- Entity
- county:wisconsin-eau-claire-55035
- Digest
- 2027-county-ma-aggregate
- Population Scope
- Standard Medicare Advantage plans only; Special Needs Plans (SNPs) excluded
- Source URL
- https://www.medicareplans.com/medicare-advantage/wisconsin/eau-claire/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-county-plan-index
- Total Standard Medicare Advantage Plans
- 13
- PPO Plans
- 5
- HMO Plans
- 3
- HMO-POS Plans
- 3
- PFFS Plans
- 1
- Average Monthly Premium
- 55.15
- Average MOOP
- 6404.17
- Average Part D Deductible
- 459.38
- $0 Premium Plans
- 6
- Plans Without Part D Coverage
- 5
- Average CMS Star Rating
- 0
- $0 Premium Plan Share
- 46.15
- 5-Star Plan Share
- 0
- 4+ Star Plan Share
- 0
- 3-Star Plan Share
- 0
- Below 3-Star Plan Share
- 0
- Not-Rated Plan Share
- 0
- PPO Average Monthly Premium
- 29.4
- PPO Average MOOP
- 7140
- PPO Enrollment
- 408
- PPO $0 Premium Plans
- 3
- PPO Plans Without Part D Coverage
- 3
- HMO Average Monthly Premium
- 6.67
- HMO Average MOOP
- 6283.33
- HMO Enrollment
- 3690
- HMO $0 Premium Plans
- 2
- HMO Plans Without Part D Coverage
- 1
- HMO-POS Average Monthly Premium
- 163.33
- HMO-POS Average MOOP
- 4833.33
- HMO-POS Enrollment
- 138
- HMO-POS $0 Premium Plans
- 0
- HMO-POS Plans Without Part D Coverage
- 0
- PFFS Average Monthly Premium
- 60
- PFFS Average MOOP
- 7800
- PFFS Enrollment
- 279
- PFFS $0 Premium Plans
- 0
- PFFS Plans Without Part D Coverage
- 0
- Entity
- county:wisconsin-eau-claire-55035
- Digest
- 2027-county-ma-aggregate
- Population Scope
- Standard Medicare Advantage plans only; Special Needs Plans (SNPs) excluded
- Source URL
- https://www.medicareplans.com/medicare-advantage/wisconsin/eau-claire/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-wisconsin-eau-claire-55035-landscape-stats
- Plans Indexed
- 13
- Standard Medicare Advantage Plans
-
-
Compass
H5211-003-0 -
Cooperative Medicare Advantage
H7598-004-0 -
Esteem Rx
H5211-012-0 -
Esteem Rx Gold
H5211-015-0 -
Esteem Rx Silver
H5211-014-0 -
Humana Gold Choice H8145-006
H8145-006-0 -
Humana USAA Honor Giveback
H5216-355-0 -
Humana USAA Honor Giveback
R5361-001-0 -
Humana USAA Honor Giveback
H7617-022-0 -
HumanaChoice H7617-007
H7617-007-0 -
HumanaChoice R5361-002
R5361-002-0 -
Legacy Rx
H5211-004-0 -
Network Health Prime
H1181-001-0
-
Compass
- Total Standard Medicare Advantage Enrollment
- 4530
2027 Medicare Advantage Plans in Eau Claire County, WI
Last update: .
For 2027, Eau Claire County, WI includes 13 Medicare Advantage plans. Enrollment across these plans totals approximately 4,530, with 6 $0 premium options and (2027 Star Ratings Coming Soon) rated 4 stars or higher.
This page and its statistics exclude Medicare Advantage Special Needs Plans (SNPs). Special Needs Plans in Eau Claire County, WI are summarized separately. Visit Medicare Options in Eau Claire County, WI to see more options.
Medicare Advantage PPO Plans
Preferred Provider Organization (PPO) plans allow members to choose care from both in-network and out-of-network providers. Out-of-network care usually costs more, but PPOs offer greater flexibility in how members access care.
- Total PPO Plans
- 5
- Average Monthly Premium
- $29.40/mo
- Total PPO Enrollment
- 408
- $0 Premium PPO Plans
- 3
- Average MOOP
- $7,140
- Top PPO by Enrollment
- Humana USAA Honor Giveback (PPO) — 146 enrollees
- PPO Plans Without Drug Coverage
- 3
| PPO Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| Humana USAA Honor Giveback | $0 | $6,000 | N/A | H5216-355-0 | |
| Humana USAA Honor Giveback | $0 | $6,750 | N/A | R5361-001-0 | |
| Humana USAA Honor Giveback | $0 | $6,000 | N/A | H7617-022-0 | |
| HumanaChoice H7617-007 | $60 | $9,250 | $700 | H7617-007-0 | |
| HumanaChoice R5361-002 | $87 | $7,700 | $700 | R5361-002-0 |
What is the average monthly premium for PPO plans in Eau Claire?
PPO plans in Eau Claire cost $29.40 per month on average.
Which PPO plan has the highest enrollment in Eau Claire?
The most popular PPO plan in Eau Claire is Humana USAA Honor Giveback (PPO), with 146 enrollees.
How many PPO plans in Eau Claire do not include prescription drug coverage?
3 PPO plans in Eau Claire do not include prescription drug coverage.
Medicare Advantage HMO Plans
Health Maintenance Organization (HMO) plans generally require members to use in-network doctors, hospitals, and other providers, except in emergencies. Because of this structure, HMOs often have lower premiums and out-of-pocket costs than other plan types.
- Total HMO Plans 3
- Average Monthly Premium $6.67/mo
- Total HMO Enrollment 3,690
- $0 Premium HMO Plans 2
- Average MOOP $6,283
- Top HMO by Enrollment Esteem Rx (HMO) — 2,416 enrollees
- HMO Plans Without Drug Coverage 1
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| Security Health Plan of Wisconsin, Inc. Compass | $0 | $5,000 | N/A | H5211-003-0 | |
| Cooperative Medicare Advantage | $0 | $6,700 | $275 | H7598-004-0 | |
| Esteem Rx | $20 | $7,150 | $550 | H5211-012-0 |
What is the top HMO by enrollment in Eau Claire?
Esteem Rx (HMO) is the top HMO in Eau Claire, with 2,416 enrollees.
What is the number of HMO plans without Part D coverage in Eau Claire?
1 HMO plans in Eau Claire do not include prescription drug coverage.
Medicare Advantage HMO-POS Plans
HMO-POS plans are structured like HMOs, requiring in-network care for the lowest costs, while allowing limited out-of-network access at higher cost. This provides added flexibility compared with standard HMO plans.
- Total HMO-POS Plans
- 3
- Average Monthly Premium
- $163.33/mo
- Total HMO-POS Enrollment
- 138
- $0 Premium HMO-POS Plans
- 0
- Average MOOP
- $4,833
- Top HMO-POS by Enrollment
- Legacy Rx (HMO-POS) — 138 enrollees
- HMO-POS Plans Without Drug Coverage
- 0
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| Esteem Rx Gold | $125 | $5,000 | $300 | H5211-015-0 | |
| Esteem Rx Silver | $65 | $6,500 | $450 | H5211-014-0 | |
| Legacy Rx | $300 | $3,000 | $0 | H5211-004-0 |
What is the typical premium for HMO-POS plans in Eau Claire?
HMO-POS plans in Eau Claire cost $163.33 per month on average.
Which HMO-POS plan has the most members in Eau Claire?
The most popular HMO-POS plan in Eau Claire is Legacy Rx (HMO-POS), with 138 enrollees.
How many HMO-POS options are offered without prescription drug coverage in Eau Claire?
There are 0 HMO-POS plans in Eau Claire without prescription drug coverage.
Medicare Advantage PFFS Plans
PFFS, or Private Fee-for-Service plans, allow access to any Medicare-approved doctor or hospital that accepts the plan’s terms. They provide wide flexibility in choosing providers, but it’s essential to verify that your preferred healthcare professionals agree to the plan’s payment rules before scheduling care.
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| Humana Gold Choice H8145-006 | $60 | $7,800 | $700 | H8145-006-0 |
What is the total number of PFFS plans in Eau Claire?
In 2027, Eau Claire has 1 PFFS plans with 279 enrollees.
How much do PFFS plans cost in Eau Claire?
The typical PFFS premium in Eau Claire is $60.00, and 0 plans have no monthly premium.
CMS quality ratings for Medicare Advantage plans in Eau Claire County, WI (2027) are summarized below.
| Rating Category | Number of Plans | Percent of Plans |
|---|---|---|
| 5 Stars | (2027 Star Ratings Coming Soon) | (2027 Star Ratings Coming Soon) |
| 4 Stars (includes 5 Stars) | (2027 Star Ratings Coming Soon) | (2027 Star Ratings Coming Soon) |
| 3 Stars | (2027 Star Ratings Coming Soon) | (2027 Star Ratings Coming Soon) |
| Below 3 Stars | (2027 Star Ratings Coming Soon) | (2027 Star Ratings Coming Soon) |
| Not Rated | (2027 Star Ratings Coming Soon) | (2027 Star Ratings Coming Soon) |
| Average Rating | (2027 Star Ratings Coming Soon) | |
* CMS assigns Medicare Advantage star ratings annually based on plan quality and performance measures.
- CMS.gov, Medicare Advantage & Special Needs Plan Landscape Source Files — Version: 202609
- CMS.gov, Medicare Part C & D Performance Data — Version: 2026
- CMS.gov, Medicare Advantage & Part D Contract and Enrollment Data — Version: 2026-09
All plan counts, enrollment totals, averages, and percentage distributions are calculated at the county level using CMS data and include standard Medicare Advantage (MA/MAPD) plans only, based on a consistent aggregation methodology.
Data sources and methodology documentation .
- Medicare.gov, "Understanding Medicare Advantage Plans" — Last accessed 25 May, 2025
- Medicare.gov, "Compare Original Medicare & Medicare Advantage" — Last accessed 25 May, 2025
- NCOA.org, "5 Steps to Choosing the Right Medicare Plan for You" — Last accessed 25 May, 2025
MedicarePlans.com is an independent, non-government informational resource and is not affiliated with or endorsed by the U.S. Government or the federal Medicare program.
Data provenance is documented in accordance with the U.S. Core Data for Interoperability (USCDI) Provenance standard .
Page content independently curated and maintained by David W. Bynon, Editorial Steward, using a standardized, data-driven methodology for accurate, non-commercial Medicare plan interpretation and resolution.