Eau Claire County, Wisconsin: health insurance
What Eau Claire County residents should know about Medicare, marketplace plans and Medicaid.
Eau Claire County at a glance
| State | Wisconsin |
|---|---|
| Population (2023 est.) | 107,903 |
| Population rank in Wisconsin | 14 of 72 |
| Land area | 638 square miles |
| Major cities | Eau Claire |
Source: U.S. Census Bureau (Population Estimates 2023; Gazetteer 2023).
Medicare plans leaving Eau Claire County for 2027
20 Medicare plans from 6 companies are listed in Eau Claire County for 2026 but not for 2027, covering at least 5,121 people enrolled in the plans below today.
- SilverScript Choice (PDP) (S5601-032, Aetna (CVS Health))
- HealthSpring Assurance Rx (PDP) (S5617-223, Cigna HealthSpring (HCSC))
- HealthSpring Extra Rx (PDP) (S5617-366, Cigna HealthSpring (HCSC))
| 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 |
| Anthem Full Dual Advantage (HMO D-SNP) H9525-003 | Anthem (Elevance Health) | 235 |
| AARP Medicare Advantage from UHC WI-0015 (HMO-POS) H5253-072 | UnitedHealthcare | 196 |
| UHC Dual Complete WI-D001 (PPO D-SNP) H0294-027 | UnitedHealthcare | 95 |
| Spirit (HMO-POS) H5211-001 | Marshfield Clinic Health System | 93 |
| Ally Rx (HMO D-SNP) H5211-010 | Marshfield Clinic Health System | 70 |
| AARP Medicare Advantage Patriot No Rx WI-MA02 (HMO-POS) H5253-021 | UnitedHealthcare | 67 |
Show 5 more plans
| Plan going away | Company | People enrolled (at least) |
|---|---|---|
| Medica Prime Solution Core (Cost) H2450-051 | Medica Holding Company | 62 |
| Medica Prime Solution Thrift w/Rx (Cost) H2450-007 | Medica Holding Company | 22 |
| AARP Medicare Advantage Patriot No Rx WI-MA01 (PPO) H0294-014 | UnitedHealthcare | 16 |
| Medica Prime Solution Thrift (Cost) H2450-030 | Medica Holding Company | 10 or fewer |
| UHC Dual Complete WI-V001 (HMO-POS D-SNP) H3794-004 | UnitedHealthcare | 10 or fewer |
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.
Is your plan on this list? Call 855-367-1095 and we will look at what is available where you live, with no obligation to enroll.
Why your county matters for coverage
In Wisconsin, the health plans you can choose depend on where you live. Medicare Advantage and Part D plans are offered by service area, usually county by county, and marketplace premiums and carriers are set by area as well. Living in Eau Claire County means the options on this page apply to you, and plans in a neighboring county may differ.
- Medicare: Wisconsin Medigap Helpline gives free, unbiased counseling at 800-242-1060. Ask which plans serve Eau Claire County specifically.
- Marketplace plans: shop through HealthCare.gov (federal Marketplace); enter your Eau Claire County ZIP code to see what is offered.
- Medicaid: apply through BadgerCare Plus (Wisconsin Department of Health Services).
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.
Questions about Eau Claire County
Are the same Medicare plans offered everywhere in Wisconsin?
No. Plans are offered by service area. A plan available in one county may not be offered in Eau Claire County, so check by county.
Where do Eau Claire County residents get free Medicare counseling?
Wisconsin Medigap Helpline (800-242-1060) is Wisconsin's free SHIP program.
Do I have to enroll if I call?
No. Calling is a conversation about your options, and you are never required to enroll.
Eau Claire County 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 large counties
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.