Eau Claire, Wisconsin: health insurance
Eau Claire is in Eau Claire County. Here is what Eau Claire residents should know about coverage.
Coverage in Eau Claire
Eau Claire has about 70,542 residents (U.S. Census Bureau 2023 estimate).
Plans for Eau Claire residents are determined by Eau Claire County, home to about 107,903 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 Eau Claire County before you choose it.
- Turning 65 in Eau Claire? 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 Eau Claire County for 2027
Medicare plans are set by county, so this applies to residents of this city. 20 plans are listed in Eau Claire County for 2026 but not for 2027, covering at least 5,121 people.
| Plan going away | Company | People enrolled (at least) |
|---|---|---|
| Medica Prime Solution Focus (Cost) H2450-038 | Medica Holding Company | 1,259 |
| Essence Rx (HMO-POS) H5211-002 | Marshfield Clinic Health System | 1,225 |
| Medica Prime Solution Standard (Cost) H2450-050 | Medica Holding Company | 652 |
| Anthem Full Dual Advantage 2 (HMO D-SNP) H9525-018 | Anthem (Elevance Health) | 565 |
| Medica Prime Solution Focus w/Rx (Cost) H2450-039 | Medica Holding Company | 315 |
| UHC Dual Complete WI-D002 (HMO-POS D-SNP) H3794-002 | UnitedHealthcare | 249 |
See all 20 plans leaving Eau Claire 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 Eau Claire
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 Eau Claire and Eau Claire County have the same plans?
Plans are offered by service area, and Eau Claire falls under Eau Claire County. A plan that serves Eau Claire 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.
Eau Claire 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
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.