Medicare Advantage plans in Eau Claire, WI, 2027
Eau Claire, Wisconsin has 13 Medicare Advantage plans open to everyone for 2027 (22 in 2026) and 3 special needs plans, according to the CMS landscape files; 6 of the open plans have a $0 premium. 14 plans that served the county in 2026 end or leave it, with 4,228 members living here in September 2026.
What changes in Eau Claire for 2027?
| In the county | 2026 | 2027 | Change |
|---|---|---|---|
| Plans open to everyone | 22 | 13 | ▼down 9 |
| Special needs plans | 7 | 3 | ▼down 4 |
| Plans with a $0 premium | 10 | 6 | ▼down 4 |
| Plans that lower the Part B premium | 4 | 3 | ▼down 1 |
| Median out-of-pocket limit | $6,000 | $6,600 | ▲up $600 |
Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision); CMS plan benefit package files, 2027 and 2026.
Which plans can anyone in Eau Claire join?
| Plan | Premium | Out-of-pocket limit | Part B reduction | 2026 stars |
|---|---|---|---|---|
| Network Health PrimeH1181-001 · MSA | $0 | not filed | none | not rated |
| CompassH5211-003 · HMO | $0 | $5,000 | none | 4.5 of 5 |
| Humana USAA Honor GivebackH5216-355 · PPO | $0 | $6,000 | $150 | 3.5 of 5 |
| Humana USAA Honor GivebackH7617-022 · PPO | $0 | $6,000 | $150 | 4.5 of 5 |
| Cooperative Medicare AdvantageH7598-004 · HMO | $0 | $6,700 | none | not rated (too little data) |
| Humana USAA Honor GivebackR5361-001 · Regional PPO | $0 | $6,750 | $30 | 3 of 5 |
| Esteem RxH5211-012 · HMO | $20 | $7,150 | none | 4.5 of 5 |
| Humana Gold ChoiceH8145-006 · PFFS | $60 | $7,800 | none | 3.5 of 5 |
| HumanaChoiceH7617-007 · PPO | $60 | $9,250 | none | 4.5 of 5 |
| Esteem Rx SilverH5211-014 · HMO-POS | $65 | $6,500 | none | 4.5 of 5 |
| HumanaChoiceR5361-002 · Regional PPO | $87 | $7,700 | none | 3 of 5 |
| Esteem Rx GoldH5211-015 · HMO-POS | $125 | $5,000 | none | 4.5 of 5 |
| Legacy RxH5211-004 · HMO-POS | $300 | $3,000 | none | 4.5 of 5 |
Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision); CMS plan benefit package files, 2027 and 2026. Stars are the contract's 2026 rating. confirm on Medicare Plan Finder.
Which plans leave Eau Claire in 2027?
Members of these plans here choose a 2027 plan during open enrollment, October 15 to December 7, 2026; choosing by December 31 means no gap; because their plan is leaving the county, they can still join until the end of February 2027, with coverage from the first of the next month. Each plan's page says what happens to its members.
| 2026 plan | Members here, Sept. 2026 | For 2027 |
|---|---|---|
| Medica Prime Solution FocusH2450-038 | 1,259 | Leaves the county |
| Essence RxH5211-002 | 1,225 | Not offered |
| Medica Prime Solution StandardH2450-050 | 652 | Leaves the county |
| Medica Prime Solution Focus w/RxH2450-039 | 315 | Leaves the county |
| UHC Dual Complete WI-D002H3794-002 | 249 | Leaves the county |
| AARP Medicare Advantage from UHC WI-0015H5253-072 | 196 | Leaves the county |
| UHC Dual Complete WI-D001H0294-027 | 95 | Leaves the county |
| Ally RxH5211-010 | 70 | Not offered |
| AARP Medicare Advantage Patriot No Rx WI-MA02H5253-021 | 67 | Leaves the county |
| Medica Prime Solution CoreH2450-051 | 62 | Leaves the county |
| Medica Prime Solution Thrift w/RxH2450-007 | 22 | Leaves the county |
| AARP Medicare Advantage Patriot No Rx WI-MA01H0294-014 | 16 | Leaves the county |
| Medica Prime Solution ThriftH2450-030 | fewer than 11 | Leaves the county |
| UHC Dual Complete WI-V001H3794-004 | fewer than 11 | Leaves the county |
Source: CMS plan crosswalk from 2026 to 2027 (Oct. 1, 2026); CMS monthly enrollment by plan and by county, September 2026 (CMS hides counts under 11); CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision).
Which special needs plans are sold here?
Open only to people with Medicaid as well as Medicare, with certain chronic conditions, or living in an institution.
| Plan | Who can join | Premium |
|---|---|---|
| Cooperative AdvantageH7598-003 | Dual-Eligible | $0 |
| Anthem Full Dual AdvantageH9525-027 | Dual-Eligible | $0 |
| Anthem Dual Advantage PlusH9525-028 | Dual-Eligible | $0 |
Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision).
How many people in Eau Claire use Medicare Advantage?
11,154 of the county's 23,483 people with Medicare were in a Medicare Advantage plan in September 2026, 47.5%; in Wisconsin as a whole the share is 57.3%.
Source: CMS Medicare Advantage state and county penetration, September 2026.
What else should you check?
- Medicare Advantage in WisconsinEvery county of the state
- 8 stand-alone drug plans in WisconsinIf you keep Original Medicare
- Is your plan ending?Every plan not offered in 2027