Rx (HMO-POS)"
category = "MA-PD"
plan_type = "HMO-POS"
organization = "Security Health Plan of Wisconsin, Inc."
monthly_premium_usd = 0
overall_stars = 4.5
moop_in_network_usd = 5000
snp = "No"

[[medicarePlans]]
contract_plan_id = "H7598_003"
plan_name = "Cooperative Advantage (HMO D-SNP)"
category = "SNP"
plan_type = "HMO D-SNP"
organization = "Group Health Cooperative of Eau Claire"
monthly_premium_usd = 21.1
overall_stars = "Not rated"
moop_in_network_usd = 9250
snp = "No"

[[medicarePlans]]
contract_plan_id = "H7598_004"
plan_name = "Cooperative Medicare Advantage (HMO)"
category = "MA-PD"
plan_type = "HMO"
organization = "Group Health Cooperative of Eau Claire"
monthly_premium_usd = 0
overall_stars = "Not rated"
moop_in_network_usd = 6000
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_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"
