Waukesha, Wisconsin: health insurance
Waukesha is in Waukesha County. Here is what Waukesha residents should know about coverage.
Coverage in Waukesha
Waukesha has about 70,446 residents (U.S. Census Bureau 2023 estimate).
Plans for Waukesha residents are determined by Waukesha County, home to about 412,591 people (2023 estimate). Medicare Advantage plans and marketplace plans are offered by area, so use your ZIP code when you compare, and make sure a plan covers Waukesha County before you choose it.
- Turning 65 in Waukesha? Your Initial Enrollment Period runs seven months around your birthday. Wisconsin Medigap Helpline offers free counseling at 800-242-1060.
- Buying your own plan? Shop through HealthCare.gov (federal Marketplace).
- Medicaid questions? BadgerCare Plus (Wisconsin Department of Health Services) handles applications.
Wisconsin note: Wisconsin's Medicare counseling program goes by a distinct name, the Medigap Helpline, rather than a more generic SHIP label, and it's specifically run by the Board on Aging and Long-Term Care rather than the Department of Health Services that runs BadgerCare Plus.
Medicare plans leaving Waukesha County for 2027
Medicare plans are set by county, so this applies to residents of this city. 14 plans are listed in Waukesha County for 2026 but not for 2027, covering at least 2,176 people.
| Plan going away | Company | People enrolled (at least) |
|---|---|---|
| UHC Dual Complete WI-D3 (HMO-POS D-SNP) H3794-006 | UnitedHealthcare | 1,314 |
| Anthem Full Dual Advantage (HMO D-SNP) H9525-003 | Anthem (Elevance Health) | 232 |
| UHC Dual Complete WI-D003 (HMO-POS D-SNP) H5253-024 | UnitedHealthcare | 232 |
| Anthem Full Dual Advantage 2 (HMO D-SNP) H9525-018 | Anthem (Elevance Health) | 125 |
| AARP Medicare Advantage CareFlex from UHC WI-18 (HMO-POS) H5253-198 | UnitedHealthcare | 95 |
| Esteem Rx (HMO-POS) H5211-012 | Marshfield Clinic Health System | 77 |
See all 14 plans leaving Waukesha County →
A plan can be listed because it was renumbered or replaced, not only because a company is leaving the county. When the same company keeps other plans there, members are usually moved to a replacement plan. Your plan should send you a notice, and Medicare’s Annual Enrollment Period (October 15 to December 7) is when you can compare and switch. “People enrolled” is the number enrolled in that plan today (CMS hides counts of 10 or fewer). Source: CMS Medicare Advantage and Part D landscape files for 2026 and 2027, and CMS enrollment data from September 2026.
Colleges and universities near Waukesha
Wisconsin public institutions include University of Wisconsin–Madison, University of Wisconsin–Milwaukee, University of Wisconsin–La Crosse. Students and employees at these schools should check their school’s student health or benefits office, because campus plans and employer plans work differently from individual coverage. More about Wisconsin colleges.
Do Waukesha and Waukesha County have the same plans?
Plans are offered by service area, and Waukesha falls under Waukesha County. A plan that serves Waukesha County is generally the one that applies to you.
Do I have to enroll if I call?
No. A call is a conversation about your options.
Waukesha residents: call 855-367-1095
Call Lander LLC to go over your options. There is no cost to call or to speak with an agent, and you are never required to enroll in anything.
Call 855-367-1095Other major Wisconsin cities
- Milwaukee
- Madison
- Green Bay
- Kenosha
- Racine
- Appleton
- Eau Claire
- Oshkosh
- Janesville
- West Allis
- La Crosse
- Sheboygan
Reviewed by Richard Lander, licensed insurance agent (NPN 21255551), Lander LLC. Last updated October 3, 2026. This page is educational and is not a quote, an offer of coverage, or legal or tax advice.