Medicare Advantage in Sheboygan County, Wisconsin
17,797 people in Sheboygan County, Wisconsin were enrolled in Medicare Advantage in October 2026, 60.1% of 29,619 eligible beneficiaries (−0.4 pts since October 2025). UnitedHealth Group, Inc. is the largest parent organization with 39% of reported enrollment; 8 parent organizations have 11 or more members and the HHI is 2,831 (highly concentrated). HRSA classifies the county as partly rural. For 2027, 596 members here are in plans that terminate or leave the county. MA plans offered go from 37 to 35.
Parent organizations in Sheboygan County
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| UnitedHealth Group, Inc. | 7,008 | −1,521 | 39.4% |
| Network Health, Inc. | 5,521 | +1,644 | 31.1% |
| Humana Inc. | 2,712 | +978 | 15.3% |
| CVS Health Corporation | 1,247 | +195 | 7.0% |
| Elevance Health, Inc. | 806 | −751 | 4.5% |
| Centene Corporation | 439 | +239 | 2.5% |
| Blue Cross Blue Shield of Michigan Mutual Ins. Co. | 17 | 0 | under 0.1% |
| Molina Healthcare, Inc. | 16 | new | under 0.1% |
CMS suppresses county and contract counts of 10 or fewer; shares are of reported enrollment.
Value-based care alongside MA
In PY 2024, 5,733 beneficiaries in Sheboygan County were assigned to 42 Medicare Shared Savings Program ACOs, 65.4% of assignable Original Medicare beneficiaries. Together, roughly 86% of all Medicare beneficiaries in the county are in Medicare Advantage or an MSSP ACO. See the ACOs in the MSSP Explorer.