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Medicare plans in St. Croix County, WI — 2026
What agents look up before working a county: plan count, carriers, $0-premium share, star distribution, MOOP range, the 65+ and 60–64 population, and what changed since last year.
In 2026, St. Croix County, Wisconsin has 30 Medicare plans (2 Medicare Advantage with drug coverage, 3 without, 10 standalone Part D, 6 Special Needs) from 10 carriers. 2 Medicare Advantage plans have a $0 premium. The lowest in-network out-of-pocket maximum is $4,000.
Market snapshot
- Residents 65 and older
- 15,362
- Residents 60–64, aging in over the next five years
- 6,547
- Medicare eligibles
- 20,261
- Medicare Advantage penetration
- 47.9%
- Plans per 1,000 residents 65+
- 2
Carriers by number of plans
- Medica — 6 plans
- UnitedHealthcare — 6 plans
- Humana — 5 plans
- HealthPartners — 3 plans
- Anthem Blue Cross and Blue Shield — 2 plans
- Group Health Cooperative of Eau Claire — 2 plans
- HealthSpring — 2 plans
- Wellcare — 2 plans
Plans sorted by CMS star rating, then premium
| Plan | Carrier | Category | Plan type | Monthly premium | Drug deductible | Out-of-pocket maximum | Star rating |
|---|
| UHC Dual Complete WI-V001 (HMO-POS D-SNP) (H3794-004-0) | UnitedHealthcare | SNP | HMO-POS D-SNP | $17.30 | $615 | $4,900 | 4.0 |
|---|
| UHC Dual Complete WI-D002 (HMO-POS D-SNP) (H3794-002-0) | UnitedHealthcare | SNP | HMO-POS D-SNP | $18.90 | $615 | $9,250 | 4.0 |
|---|
| Anthem Full Dual Advantage 2 (HMO D-SNP) (H9525-018-0) | Anthem Blue Cross and Blue Shield | SNP | HMO D-SNP | $0 | $590 | $9,250 | 3.5 |
|---|
| Anthem Full Dual Advantage (HMO D-SNP) (H9525-003-0) | Anthem Blue Cross and Blue Shield | SNP | HMO D-SNP | $3.60 | $615 | $9,250 | 3.5 |
|---|
| UHC Dual Complete WI-D001 (PPO D-SNP) (H0294-027-0) | UnitedHealthcare | SNP | PPO D-SNP | $9 | $615 | $9,250 | 3.5 |
|---|
| Medica Prime Solution Thrift w/Rx (Cost) (H2450-007-0) | Medica | Cost | Cost | $92.80 | $615 | $6,750 | 3.5 |
|---|
| Medica Prime Solution Focus w/Rx (Cost) (H2450-039-0) | Medica | Cost | Cost | $236.70 | $615 | $4,000 | 3.5 |
|---|
| AARP Medicare Advantage Patriot No Rx WI-MA01 (PPO) (H0294-014-0) | UnitedHealthcare | MA | PPO | | | $6,700 | 3.5 |
|---|
| Medica Prime Solution Core (Cost) (H2450-051-0) | Medica | Cost | Cost | | | $4,900 | 3.5 |
|---|
| Medica Prime Solution Focus (Cost) (H2450-038-0) | Medica | Cost | Cost | | | $4,000 | 3.5 |
|---|
Showing 10 of 30 plans.
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About this data
Source: CMS Medicare Advantage/Part D Landscape files, plan year 2026; population: U.S. Census Bureau ACS 5-year 2024; MA penetration: CMS September 2026.
This page summarizes publicly available CMS data. It is not a plan finder and does not recommend plans. To compare and enroll in plans, use Medicare.gov or talk to a licensed agent. Medicare.gov plan finder.