2020 illinois medicare advantage plans and cost plans · 2020 illinois medicare advantage plans and...

248
State County Organization Name Plan Name Type of Medicare Health Plan Monthly Consolidated Premium (Includes Part C + D) Annual Drug Deductible Drug Benefit Type Additional Coverage Offered in the Gap Drug Benefit Type Detail Contract ID Plan ID Segment ID In-network MOOP Amount ** Overall Star Rating Illinois Adams Aetna Medicare Aetna Medicare Premier Advantra (PPO) Local PPO $ 25.00 $ - Enhanced Yes EA H7301 009 0 5,500 $ 4.5 Stars Illinois Adams Aetna Medicare Aetna Medicare Value Advantra (PPO) Local PPO $ - $ - Enhanced Yes EA H7301 007 0 4,650 $ 4.5 Stars Illinois Adams Humana HumanaC hoice H5216- 013 (PPO) Local PPO $ 88.00 $ - Enhanced No EA H5216 013 0 6,700 $ 4 Stars Illinois Adams Humana HumanaC hoice R5361- 001 (Regional PPO) Regional PPO * $ - R5361 001 0 6,700 $ 3.5 Stars Illinois Adams Humana HumanaC hoice R5361- 002 (Regional PPO) Regional PPO $ 139.00 $ 420.00 Basic No BA R5361 002 0 6,700 $ 3.5 Stars 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020, enhanced alternative plans may offer additional cost sharing reductions in the gap on a sub-set of the formulary drugs, beyond the standard Part D benefit. * Indicates plan does not offer Part D drug coverage. ** MOOP is defined as: Maximum Out-of-Pocket (MOOP) limit on enrollee spending that includes costs for all in-network Part A and Part B Services. N/A is defined as Not Applicable

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Page 1: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

State CountyOrganization

NamePlan Name

Type of

Medicare

Health Plan

Monthly

Consolidated

Premium

(Includes

Part C + D)

Annual

Drug

Deductible

Drug

Benefit

Type

Additional

Coverage

Offered in

the Gap

Drug

Benefit

Type Detail

Contract ID Plan ID Segment ID

In-network

MOOP

Amount **

Overall

Star Rating

Illinois AdamsAetna

Medicare

Aetna

Medicare

Premier

Advantra

(PPO)

Local PPO $ 25.00 $ - Enhanced Yes EA H7301 009 0 5,500$ 4.5 Stars

Illinois AdamsAetna

Medicare

Aetna

Medicare

Value

Advantra

(PPO)

Local PPO $ - $ - Enhanced Yes EA H7301 007 0 4,650$ 4.5 Stars

Illinois Adams Humana

HumanaC

hoice

H5216-

013 (PPO)

Local PPO $ 88.00 $ - Enhanced No EA H5216 013 0 6,700$ 4 Stars

Illinois Adams Humana

HumanaC

hoice

R5361-

001

(Regional

PPO)

Regional

PPO * $ - R5361 001 0 6,700$ 3.5 Stars

Illinois Adams Humana

HumanaC

hoice

R5361-

002

(Regional

PPO)

Regional

PPO $ 139.00 $ 420.00 Basic No BA R5361 002 0 6,700$ 3.5 Stars

2020 Illinois Medicare Advantage Plans and Cost PlansNotes: Data are subject to change as contracts are finalized. For 2020, enhanced alternative plans may offer additional cost sharing reductions in the gap on a sub-set of

the formulary drugs, beyond the standard Part D benefit.

* Indicates plan does not offer Part D drug coverage.

** MOOP is defined as: Maximum Out-of-Pocket (MOOP) limit on enrollee spending that includes costs for all in-network Part A and Part B Services. N/A is defined as

Not Applicable

Page 2: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Adams

Lasso

Healthcar

e

Lasso

Healthcar

e (MSA)

MSA * H1924 001 0 -$

Plan too

new to be

measured

Illinois AlexanderAetna

Medicare

Aetna

Medicare

Premier

Plus (PPO)

Local PPO $ - $ 150.00 Enhanced Yes EA H1608 056 0 5,900$ 3.5 Stars

Illinois Alexander Humana

HumanaC

hoice

R5361-

001

(Regional

PPO)

Regional

PPO * $ - R5361 001 0 6,700$ 3.5 Stars

Illinois Alexander Humana

HumanaC

hoice

R5361-

002

(Regional

PPO)

Regional

PPO $ 139.00 $ 420.00 Basic No BA R5361 002 0 6,700$ 3.5 Stars

Illinois Alexander

Lasso

Healthcar

e

Lasso

Healthcar

e (MSA)

MSA * H1924 003 0 -$

Plan too

new to be

measured

Illinois BondAetna

Medicare

Aetna

Medicare

Advantra

1 (HMO-

POS)

Local

HMO $ 33.00 $ - Enhanced Yes EA H2663 006 0 5,200$ 4 Stars

Illinois BondAetna

Medicare

Aetna

Medicare

Advantra

2 (HMO)

Local

HMO $ 81.00 $ - Enhanced Yes EA H2663 002 0 2,900$ 4 Stars

Illinois BondAetna

Medicare

Aetna

Medicare

Elite

(PPO)

Local PPO $ - $ - Enhanced Yes EA H1608 050 0 3,400$ 3.5 Stars

Page 3: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois BondAetna

Medicare

Aetna

Medicare

Premier

Advantra

(PPO)

Local PPO $ 51.00 $ 200.00 Enhanced Yes EA H1608 013 0 6,000$ 3.5 Stars

Illinois Bond Humana

Humana

Gold

Choice

H8145-

008

(PFFS)

PFFS $ 166.00 $ 380.00 Enhanced No EA H8145 008 0 -$ 3.5 Stars

Illinois Bond Humana

Humana

Gold

Choice

H8145-

121

(PFFS)

PFFS * $ 75.00 H8145 121 0 -$ 3.5 Stars

Illinois Bond Humana

HumanaC

hoice

R5361-

001

(Regional

PPO)

Regional

PPO * $ - R5361 001 0 6,700$ 3.5 Stars

Illinois Bond Humana

HumanaC

hoice

R5361-

002

(Regional

PPO)

Regional

PPO $ 139.00 $ 420.00 Basic No BA R5361 002 0 6,700$ 3.5 Stars

Illinois Bond

Lasso

Healthcar

e

Lasso

Healthcar

e (MSA)

MSA * H1924 001 0 -$

Plan too

new to be

measured

Illinois BondUnitedHe

althcare

AARP

Medicare

Advantag

e (HMO-

POS)

Local

HMO $ - $ - Enhanced No EA H2802 028 0 2,900$ 4 Stars

Page 4: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois BondUnitedHe

althcare

AARP

Medicare

Advantag

e Choice

Plan 1

(PPO)

Local PPO $ 29.00 $ 150.00 Enhanced No EA H2228 030 0 4,400$ 4 Stars

Illinois BondUnitedHe

althcare

AARP

Medicare

Advantag

e

Walgreen

s (PPO)

Local PPO $ - $ - Enhanced No EA H2228 083 0 3,900$ 4 Stars

Illinois BooneAetna

Medicare

Aetna

Medicare

Explorer

Value

(PPO)

Local PPO $ - $ - Enhanced Yes EA H5521 228 0 5,900$ 4.5 Stars

Illinois BooneAetna

Medicare

Aetna

Medicare

Premier

Advantra

(PPO)

Local PPO $ 23.00 $ - Enhanced Yes EA H7301 002 0 5,500$ 4.5 Stars

Illinois BooneAetna

Medicare

Aetna

Medicare

Value

Advantra

(PPO)

Local PPO $ - $ - Enhanced Yes EA H7301 006 0 5,900$ 4.5 Stars

Illinois Boone

Clear

Spring

Health

Clear

Spring

Health

Essential

(HMO)

Local

HMO $ - $ - Enhanced No EA H5454 001 0 2,900$

Plan too

new to be

measured

Illinois Boone

Clear

Spring

Health

Clear

Spring

Health

Essential

Plus

(HMO)

Local

HMO $ 49.00 $ - Enhanced No EA H5454 003 0 2,500$

Plan too

new to be

measured

Page 5: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Boone

Communi

ty Care

Alliance

of Illinois

Communi

ty

Advantag

e (HMO)

Local

HMO $ - $ - Enhanced No EA H3071 002 0 3,950$ 2.5 Stars

Illinois Boone

Communi

ty Care

Alliance

of Illinois

Communi

ty Flex-

Plan

(HMO-

POS)

Local

HMO $ 26.00 $ 435.00 Basic No DS H3071 003 0 3,950$ 2.5 Stars

Illinois Boone

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO 20

Rx (HMO)

Local

HMO $ 120.00 $ - Enhanced No EA H1463 003 0 4,000$ 3.5 Stars

Illinois Boone

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO 40

Rx (HMO)

Local

HMO $ 71.00 $ - Enhanced No EA H1463 010 0 4,700$ 3.5 Stars

Illinois Boone

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO

Basic

(HMO)

Local

HMO * $ - H1463 008 0 6,700$ 3.5 Stars

Illinois Boone

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO

Basic Rx

(HMO)

Local

HMO $ 32.00 $ - Enhanced No EA H1463 009 0 6,700$ 3.5 Stars

Illinois Boone

Health

Alliance

Medicare

Health

Alliance

Medicare

POS 10 Rx

(HMO-

POS)

Local

HMO $ 160.00 $ - Enhanced No EA H1463 019 0 4,500$ 3.5 Stars

Page 6: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Boone

Health

Alliance

Medicare

Health

Alliance

Medicare

POS 30 Rx

(HMO-

POS)

Local

HMO $ 100.00 $ - Enhanced No EA H1463 017 0 5,500$ 3.5 Stars

Illinois Boone

Health

Alliance

Medicare

Health

Alliance

Medicare

POS Basic

(HMO-

POS)

Local

HMO * $ 23.00 H1463 014 0 6,700$ 3.5 Stars

Illinois Boone

Health

Alliance

Medicare

Health

Alliance

Medicare

POS Basic

Rx (HMO-

POS)

Local

HMO $ 51.00 $ - Enhanced No EA H1463 015 0 6,700$ 3.5 Stars

Illinois Boone

Health

Alliance

Medicare

OSF

MedAdva

ntage

Core

(HMO)

Local

HMO $ - $ - Enhanced No EA H1463 035 0 4,000$ 3.5 Stars

Illinois Boone

Health

Alliance

Medicare

OSF

MedAdva

ntage

Open

(HMO-

POS)

Local

HMO $ 35.00 $ - Enhanced No EA H1463 036 0 4,500$ 3.5 Stars

Illinois Boone

Health

Alliance

Medicare

OSF

MedAdva

ntage Plus

(HMO-

POS)

Local

HMO $ 135.00 $ - Enhanced No EA H1463 037 0 3,400$ 3.5 Stars

Illinois Boone

Health

Alliance

Medicare

OSF

MedAdva

ntage

Select

(HMO)

Local

HMO $ 110.00 $ - Enhanced No EA H1463 038 0 3,400$ 3.5 Stars

Page 7: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Boone Humana

Humana

Gold

Choice

H8145-

008

(PFFS)

PFFS $ 166.00 $ 380.00 Enhanced No EA H8145 008 0 -$ 3.5 Stars

Illinois Boone Humana

Humana

Gold Plus

H1468-

007

(HMO)

Local

HMO $ - $ 200.00 Enhanced No EA H1468 007 0 4,500$ 4.5 Stars

Illinois Boone Humana

HumanaC

hoice

H5525-

004 (PPO)

Local PPO $ 106.00 $ 250.00 Enhanced No EA H5525 004 0 5,500$ 4 Stars

Illinois Boone Humana

HumanaC

hoice

R5361-

001

(Regional

PPO)

Regional

PPO * $ - R5361 001 0 6,700$ 3.5 Stars

Illinois Boone Humana

HumanaC

hoice

R5361-

002

(Regional

PPO)

Regional

PPO $ 139.00 $ 420.00 Basic No BA R5361 002 0 6,700$ 3.5 Stars

Illinois Boone iCare

iCare

Medicare

Advantag

e Plan

(HMO)

Local

HMO $ 26.00 $ 435.00 Basic No BA H2237 011 0 6,700$ 3.5 Stars

Illinois Boone

Lasso

Healthcar

e

Lasso

Healthcar

e (MSA)

MSA * H1924 001 0 -$

Plan too

new to be

measured

Page 8: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois BooneUnitedHe

althcare

AARP

Medicare

Advantag

e (HMO-

POS)

Local

HMO $ 34.00 $ - Enhanced No EA H5253 108 1 3,900$ 4.5 Stars

Illinois BooneUnitedHe

althcare

AARP

Medicare

Advantag

e Choice

(PPO)

Local PPO $ 79.00 $ - Enhanced No EA H8768 003 0 3,400$ 4.5 Stars

Illinois BooneUnitedHe

althcare

AARP

Medicare

Advantag

e

Walgreen

s (PPO)

Local PPO $ - $ 250.00 Enhanced No EA H8768 011 0 5,900$ 4.5 Stars

Illinois Boone WellCare

WellCare

Edge

(HMO)

Local

HMO $ 15.30 $ 435.00 Enhanced No EA H5779 006 0 3,400$ 3.5 Stars

Illinois Boone WellCare

WellCare

Essential

(HMO)

Local

HMO $ - $ - Enhanced No EA H5779 005 0 3,750$ 3.5 Stars

Illinois BrownAetna

Medicare

Aetna

Medicare

Premier

Advantra

(PPO)

Local PPO $ 25.00 $ - Enhanced Yes EA H7301 009 0 5,500$ 4.5 Stars

Illinois BrownAetna

Medicare

Aetna

Medicare

Value

Advantra

(PPO)

Local PPO $ - $ - Enhanced Yes EA H7301 007 0 4,650$ 4.5 Stars

Illinois Brown

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO 20

Rx (HMO)

Local

HMO $ 120.00 $ - Enhanced No EA H1463 003 0 4,000$ 3.5 Stars

Page 9: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Brown

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO 40

Rx (HMO)

Local

HMO $ 71.00 $ - Enhanced No EA H1463 010 0 4,700$ 3.5 Stars

Illinois Brown

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO

Basic

(HMO)

Local

HMO * $ - H1463 008 0 6,700$ 3.5 Stars

Illinois Brown

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO

Basic Rx

(HMO)

Local

HMO $ 32.00 $ - Enhanced No EA H1463 009 0 6,700$ 3.5 Stars

Illinois Brown

Health

Alliance

Medicare

Health

Alliance

Medicare

POS 10 Rx

(HMO-

POS)

Local

HMO $ 160.00 $ - Enhanced No EA H1463 019 0 4,500$ 3.5 Stars

Illinois Brown

Health

Alliance

Medicare

Health

Alliance

Medicare

POS 30 Rx

(HMO-

POS)

Local

HMO $ 100.00 $ - Enhanced No EA H1463 017 0 5,500$ 3.5 Stars

Illinois Brown

Health

Alliance

Medicare

Health

Alliance

Medicare

POS Basic

(HMO-

POS)

Local

HMO * $ 23.00 H1463 014 0 6,700$ 3.5 Stars

Page 10: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Brown

Health

Alliance

Medicare

Health

Alliance

Medicare

POS Basic

Rx (HMO-

POS)

Local

HMO $ 51.00 $ - Enhanced No EA H1463 015 0 6,700$ 3.5 Stars

Illinois Brown Humana

Humana

Gold

Choice

H8145-

008

(PFFS)

PFFS $ 166.00 $ 380.00 Enhanced No EA H8145 008 0 -$ 3.5 Stars

Illinois Brown Humana

Humana

Gold

Choice

H8145-

121

(PFFS)

PFFS * $ 75.00 H8145 121 0 -$ 3.5 Stars

Illinois Brown Humana

HumanaC

hoice

H5525-

004 (PPO)

Local PPO $ 106.00 $ 250.00 Enhanced No EA H5525 004 0 5,500$ 4 Stars

Illinois Brown Humana

HumanaC

hoice

R5361-

001

(Regional

PPO)

Regional

PPO * $ - R5361 001 0 6,700$ 3.5 Stars

Illinois Brown Humana

HumanaC

hoice

R5361-

002

(Regional

PPO)

Regional

PPO $ 139.00 $ 420.00 Basic No BA R5361 002 0 6,700$ 3.5 Stars

Illinois Brown

Lasso

Healthcar

e

Lasso

Healthcar

e (MSA)

MSA * H1924 001 0 -$

Plan too

new to be

measured

Page 11: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois BureauAetna

Medicare

Aetna

Medicare

Explorer

Value

(PPO)

Local PPO $ - $ - Enhanced Yes EA H5521 228 0 5,900$ 4.5 Stars

Illinois BureauAetna

Medicare

Aetna

Medicare

Premier

Advantra

(PPO)

Local PPO $ 23.00 $ - Enhanced Yes EA H7301 002 0 5,500$ 4.5 Stars

Illinois BureauAetna

Medicare

Aetna

Medicare

Value

Advantra

(PPO)

Local PPO $ - $ - Enhanced Yes EA H7301 006 0 5,900$ 4.5 Stars

Illinois Bureau

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO 20

Rx (HMO)

Local

HMO $ 120.00 $ - Enhanced No EA H1463 003 0 4,000$ 3.5 Stars

Illinois Bureau

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO 40

Rx (HMO)

Local

HMO $ 71.00 $ - Enhanced No EA H1463 010 0 4,700$ 3.5 Stars

Illinois Bureau

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO

Basic

(HMO)

Local

HMO * $ - H1463 008 0 6,700$ 3.5 Stars

Illinois Bureau

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO

Basic Rx

(HMO)

Local

HMO $ 32.00 $ - Enhanced No EA H1463 009 0 6,700$ 3.5 Stars

Page 12: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Bureau

Health

Alliance

Medicare

Health

Alliance

Medicare

POS 10 Rx

(HMO-

POS)

Local

HMO $ 160.00 $ - Enhanced No EA H1463 019 0 4,500$ 3.5 Stars

Illinois Bureau

Health

Alliance

Medicare

Health

Alliance

Medicare

POS 30 Rx

(HMO-

POS)

Local

HMO $ 100.00 $ - Enhanced No EA H1463 017 0 5,500$ 3.5 Stars

Illinois Bureau

Health

Alliance

Medicare

Health

Alliance

Medicare

POS Basic

(HMO-

POS)

Local

HMO * $ 23.00 H1463 014 0 6,700$ 3.5 Stars

Illinois Bureau

Health

Alliance

Medicare

Health

Alliance

Medicare

POS Basic

Rx (HMO-

POS)

Local

HMO $ 51.00 $ - Enhanced No EA H1463 015 0 6,700$ 3.5 Stars

Illinois Bureau

Health

Alliance

Medicare

OSF

MedAdva

ntage

Core

(HMO)

Local

HMO $ - $ - Enhanced No EA H1463 035 0 4,000$ 3.5 Stars

Illinois Bureau

Health

Alliance

Medicare

OSF

MedAdva

ntage

Open

(HMO-

POS)

Local

HMO $ 35.00 $ - Enhanced No EA H1463 036 0 4,500$ 3.5 Stars

Page 13: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Bureau

Health

Alliance

Medicare

OSF

MedAdva

ntage Plus

(HMO-

POS)

Local

HMO $ 135.00 $ - Enhanced No EA H1463 037 0 3,400$ 3.5 Stars

Illinois Bureau

Health

Alliance

Medicare

OSF

MedAdva

ntage

Select

(HMO)

Local

HMO $ 110.00 $ - Enhanced No EA H1463 038 0 3,400$ 3.5 Stars

Illinois Bureau Humana

Humana

Gold

Choice

H8145-

008

(PFFS)

PFFS $ 166.00 $ 380.00 Enhanced No EA H8145 008 0 -$ 3.5 Stars

Illinois Bureau Humana

Humana

Gold

Choice

H8145-

121

(PFFS)

PFFS * $ 75.00 H8145 121 0 -$ 3.5 Stars

Illinois Bureau Humana

HumanaC

hoice

R5361-

001

(Regional

PPO)

Regional

PPO * $ - R5361 001 0 6,700$ 3.5 Stars

Illinois Bureau Humana

HumanaC

hoice

R5361-

002

(Regional

PPO)

Regional

PPO $ 139.00 $ 420.00 Basic No BA R5361 002 0 6,700$ 3.5 Stars

Illinois Bureau

Lasso

Healthcar

e

Lasso

Healthcar

e (MSA)

MSA * H1924 001 0 -$

Plan too

new to be

measured

Page 14: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois BureauUnitedHe

althcare

AARP

Medicare

Advantag

e (HMO-

POS)

Local

HMO $ 34.00 $ - Enhanced No EA H5253 108 1 3,900$ 4.5 Stars

Illinois BureauUnitedHe

althcare

AARP

Medicare

Advantag

e Choice

(PPO)

Local PPO $ 79.00 $ - Enhanced No EA H8768 003 0 3,400$ 4.5 Stars

Illinois BureauUnitedHe

althcare

AARP

Medicare

Advantag

e

Walgreen

s (PPO)

Local PPO $ - $ 250.00 Enhanced No EA H8768 011 0 5,900$ 4.5 Stars

Illinois CalhounAetna

Medicare

Aetna

Medicare

Advantra

1 (HMO-

POS)

Local

HMO $ 33.00 $ - Enhanced Yes EA H2663 006 0 5,200$ 4 Stars

Illinois CalhounAetna

Medicare

Aetna

Medicare

Advantra

2 (HMO)

Local

HMO $ 81.00 $ - Enhanced Yes EA H2663 002 0 2,900$ 4 Stars

Illinois CalhounAetna

Medicare

Aetna

Medicare

Elite

(PPO)

Local PPO $ - $ - Enhanced Yes EA H1608 050 0 3,400$ 3.5 Stars

Illinois CalhounAetna

Medicare

Aetna

Medicare

Premier

Advantra

(PPO)

Local PPO $ 51.00 $ 200.00 Enhanced Yes EA H1608 013 0 6,000$ 3.5 Stars

Page 15: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Calhoun Humana

HumanaC

hoice

R5361-

001

(Regional

PPO)

Regional

PPO * $ - R5361 001 0 6,700$ 3.5 Stars

Illinois Calhoun Humana

HumanaC

hoice

R5361-

002

(Regional

PPO)

Regional

PPO $ 139.00 $ 420.00 Basic No BA R5361 002 0 6,700$ 3.5 Stars

Illinois Calhoun

Lasso

Healthcar

e

Lasso

Healthcar

e (MSA)

MSA * H1924 001 0 -$

Plan too

new to be

measured

Illinois CarrollAetna

Medicare

Aetna

Medicare

Explorer

Value

(PPO)

Local PPO $ - $ - Enhanced Yes EA H5521 228 0 5,900$ 4.5 Stars

Illinois CarrollAetna

Medicare

Aetna

Medicare

Premier

Advantra

(PPO)

Local PPO $ 23.00 $ - Enhanced Yes EA H7301 002 0 5,500$ 4.5 Stars

Illinois CarrollAetna

Medicare

Aetna

Medicare

Value

Advantra

(PPO)

Local PPO $ - $ - Enhanced Yes EA H7301 006 0 5,900$ 4.5 Stars

Illinois Carroll

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO 20

Rx (HMO)

Local

HMO $ 120.00 $ - Enhanced No EA H1463 003 0 4,000$ 3.5 Stars

Page 16: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Carroll

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO 40

Rx (HMO)

Local

HMO $ 71.00 $ - Enhanced No EA H1463 010 0 4,700$ 3.5 Stars

Illinois Carroll

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO

Basic

(HMO)

Local

HMO * $ - H1463 008 0 6,700$ 3.5 Stars

Illinois Carroll

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO

Basic Rx

(HMO)

Local

HMO $ 32.00 $ - Enhanced No EA H1463 009 0 6,700$ 3.5 Stars

Illinois Carroll

Health

Alliance

Medicare

Health

Alliance

Medicare

POS 10 Rx

(HMO-

POS)

Local

HMO $ 160.00 $ - Enhanced No EA H1463 019 0 4,500$ 3.5 Stars

Illinois Carroll

Health

Alliance

Medicare

Health

Alliance

Medicare

POS 30 Rx

(HMO-

POS)

Local

HMO $ 100.00 $ - Enhanced No EA H1463 017 0 5,500$ 3.5 Stars

Illinois Carroll

Health

Alliance

Medicare

Health

Alliance

Medicare

POS Basic

(HMO-

POS)

Local

HMO * $ 23.00 H1463 014 0 6,700$ 3.5 Stars

Page 17: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Carroll

Health

Alliance

Medicare

Health

Alliance

Medicare

POS Basic

Rx (HMO-

POS)

Local

HMO $ 51.00 $ - Enhanced No EA H1463 015 0 6,700$ 3.5 Stars

Illinois Carroll Humana

Humana

Gold

Choice

H8145-

008

(PFFS)

PFFS $ 166.00 $ 380.00 Enhanced No EA H8145 008 0 -$ 3.5 Stars

Illinois Carroll Humana

Humana

Gold

Choice

H8145-

121

(PFFS)

PFFS * $ 75.00 H8145 121 0 -$ 3.5 Stars

Illinois Carroll Humana

HumanaC

hoice

R5361-

001

(Regional

PPO)

Regional

PPO * $ - R5361 001 0 6,700$ 3.5 Stars

Illinois Carroll Humana

HumanaC

hoice

R5361-

002

(Regional

PPO)

Regional

PPO $ 139.00 $ 420.00 Basic No BA R5361 002 0 6,700$ 3.5 Stars

Illinois Carroll

Lasso

Healthcar

e

Lasso

Healthcar

e (MSA)

MSA * H1924 001 0 -$

Plan too

new to be

measured

Illinois CarrollUnitedHe

althcare

AARP

Medicare

Advantag

e (HMO-

POS)

Local

HMO $ 34.00 $ - Enhanced No EA H5253 108 1 3,900$ 4.5 Stars

Page 18: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois CarrollUnitedHe

althcare

AARP

Medicare

Advantag

e Choice

(PPO)

Local PPO $ 79.00 $ - Enhanced No EA H8768 003 0 3,400$ 4.5 Stars

Illinois CarrollUnitedHe

althcare

AARP

Medicare

Advantag

e

Walgreen

s (PPO)

Local PPO $ - $ 250.00 Enhanced No EA H8768 011 0 5,900$ 4.5 Stars

Illinois CarrollUnitedHe

althcare

UnitedHe

althcare

Medicare

Advantag

e (HMO)

Local

HMO $ 23.00 $ 435.00 Basic No DS H7445 004 0 6,700$

Not

enough

data

available

Illinois CassAetna

Medicare

Aetna

Medicare

Premier

Advantra

(PPO)

Local PPO $ 25.00 $ - Enhanced Yes EA H7301 009 0 5,500$ 4.5 Stars

Illinois CassAetna

Medicare

Aetna

Medicare

Value

Advantra

(PPO)

Local PPO $ - $ - Enhanced Yes EA H7301 007 0 4,650$ 4.5 Stars

Illinois Cass

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO 20

Rx (HMO)

Local

HMO $ 120.00 $ - Enhanced No EA H1463 003 0 4,000$ 3.5 Stars

Illinois Cass

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO 40

Rx (HMO)

Local

HMO $ 71.00 $ - Enhanced No EA H1463 010 0 4,700$ 3.5 Stars

Page 19: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Cass

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO

Basic

(HMO)

Local

HMO * $ - H1463 008 0 6,700$ 3.5 Stars

Illinois Cass

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO

Basic Rx

(HMO)

Local

HMO $ 32.00 $ - Enhanced No EA H1463 009 0 6,700$ 3.5 Stars

Illinois Cass

Health

Alliance

Medicare

Health

Alliance

Medicare

POS 10 Rx

(HMO-

POS)

Local

HMO $ 160.00 $ - Enhanced No EA H1463 019 0 4,500$ 3.5 Stars

Illinois Cass

Health

Alliance

Medicare

Health

Alliance

Medicare

POS 30 Rx

(HMO-

POS)

Local

HMO $ 100.00 $ - Enhanced No EA H1463 017 0 5,500$ 3.5 Stars

Illinois Cass

Health

Alliance

Medicare

Health

Alliance

Medicare

POS Basic

(HMO-

POS)

Local

HMO * $ 23.00 H1463 014 0 6,700$ 3.5 Stars

Illinois Cass

Health

Alliance

Medicare

Health

Alliance

Medicare

POS Basic

Rx (HMO-

POS)

Local

HMO $ 51.00 $ - Enhanced No EA H1463 015 0 6,700$ 3.5 Stars

Page 20: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Cass Humana

Humana

Gold

Choice

H8145-

008

(PFFS)

PFFS $ 166.00 $ 380.00 Enhanced No EA H8145 008 0 -$ 3.5 Stars

Illinois Cass Humana

Humana

Gold

Choice

H8145-

121

(PFFS)

PFFS * $ 75.00 H8145 121 0 -$ 3.5 Stars

Illinois Cass Humana

HumanaC

hoice

H5525-

004 (PPO)

Local PPO $ 106.00 $ 250.00 Enhanced No EA H5525 004 0 5,500$ 4 Stars

Illinois Cass Humana

HumanaC

hoice

R5361-

001

(Regional

PPO)

Regional

PPO * $ - R5361 001 0 6,700$ 3.5 Stars

Illinois Cass Humana

HumanaC

hoice

R5361-

002

(Regional

PPO)

Regional

PPO $ 139.00 $ 420.00 Basic No BA R5361 002 0 6,700$ 3.5 Stars

Illinois Cass

Lasso

Healthcar

e

Lasso

Healthcar

e (MSA)

MSA * H1924 001 0 -$

Plan too

new to be

measured

IllinoisChampaig

n

Aetna

Medicare

Aetna

Medicare

Premier

Advantra

(PPO)

Local PPO $ 25.00 $ - Enhanced Yes EA H7301 009 0 5,500$ 4.5 Stars

Page 21: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

IllinoisChampaig

n

Aetna

Medicare

Aetna

Medicare

Value

Advantra

(PPO)

Local PPO $ - $ - Enhanced Yes EA H7301 007 0 4,650$ 4.5 Stars

IllinoisChampaig

n

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO 20

Rx (HMO)

Local

HMO $ 120.00 $ - Enhanced No EA H1463 003 0 4,000$ 3.5 Stars

IllinoisChampaig

n

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO 40

Rx (HMO)

Local

HMO $ 71.00 $ - Enhanced No EA H1463 010 0 4,700$ 3.5 Stars

IllinoisChampaig

n

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO

Basic

(HMO)

Local

HMO * $ - H1463 008 0 6,700$ 3.5 Stars

IllinoisChampaig

n

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO

Basic Rx

(HMO)

Local

HMO $ 32.00 $ - Enhanced No EA H1463 009 0 6,700$ 3.5 Stars

IllinoisChampaig

n

Health

Alliance

Medicare

Health

Alliance

Medicare

POS 10 Rx

(HMO-

POS)

Local

HMO $ 160.00 $ - Enhanced No EA H1463 019 0 4,500$ 3.5 Stars

IllinoisChampaig

n

Health

Alliance

Medicare

Health

Alliance

Medicare

POS 30 Rx

(HMO-

POS)

Local

HMO $ 100.00 $ - Enhanced No EA H1463 017 0 5,500$ 3.5 Stars

Page 22: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

IllinoisChampaig

n

Health

Alliance

Medicare

Health

Alliance

Medicare

POS Basic

(HMO-

POS)

Local

HMO * $ 23.00 H1463 014 0 6,700$ 3.5 Stars

IllinoisChampaig

n

Health

Alliance

Medicare

Health

Alliance

Medicare

POS Basic

Rx (HMO-

POS)

Local

HMO $ 51.00 $ - Enhanced No EA H1463 015 0 6,700$ 3.5 Stars

IllinoisChampaig

n

Health

Alliance

Medicare

Simplete

1 (HMO)

Local

HMO $ - $ - Enhanced No EA H1463 023 0 4,000$ 3.5 Stars

IllinoisChampaig

n

Health

Alliance

Medicare

Simplete

2 (HMO)

Local

HMO $ 28.00 $ - Enhanced No EA H1463 024 0 4,500$ 3.5 Stars

IllinoisChampaig

n

Health

Alliance

Medicare

Simplete

3 (HMO-

POS)

Local

HMO $ 48.00 $ - Enhanced No EA H1463 025 0 4,500$ 3.5 Stars

IllinoisChampaig

nHumana

HumanaC

hoice

R5361-

001

(Regional

PPO)

Regional

PPO * $ - R5361 001 0 6,700$ 3.5 Stars

IllinoisChampaig

nHumana

HumanaC

hoice

R5361-

002

(Regional

PPO)

Regional

PPO $ 139.00 $ 420.00 Basic No BA R5361 002 0 6,700$ 3.5 Stars

IllinoisChampaig

n

Lasso

Healthcar

e

Lasso

Healthcar

e (MSA)

MSA * H1924 001 0 -$

Plan too

new to be

measured

Page 23: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

IllinoisChampaig

nWellCare

WellCare

Advance

(HMO-

POS)

Local

HMO * $ - H1416 053 0 3,900$ 3.5 Stars

IllinoisChampaig

nWellCare

WellCare

Choice

(HMO-

POS)

Local

HMO $ 39.00 $ - Enhanced Yes EA H1416 024 0 3,400$ 3.5 Stars

IllinoisChampaig

nWellCare

WellCare

Plus

(HMO)

Local

HMO $ 13.20 $ 435.00 Enhanced No EA H1416 048 0 3,400$ 3.5 Stars

IllinoisChampaig

nWellCare

WellCare

Rx (HMO)

Local

HMO $ 12.60 $ 435.00 Enhanced No EA H1416 023 0 3,400$ 3.5 Stars

IllinoisChampaig

nWellCare

WellCare

Value

(HMO-

POS)

Local

HMO $ - $ - Enhanced No EA H1416 009 0 3,900$ 3.5 Stars

Illinois ChristianAetna

Medicare

Aetna

Medicare

Premier

Advantra

(PPO)

Local PPO $ 25.00 $ - Enhanced Yes EA H7301 009 0 5,500$ 4.5 Stars

Illinois ChristianAetna

Medicare

Aetna

Medicare

Value

Advantra

(PPO)

Local PPO $ - $ - Enhanced Yes EA H7301 007 0 4,650$ 4.5 Stars

Illinois Christian

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO 20

Rx (HMO)

Local

HMO $ 120.00 $ - Enhanced No EA H1463 003 0 4,000$ 3.5 Stars

Illinois Christian

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO 40

Rx (HMO)

Local

HMO $ 71.00 $ - Enhanced No EA H1463 010 0 4,700$ 3.5 Stars

Page 24: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Christian

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO

Basic

(HMO)

Local

HMO * $ - H1463 008 0 6,700$ 3.5 Stars

Illinois Christian

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO

Basic Rx

(HMO)

Local

HMO $ 32.00 $ - Enhanced No EA H1463 009 0 6,700$ 3.5 Stars

Illinois Christian

Health

Alliance

Medicare

Health

Alliance

Medicare

POS 10 Rx

(HMO-

POS)

Local

HMO $ 160.00 $ - Enhanced No EA H1463 019 0 4,500$ 3.5 Stars

Illinois Christian

Health

Alliance

Medicare

Health

Alliance

Medicare

POS 30 Rx

(HMO-

POS)

Local

HMO $ 100.00 $ - Enhanced No EA H1463 017 0 5,500$ 3.5 Stars

Illinois Christian

Health

Alliance

Medicare

Health

Alliance

Medicare

POS Basic

(HMO-

POS)

Local

HMO * $ 23.00 H1463 014 0 6,700$ 3.5 Stars

Illinois Christian

Health

Alliance

Medicare

Health

Alliance

Medicare

POS Basic

Rx (HMO-

POS)

Local

HMO $ 51.00 $ - Enhanced No EA H1463 015 0 6,700$ 3.5 Stars

Page 25: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Christian Humana

HumanaC

hoice

H5216-

013 (PPO)

Local PPO $ 88.00 $ - Enhanced No EA H5216 013 0 6,700$ 4 Stars

Illinois Christian Humana

HumanaC

hoice

H5216-

215 (PPO)

Local PPO $ 14.00 $ 195.00 Enhanced No EA H5216 215 0 6,700$ 4 Stars

Illinois Christian Humana

HumanaC

hoice

R5361-

001

(Regional

PPO)

Regional

PPO * $ - R5361 001 0 6,700$ 3.5 Stars

Illinois Christian Humana

HumanaC

hoice

R5361-

002

(Regional

PPO)

Regional

PPO $ 139.00 $ 420.00 Basic No BA R5361 002 0 6,700$ 3.5 Stars

Illinois Christian

Lasso

Healthcar

e

Lasso

Healthcar

e (MSA)

MSA * H1924 001 0 -$

Plan too

new to be

measured

Illinois ClarkAetna

Medicare

Aetna

Medicare

Premier

Advantra

(PPO)

Local PPO $ 25.00 $ - Enhanced Yes EA H7301 009 0 5,500$ 4.5 Stars

Illinois ClarkAetna

Medicare

Aetna

Medicare

Value

Advantra

(PPO)

Local PPO $ - $ - Enhanced Yes EA H7301 007 0 4,650$ 4.5 Stars

Illinois Clark

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO 20

Rx (HMO)

Local

HMO $ 120.00 $ - Enhanced No EA H1463 003 0 4,000$ 3.5 Stars

Page 26: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Clark

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO 40

Rx (HMO)

Local

HMO $ 71.00 $ - Enhanced No EA H1463 010 0 4,700$ 3.5 Stars

Illinois Clark

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO

Basic

(HMO)

Local

HMO * $ - H1463 008 0 6,700$ 3.5 Stars

Illinois Clark

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO

Basic Rx

(HMO)

Local

HMO $ 32.00 $ - Enhanced No EA H1463 009 0 6,700$ 3.5 Stars

Illinois Clark

Health

Alliance

Medicare

Health

Alliance

Medicare

POS 10 Rx

(HMO-

POS)

Local

HMO $ 160.00 $ - Enhanced No EA H1463 019 0 4,500$ 3.5 Stars

Illinois Clark

Health

Alliance

Medicare

Health

Alliance

Medicare

POS 30 Rx

(HMO-

POS)

Local

HMO $ 100.00 $ - Enhanced No EA H1463 017 0 5,500$ 3.5 Stars

Illinois Clark

Health

Alliance

Medicare

Health

Alliance

Medicare

POS Basic

(HMO-

POS)

Local

HMO * $ 23.00 H1463 014 0 6,700$ 3.5 Stars

Page 27: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Clark

Health

Alliance

Medicare

Health

Alliance

Medicare

POS Basic

Rx (HMO-

POS)

Local

HMO $ 51.00 $ - Enhanced No EA H1463 015 0 6,700$ 3.5 Stars

Illinois Clark Humana

Humana

Gold

Choice

H8145-

008

(PFFS)

PFFS $ 166.00 $ 380.00 Enhanced No EA H8145 008 0 -$ 3.5 Stars

Illinois Clark Humana

Humana

Gold

Choice

H8145-

121

(PFFS)

PFFS * $ 75.00 H8145 121 0 -$ 3.5 Stars

Illinois Clark Humana

HumanaC

hoice

H5216-

013 (PPO)

Local PPO $ 88.00 $ - Enhanced No EA H5216 013 0 6,700$ 4 Stars

Illinois Clark Humana

HumanaC

hoice

R5361-

001

(Regional

PPO)

Regional

PPO * $ - R5361 001 0 6,700$ 3.5 Stars

Illinois Clark Humana

HumanaC

hoice

R5361-

002

(Regional

PPO)

Regional

PPO $ 139.00 $ 420.00 Basic No BA R5361 002 0 6,700$ 3.5 Stars

Illinois Clark

Lasso

Healthcar

e

Lasso

Healthcar

e (MSA)

MSA * H1924 001 0 -$

Plan too

new to be

measured

Page 28: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Clay

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO 20

Rx (HMO)

Local

HMO $ 120.00 $ - Enhanced No EA H1463 003 0 4,000$ 3.5 Stars

Illinois Clay

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO 40

Rx (HMO)

Local

HMO $ 71.00 $ - Enhanced No EA H1463 010 0 4,700$ 3.5 Stars

Illinois Clay

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO

Basic

(HMO)

Local

HMO * $ - H1463 008 0 6,700$ 3.5 Stars

Illinois Clay

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO

Basic Rx

(HMO)

Local

HMO $ 32.00 $ - Enhanced No EA H1463 009 0 6,700$ 3.5 Stars

Illinois Clay

Health

Alliance

Medicare

Health

Alliance

Medicare

POS 10 Rx

(HMO-

POS)

Local

HMO $ 160.00 $ - Enhanced No EA H1463 019 0 4,500$ 3.5 Stars

Illinois Clay

Health

Alliance

Medicare

Health

Alliance

Medicare

POS 30 Rx

(HMO-

POS)

Local

HMO $ 100.00 $ - Enhanced No EA H1463 017 0 5,500$ 3.5 Stars

Page 29: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Clay

Health

Alliance

Medicare

Health

Alliance

Medicare

POS Basic

(HMO-

POS)

Local

HMO * $ 23.00 H1463 014 0 6,700$ 3.5 Stars

Illinois Clay

Health

Alliance

Medicare

Health

Alliance

Medicare

POS Basic

Rx (HMO-

POS)

Local

HMO $ 51.00 $ - Enhanced No EA H1463 015 0 6,700$ 3.5 Stars

Illinois Clay Humana

HumanaC

hoice

R5361-

001

(Regional

PPO)

Regional

PPO * $ - R5361 001 0 6,700$ 3.5 Stars

Illinois Clay Humana

HumanaC

hoice

R5361-

002

(Regional

PPO)

Regional

PPO $ 139.00 $ 420.00 Basic No BA R5361 002 0 6,700$ 3.5 Stars

Illinois Clay

Lasso

Healthcar

e

Lasso

Healthcar

e (MSA)

MSA * H1924 002 0 -$

Plan too

new to be

measured

Illinois ClintonAetna

Medicare

Aetna

Medicare

Advantra

1 (HMO-

POS)

Local

HMO $ 33.00 $ - Enhanced Yes EA H2663 006 0 5,200$ 4 Stars

Illinois ClintonAetna

Medicare

Aetna

Medicare

Advantra

2 (HMO)

Local

HMO $ 81.00 $ - Enhanced Yes EA H2663 002 0 2,900$ 4 Stars

Page 30: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois ClintonAetna

Medicare

Aetna

Medicare

Elite

(PPO)

Local PPO $ - $ - Enhanced Yes EA H1608 050 0 3,400$ 3.5 Stars

Illinois ClintonAetna

Medicare

Aetna

Medicare

Gold

Advantag

e Value

Prime

(HMO)

Local

HMO $ - $ - Enhanced Yes EA H2663 032 0 3,400$ 4 Stars

Illinois ClintonAetna

Medicare

Aetna

Medicare

Premier

Advantra

(PPO)

Local PPO $ 51.00 $ 200.00 Enhanced Yes EA H1608 013 0 6,000$ 3.5 Stars

Illinois Clinton

Clear

Spring

Health

Clear

Spring

Health

Essential

(HMO)

Local

HMO $ - $ - Enhanced No EA H5454 001 0 2,900$

Plan too

new to be

measured

Illinois Clinton

Clear

Spring

Health

Clear

Spring

Health

Essential

Plus

(HMO)

Local

HMO $ 49.00 $ - Enhanced No EA H5454 003 0 2,500$

Plan too

new to be

measured

Illinois Clinton Humana

Humana

Gold

Choice

H8145-

008

(PFFS)

PFFS $ 166.00 $ 380.00 Enhanced No EA H8145 008 0 -$ 3.5 Stars

Illinois Clinton Humana

Humana

Gold

Choice

H8145-

121

(PFFS)

PFFS * $ 75.00 H8145 121 0 -$ 3.5 Stars

Page 31: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Clinton Humana

HumanaC

hoice

R5361-

001

(Regional

PPO)

Regional

PPO * $ - R5361 001 0 6,700$ 3.5 Stars

Illinois Clinton Humana

HumanaC

hoice

R5361-

002

(Regional

PPO)

Regional

PPO $ 139.00 $ 420.00 Basic No BA R5361 002 0 6,700$ 3.5 Stars

Illinois Clinton

Lasso

Healthcar

e

Lasso

Healthcar

e (MSA)

MSA * H1924 001 0 -$

Plan too

new to be

measured

Illinois ClintonUnitedHe

althcare

AARP

Medicare

Advantag

e (HMO-

POS)

Local

HMO $ - $ - Enhanced No EA H2802 028 0 2,900$ 4 Stars

Illinois ClintonUnitedHe

althcare

AARP

Medicare

Advantag

e Choice

Plan 1

(PPO)

Local PPO $ 29.00 $ 150.00 Enhanced No EA H2228 030 0 4,400$ 4 Stars

Illinois ClintonUnitedHe

althcare

AARP

Medicare

Advantag

e

Walgreen

s (PPO)

Local PPO $ - $ - Enhanced No EA H2228 083 0 3,900$ 4 Stars

Illinois Coles

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO 20

Rx (HMO)

Local

HMO $ 120.00 $ - Enhanced No EA H1463 003 0 4,000$ 3.5 Stars

Page 32: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Coles

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO 40

Rx (HMO)

Local

HMO $ 71.00 $ - Enhanced No EA H1463 010 0 4,700$ 3.5 Stars

Illinois Coles

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO

Basic

(HMO)

Local

HMO * $ - H1463 008 0 6,700$ 3.5 Stars

Illinois Coles

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO

Basic Rx

(HMO)

Local

HMO $ 32.00 $ - Enhanced No EA H1463 009 0 6,700$ 3.5 Stars

Illinois Coles

Health

Alliance

Medicare

Health

Alliance

Medicare

POS 10 Rx

(HMO-

POS)

Local

HMO $ 160.00 $ - Enhanced No EA H1463 019 0 4,500$ 3.5 Stars

Illinois Coles

Health

Alliance

Medicare

Health

Alliance

Medicare

POS 30 Rx

(HMO-

POS)

Local

HMO $ 100.00 $ - Enhanced No EA H1463 017 0 5,500$ 3.5 Stars

Illinois Coles

Health

Alliance

Medicare

Health

Alliance

Medicare

POS Basic

(HMO-

POS)

Local

HMO * $ 23.00 H1463 014 0 6,700$ 3.5 Stars

Page 33: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Coles

Health

Alliance

Medicare

Health

Alliance

Medicare

POS Basic

Rx (HMO-

POS)

Local

HMO $ 51.00 $ - Enhanced No EA H1463 015 0 6,700$ 3.5 Stars

Illinois Coles Humana

HumanaC

hoice

R5361-

001

(Regional

PPO)

Regional

PPO * $ - R5361 001 0 6,700$ 3.5 Stars

Illinois Coles Humana

HumanaC

hoice

R5361-

002

(Regional

PPO)

Regional

PPO $ 139.00 $ 420.00 Basic No BA R5361 002 0 6,700$ 3.5 Stars

Illinois Coles

Lasso

Healthcar

e

Lasso

Healthcar

e (MSA)

MSA * H1924 002 0 -$

Plan too

new to be

measured

Illinois CookAetna

Medicare

Aetna

Medicare

Premier

Plus (PPO)

Local PPO $ 58.00 $ - Enhanced Yes EA H5521 016 0 3,250$ 4.5 Stars

Illinois CookAetna

Medicare

Aetna

Medicare

Prime

(HMO)

Local

HMO $ - $ - Enhanced Yes EA H3192 001 0 3,450$

Plan too

new to be

measured

Illinois CookAetna

Medicare

Aetna

Medicare

Value

(HMO)

Local

HMO $ 9.00 $ 150.00 Enhanced Yes EA H3931 106 0 4,000$ 3.5 Stars

Illinois CookAetna

Medicare

Aetna

Medicare

Value

(PPO)

Local PPO $ - $ - Enhanced Yes EA H5521 086 0 3,750$ 4.5 Stars

Page 34: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Cook Allwell

Allwell

Medicare

(HMO)

Local

HMO $ - $ - Enhanced No EA H1475 001 0 2,700$

Plan too

new to be

measured

Illinois CookAscension

Complete

Ascension

Complete

Illinois

Reward

(HMO)

Local

HMO $ - $ 430.00 Enhanced No EA H7399 001 0 6,700$

Plan too

new to be

measured

Illinois CookAscension

Complete

Ascension

Complete

Illinois

Secure

(HMO)

Local

HMO $ - $ - Enhanced No EA H7399 002 0 2,900$

Plan too

new to be

measured

Illinois Cook

Blue Cross

and Blue

Shield of

IL, NM

Blue Cross

Medicare

Advantag

e Basic

(HMO)

Local

HMO $ - $ - Enhanced Yes EA H3822 001 0 3,400$ 3.5 Stars

Illinois Cook

Blue Cross

and Blue

Shield of

IL, NM

Blue Cross

Medicare

Advantag

e Basic

Plus

(HMO-

POS)

Local

HMO $ - $ - Enhanced Yes EA H3822 007 0 4,500$ 3.5 Stars

Illinois Cook

Blue Cross

and Blue

Shield of

IL, NM

Blue Cross

Medicare

Advantag

e Choice

Plus (PPO)

Local PPO $ 79.00 $ 435.00 Enhanced Yes EA H8634 003 0 6,700$ 3 Stars

Illinois Cook

Blue Cross

and Blue

Shield of

IL, NM

Blue Cross

Medicare

Advantag

e Choice

Premier

(PPO)

Local PPO $ 141.00 $ - Enhanced Yes EA H8634 004 0 5,900$ 3 Stars

Page 35: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Cook

Blue Cross

and Blue

Shield of

IL, NM

Blue Cross

Medicare

Advantag

e Premier

Plus

(HMO-

POS)

Local

HMO $ 83.00 $ - Enhanced Yes EA H3822 008 0 4,500$ 3.5 Stars

Illinois CookBright

Health

Bright

Advantag

e Assist

(HMO)

Local

HMO $ 25.00 $ 435.00 Enhanced Yes EA H6121 003 0 6,700$

Plan too

new to be

measured

Illinois CookBright

Health

Bright

Advantag

e Flex

Plus (PPO)

Local PPO $ 49.00 $ - Enhanced Yes EA H3725 001 0 6,700$

Plan too

new to be

measured

Illinois Cook Cigna

Cigna-

HealthSpr

ing

Advantag

e (HMO)

Local

HMO * $ - H1415 013 0 5,400$ 3.5 Stars

Illinois Cook Cigna

Cigna-

HealthSpr

ing

Preferred

(HMO)

Local

HMO $ - $ - Enhanced No EA H1415 024 0 2,600$ 3.5 Stars

Illinois Cook Cigna

Cigna-

HealthSpr

ing

Premier

(HMO-

POS)

Local

HMO $ - $ - Enhanced No EA H1415 021 0 3,400$ 3.5 Stars

Illinois Cook Cigna

Cigna-

HealthSpr

ing True

Choice

(PPO)

Local PPO $ - $ - Enhanced No EA H7849 002 0 3,400$

Plan too

new to be

measured

Page 36: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Cook

Clear

Spring

Health

Clear

Spring

Health

Essential

(HMO)

Local

HMO $ - $ - Enhanced No EA H5454 002 0 2,900$

Plan too

new to be

measured

Illinois Cook

Clear

Spring

Health

Clear

Spring

Health

Essential

Plus

(HMO)

Local

HMO $ 49.00 $ - Enhanced No EA H5454 004 0 2,500$

Plan too

new to be

measured

Illinois Cook

Communi

ty Care

Alliance

of Illinois

Communi

ty

Advantag

e (HMO)

Local

HMO $ - $ - Enhanced No EA H3071 002 0 3,950$ 2.5 Stars

Illinois Cook

Communi

ty Care

Alliance

of Illinois

Communi

ty Flex-

Plan

(HMO-

POS)

Local

HMO $ 26.00 $ 435.00 Basic No DS H3071 003 0 3,950$ 2.5 Stars

Illinois Cook Humana

Humana

Gold

Choice

H8145-

008

(PFFS)

PFFS $ 166.00 $ 380.00 Enhanced No EA H8145 008 0 -$ 3.5 Stars

Illinois Cook Humana

Humana

Gold Plus

H1468-

013

(HMO)

Local

HMO $ - $ - Enhanced No EA H1468 013 0 2,750$ 4.5 Stars

Illinois Cook Humana

HumanaC

hoice

H5216-

013 (PPO)

Local PPO $ 88.00 $ - Enhanced No EA H5216 013 0 6,700$ 4 Stars

Illinois Cook Humana

HumanaC

hoice

H5216-

178 (PPO)

Local PPO

* $ - H5216 178 1 6,700$ 4 Stars

Page 37: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Cook Humana

HumanaC

hoice

R5361-

001

(Regional

PPO)

Regional

PPO * $ - R5361 001 0 6,700$ 3.5 Stars

Illinois Cook Humana

HumanaC

hoice

R5361-

002

(Regional

PPO)

Regional

PPO $ 139.00 $ 420.00 Basic No BA R5361 002 0 6,700$ 3.5 Stars

Illinois Cook

Lasso

Healthcar

e

Lasso

Healthcar

e (MSA)

MSA * H1924 001 0 -$

Plan too

new to be

measured

Illinois Cook MoreCare

MoreCare

For You

(HMO)

Local

HMO $ - $ 435.00 Basic No DS H2678 001 0 6,700$

Plan too

new to be

measured

Illinois Cook

Sunrise

Advantag

e Plan

Sunrise

Advantag

e

Communi

ty Plan

(HMO)

Local

HMO $ 69.00 $ - Enhanced No EA H4778 003 0 5,700$

Not

enough

data

available

Illinois CookUnitedHe

althcare

AARP

Medicare

Advantag

e Access

(HMO)

Local

HMO $ - $ 100.00 Enhanced No EA H2802 024 0 3,600$ 4 Stars

Illinois CookUnitedHe

althcare

AARP

Medicare

Advantag

e Choice

(PPO)

Local PPO $ 38.00 $ 195.00 Enhanced No EA H8768 005 0 3,900$ 4.5 Stars

Illinois CookUnitedHe

althcare

AARP

Medicare

Advantag

e Plan 1

(HMO)

Local

HMO $ 26.00 $ 195.00 Enhanced No EA H2802 025 0 3,900$ 4 Stars

Page 38: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois CookUnitedHe

althcare

AARP

Medicare

Advantag

e Plan 2

(HMO)

Local

HMO $ 76.00 $ 60.00 Enhanced No EA H2802 026 0 3,900$ 4 Stars

Illinois CookUnitedHe

althcare

AARP

Medicare

Advantag

e

Walgreen

s (PPO)

Local PPO $ - $ 250.00 Enhanced No EA H8768 010 0 5,900$ 4.5 Stars

Illinois CookUnitedHe

althcare

UnitedHe

althcare

Medicare

Advantag

e Assure

(PPO)

Local PPO $ 24.20 $ 435.00 Basic No DS H0271 004 0 6,700$

Plan too

new to be

measured

Illinois Cook WellCare

WellCare

Advance

(HMO-

POS)

Local

HMO * $ - H1416 053 0 3,900$ 3.5 Stars

Illinois Cook WellCare

WellCare

Choice

(HMO-

POS)

Local

HMO $ 39.00 $ - Enhanced Yes EA H1416 024 0 3,400$ 3.5 Stars

Illinois Cook WellCare

WellCare

Edge

(HMO)

Local

HMO $ 15.30 $ 435.00 Enhanced No EA H5779 006 0 3,400$ 3.5 Stars

Illinois Cook WellCare

WellCare

Essential

(HMO)

Local

HMO $ - $ - Enhanced No EA H5779 005 0 3,750$ 3.5 Stars

Illinois Cook WellCare

WellCare

Exclusive

(HMO)

Local

HMO $ - $ - Enhanced Yes EA H5779 007 0 3,000$ 3.5 Stars

Illinois Cook WellCare

WellCare

Plus

(HMO)

Local

HMO $ 13.20 $ 435.00 Enhanced No EA H1416 048 0 3,400$ 3.5 Stars

Illinois Cook WellCareWellCare

Rx (HMO)

Local

HMO $ 12.60 $ 435.00 Enhanced No EA H1416 023 0 3,400$ 3.5 Stars

Page 39: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Cook WellCare

WellCare

Value

(HMO-

POS)

Local

HMO $ - $ - Enhanced No EA H1416 009 0 3,900$ 3.5 Stars

Illinois CookZing

Health

Zing

Choice IL

(HMO)

Local

HMO $ - $ - Enhanced No EA H7330 001 0 3,900$

Plan too

new to be

measured

Illinois CrawfordAetna

Medicare

Aetna

Medicare

Premier

Advantra

(PPO)

Local PPO $ 25.00 $ - Enhanced Yes EA H7301 009 0 5,500$ 4.5 Stars

Illinois CrawfordAetna

Medicare

Aetna

Medicare

Value

Advantra

(PPO)

Local PPO $ - $ - Enhanced Yes EA H7301 007 0 4,650$ 4.5 Stars

Illinois Crawford

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO 20

Rx (HMO)

Local

HMO $ 120.00 $ - Enhanced No EA H1463 003 0 4,000$ 3.5 Stars

Illinois Crawford

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO 40

Rx (HMO)

Local

HMO $ 71.00 $ - Enhanced No EA H1463 010 0 4,700$ 3.5 Stars

Illinois Crawford

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO

Basic

(HMO)

Local

HMO * $ - H1463 008 0 6,700$ 3.5 Stars

Illinois Crawford

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO

Basic Rx

(HMO)

Local

HMO $ 32.00 $ - Enhanced No EA H1463 009 0 6,700$ 3.5 Stars

Page 40: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Crawford

Health

Alliance

Medicare

Health

Alliance

Medicare

POS 10 Rx

(HMO-

POS)

Local

HMO $ 160.00 $ - Enhanced No EA H1463 019 0 4,500$ 3.5 Stars

Illinois Crawford

Health

Alliance

Medicare

Health

Alliance

Medicare

POS 30 Rx

(HMO-

POS)

Local

HMO $ 100.00 $ - Enhanced No EA H1463 017 0 5,500$ 3.5 Stars

Illinois Crawford

Health

Alliance

Medicare

Health

Alliance

Medicare

POS Basic

(HMO-

POS)

Local

HMO * $ 23.00 H1463 014 0 6,700$ 3.5 Stars

Illinois Crawford

Health

Alliance

Medicare

Health

Alliance

Medicare

POS Basic

Rx (HMO-

POS)

Local

HMO $ 51.00 $ - Enhanced No EA H1463 015 0 6,700$ 3.5 Stars

Illinois Crawford Humana

Humana

Gold

Choice

H8145-

008

(PFFS)

PFFS $ 166.00 $ 380.00 Enhanced No EA H8145 008 0 -$ 3.5 Stars

Illinois Crawford Humana

Humana

Gold

Choice

H8145-

121

(PFFS)

PFFS * $ 75.00 H8145 121 0 -$ 3.5 Stars

Page 41: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Crawford Humana

HumanaC

hoice

R5361-

001

(Regional

PPO)

Regional

PPO * $ - R5361 001 0 6,700$ 3.5 Stars

Illinois Crawford Humana

HumanaC

hoice

R5361-

002

(Regional

PPO)

Regional

PPO $ 139.00 $ 420.00 Basic No BA R5361 002 0 6,700$ 3.5 Stars

Illinois Crawford

Lasso

Healthcar

e

Lasso

Healthcar

e (MSA)

MSA * H1924 002 0 -$

Plan too

new to be

measured

IllinoisCumberla

nd

Aetna

Medicare

Aetna

Medicare

Premier

Advantra

(PPO)

Local PPO $ 25.00 $ - Enhanced Yes EA H7301 009 0 5,500$ 4.5 Stars

IllinoisCumberla

nd

Aetna

Medicare

Aetna

Medicare

Value

Advantra

(PPO)

Local PPO $ - $ - Enhanced Yes EA H7301 007 0 4,650$ 4.5 Stars

IllinoisCumberla

nd

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO 20

Rx (HMO)

Local

HMO $ 120.00 $ - Enhanced No EA H1463 003 0 4,000$ 3.5 Stars

IllinoisCumberla

nd

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO 40

Rx (HMO)

Local

HMO $ 71.00 $ - Enhanced No EA H1463 010 0 4,700$ 3.5 Stars

Page 42: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

IllinoisCumberla

nd

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO

Basic

(HMO)

Local

HMO * $ - H1463 008 0 6,700$ 3.5 Stars

IllinoisCumberla

nd

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO

Basic Rx

(HMO)

Local

HMO $ 32.00 $ - Enhanced No EA H1463 009 0 6,700$ 3.5 Stars

IllinoisCumberla

nd

Health

Alliance

Medicare

Health

Alliance

Medicare

POS 10 Rx

(HMO-

POS)

Local

HMO $ 160.00 $ - Enhanced No EA H1463 019 0 4,500$ 3.5 Stars

IllinoisCumberla

nd

Health

Alliance

Medicare

Health

Alliance

Medicare

POS 30 Rx

(HMO-

POS)

Local

HMO $ 100.00 $ - Enhanced No EA H1463 017 0 5,500$ 3.5 Stars

IllinoisCumberla

nd

Health

Alliance

Medicare

Health

Alliance

Medicare

POS Basic

(HMO-

POS)

Local

HMO * $ 23.00 H1463 014 0 6,700$ 3.5 Stars

IllinoisCumberla

nd

Health

Alliance

Medicare

Health

Alliance

Medicare

POS Basic

Rx (HMO-

POS)

Local

HMO $ 51.00 $ - Enhanced No EA H1463 015 0 6,700$ 3.5 Stars

Page 43: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

IllinoisCumberla

ndHumana

HumanaC

hoice

R5361-

001

(Regional

PPO)

Regional

PPO * $ - R5361 001 0 6,700$ 3.5 Stars

IllinoisCumberla

ndHumana

HumanaC

hoice

R5361-

002

(Regional

PPO)

Regional

PPO $ 139.00 $ 420.00 Basic No BA R5361 002 0 6,700$ 3.5 Stars

IllinoisCumberla

nd

Lasso

Healthcar

e

Lasso

Healthcar

e (MSA)

MSA * H1924 001 0 -$

Plan too

new to be

measured

Illinois De WittAetna

Medicare

Aetna

Medicare

Premier

Advantra

(PPO)

Local PPO $ 25.00 $ - Enhanced Yes EA H7301 009 0 5,500$ 4.5 Stars

Illinois De WittAetna

Medicare

Aetna

Medicare

Value

Advantra

(PPO)

Local PPO $ - $ - Enhanced Yes EA H7301 007 0 4,650$ 4.5 Stars

Illinois De Witt

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO 20

Rx (HMO)

Local

HMO $ 120.00 $ - Enhanced No EA H1463 003 0 4,000$ 3.5 Stars

Illinois De Witt

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO 40

Rx (HMO)

Local

HMO $ 71.00 $ - Enhanced No EA H1463 010 0 4,700$ 3.5 Stars

Page 44: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois De Witt

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO

Basic

(HMO)

Local

HMO * $ - H1463 008 0 6,700$ 3.5 Stars

Illinois De Witt

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO

Basic Rx

(HMO)

Local

HMO $ 32.00 $ - Enhanced No EA H1463 009 0 6,700$ 3.5 Stars

Illinois De Witt

Health

Alliance

Medicare

Health

Alliance

Medicare

POS 10 Rx

(HMO-

POS)

Local

HMO $ 160.00 $ - Enhanced No EA H1463 019 0 4,500$ 3.5 Stars

Illinois De Witt

Health

Alliance

Medicare

Health

Alliance

Medicare

POS 30 Rx

(HMO-

POS)

Local

HMO $ 100.00 $ - Enhanced No EA H1463 017 0 5,500$ 3.5 Stars

Illinois De Witt

Health

Alliance

Medicare

Health

Alliance

Medicare

POS Basic

(HMO-

POS)

Local

HMO * $ 23.00 H1463 014 0 6,700$ 3.5 Stars

Illinois De Witt

Health

Alliance

Medicare

Health

Alliance

Medicare

POS Basic

Rx (HMO-

POS)

Local

HMO $ 51.00 $ - Enhanced No EA H1463 015 0 6,700$ 3.5 Stars

Page 45: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois De Witt

Health

Alliance

Medicare

OSF

MedAdva

ntage

Core

(HMO)

Local

HMO $ - $ - Enhanced No EA H1463 035 0 4,000$ 3.5 Stars

Illinois De Witt

Health

Alliance

Medicare

OSF

MedAdva

ntage

Open

(HMO-

POS)

Local

HMO $ 35.00 $ - Enhanced No EA H1463 036 0 4,500$ 3.5 Stars

Illinois De Witt

Health

Alliance

Medicare

OSF

MedAdva

ntage Plus

(HMO-

POS)

Local

HMO $ 135.00 $ - Enhanced No EA H1463 037 0 3,400$ 3.5 Stars

Illinois De Witt

Health

Alliance

Medicare

OSF

MedAdva

ntage

Select

(HMO)

Local

HMO $ 110.00 $ - Enhanced No EA H1463 038 0 3,400$ 3.5 Stars

Illinois De Witt Humana

Humana

Gold

Choice

H8145-

008

(PFFS)

PFFS $ 166.00 $ 380.00 Enhanced No EA H8145 008 0 -$ 3.5 Stars

Illinois De Witt Humana

Humana

Gold

Choice

H8145-

121

(PFFS)

PFFS * $ 75.00 H8145 121 0 -$ 3.5 Stars

Illinois De Witt Humana

HumanaC

hoice

R5361-

001

(Regional

PPO)

Regional

PPO * $ - R5361 001 0 6,700$ 3.5 Stars

Page 46: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois De Witt Humana

HumanaC

hoice

R5361-

002

(Regional

PPO)

Regional

PPO $ 139.00 $ 420.00 Basic No BA R5361 002 0 6,700$ 3.5 Stars

Illinois De Witt

Lasso

Healthcar

e

Lasso

Healthcar

e (MSA)

MSA * H1924 001 0 -$

Plan too

new to be

measured

Illinois DeKalbAetna

Medicare

Aetna

Medicare

Explorer

Value

(PPO)

Local PPO $ - $ - Enhanced Yes EA H5521 228 0 5,900$ 4.5 Stars

Illinois DeKalbAetna

Medicare

Aetna

Medicare

Premier

Advantra

(PPO)

Local PPO $ 23.00 $ - Enhanced Yes EA H7301 002 0 5,500$ 4.5 Stars

Illinois DeKalbAetna

Medicare

Aetna

Medicare

Value

Advantra

(PPO)

Local PPO $ - $ - Enhanced Yes EA H7301 006 0 5,900$ 4.5 Stars

Illinois DeKalb

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO 20

Rx (HMO)

Local

HMO $ 120.00 $ - Enhanced No EA H1463 003 0 4,000$ 3.5 Stars

Illinois DeKalb

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO 40

Rx (HMO)

Local

HMO $ 71.00 $ - Enhanced No EA H1463 010 0 4,700$ 3.5 Stars

Page 47: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois DeKalb

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO

Basic

(HMO)

Local

HMO * $ - H1463 008 0 6,700$ 3.5 Stars

Illinois DeKalb

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO

Basic Rx

(HMO)

Local

HMO $ 32.00 $ - Enhanced No EA H1463 009 0 6,700$ 3.5 Stars

Illinois DeKalb

Health

Alliance

Medicare

Health

Alliance

Medicare

POS 10 Rx

(HMO-

POS)

Local

HMO $ 160.00 $ - Enhanced No EA H1463 019 0 4,500$ 3.5 Stars

Illinois DeKalb

Health

Alliance

Medicare

Health

Alliance

Medicare

POS 30 Rx

(HMO-

POS)

Local

HMO $ 100.00 $ - Enhanced No EA H1463 017 0 5,500$ 3.5 Stars

Illinois DeKalb

Health

Alliance

Medicare

Health

Alliance

Medicare

POS Basic

(HMO-

POS)

Local

HMO * $ 23.00 H1463 014 0 6,700$ 3.5 Stars

Illinois DeKalb

Health

Alliance

Medicare

Health

Alliance

Medicare

POS Basic

Rx (HMO-

POS)

Local

HMO $ 51.00 $ - Enhanced No EA H1463 015 0 6,700$ 3.5 Stars

Page 48: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois DeKalb Humana

HumanaC

hoice

H5216-

013 (PPO)

Local PPO $ 88.00 $ - Enhanced No EA H5216 013 0 6,700$ 4 Stars

Illinois DeKalb Humana

HumanaC

hoice

H5216-

178 (PPO)

Local PPO

* $ - H5216 178 1 6,700$ 4 Stars

Illinois DeKalb Humana

HumanaC

hoice

R5361-

001

(Regional

PPO)

Regional

PPO * $ - R5361 001 0 6,700$ 3.5 Stars

Illinois DeKalb Humana

HumanaC

hoice

R5361-

002

(Regional

PPO)

Regional

PPO $ 139.00 $ 420.00 Basic No BA R5361 002 0 6,700$ 3.5 Stars

Illinois DeKalb

Lasso

Healthcar

e

Lasso

Healthcar

e (MSA)

MSA * H1924 002 0 -$

Plan too

new to be

measured

Illinois DeKalbUnitedHe

althcare

AARP

Medicare

Advantag

e Plan 1

(HMO)

Local

HMO $ 26.00 $ 195.00 Enhanced No EA H2802 025 0 3,900$ 4 Stars

Illinois DeKalbUnitedHe

althcare

AARP

Medicare

Advantag

e Plan 2

(HMO)

Local

HMO $ 76.00 $ 60.00 Enhanced No EA H2802 026 0 3,900$ 4 Stars

Illinois DouglasAetna

Medicare

Aetna

Medicare

Premier

Advantra

(PPO)

Local PPO $ 25.00 $ - Enhanced Yes EA H7301 009 0 5,500$ 4.5 Stars

Page 49: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois DouglasAetna

Medicare

Aetna

Medicare

Value

Advantra

(PPO)

Local PPO $ - $ - Enhanced Yes EA H7301 007 0 4,650$ 4.5 Stars

Illinois Douglas

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO 20

Rx (HMO)

Local

HMO $ 120.00 $ - Enhanced No EA H1463 003 0 4,000$ 3.5 Stars

Illinois Douglas

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO 40

Rx (HMO)

Local

HMO $ 71.00 $ - Enhanced No EA H1463 010 0 4,700$ 3.5 Stars

Illinois Douglas

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO

Basic

(HMO)

Local

HMO * $ - H1463 008 0 6,700$ 3.5 Stars

Illinois Douglas

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO

Basic Rx

(HMO)

Local

HMO $ 32.00 $ - Enhanced No EA H1463 009 0 6,700$ 3.5 Stars

Illinois Douglas

Health

Alliance

Medicare

Health

Alliance

Medicare

POS 10 Rx

(HMO-

POS)

Local

HMO $ 160.00 $ - Enhanced No EA H1463 019 0 4,500$ 3.5 Stars

Illinois Douglas

Health

Alliance

Medicare

Health

Alliance

Medicare

POS 30 Rx

(HMO-

POS)

Local

HMO $ 100.00 $ - Enhanced No EA H1463 017 0 5,500$ 3.5 Stars

Page 50: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Douglas

Health

Alliance

Medicare

Health

Alliance

Medicare

POS Basic

(HMO-

POS)

Local

HMO * $ 23.00 H1463 014 0 6,700$ 3.5 Stars

Illinois Douglas

Health

Alliance

Medicare

Health

Alliance

Medicare

POS Basic

Rx (HMO-

POS)

Local

HMO $ 51.00 $ - Enhanced No EA H1463 015 0 6,700$ 3.5 Stars

Illinois Douglas Humana

Humana

Gold

Choice

H8145-

008

(PFFS)

PFFS $ 166.00 $ 380.00 Enhanced No EA H8145 008 0 -$ 3.5 Stars

Illinois Douglas Humana

Humana

Gold

Choice

H8145-

121

(PFFS)

PFFS * $ 75.00 H8145 121 0 -$ 3.5 Stars

Illinois Douglas Humana

HumanaC

hoice

R5361-

001

(Regional

PPO)

Regional

PPO * $ - R5361 001 0 6,700$ 3.5 Stars

Illinois Douglas Humana

HumanaC

hoice

R5361-

002

(Regional

PPO)

Regional

PPO $ 139.00 $ 420.00 Basic No BA R5361 002 0 6,700$ 3.5 Stars

Illinois Douglas

Lasso

Healthcar

e

Lasso

Healthcar

e (MSA)

MSA * H1924 001 0 -$

Plan too

new to be

measured

Page 51: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois DuPageAetna

Medicare

Aetna

Medicare

Premier

Plus (PPO)

Local PPO $ 58.00 $ - Enhanced Yes EA H5521 016 0 3,250$ 4.5 Stars

Illinois DuPageAetna

Medicare

Aetna

Medicare

Prime

(HMO)

Local

HMO $ - $ - Enhanced Yes EA H3192 001 0 3,450$

Plan too

new to be

measured

Illinois DuPageAetna

Medicare

Aetna

Medicare

Value

(HMO)

Local

HMO $ 9.00 $ 150.00 Enhanced Yes EA H3931 106 0 4,000$ 3.5 Stars

Illinois DuPageAetna

Medicare

Aetna

Medicare

Value

(PPO)

Local PPO $ - $ - Enhanced Yes EA H5521 086 0 3,750$ 4.5 Stars

Illinois DuPageAscension

Complete

Ascension

Complete

Illinois

Reward

(HMO)

Local

HMO $ - $ 430.00 Enhanced No EA H7399 001 0 6,700$

Plan too

new to be

measured

Illinois DuPageAscension

Complete

Ascension

Complete

Illinois

Secure

(HMO)

Local

HMO $ - $ - Enhanced No EA H7399 002 0 2,900$

Plan too

new to be

measured

Illinois DuPage

Blue Cross

and Blue

Shield of

IL, NM

Blue Cross

Medicare

Advantag

e Basic

(HMO)

Local

HMO $ - $ - Enhanced Yes EA H3822 001 0 3,400$ 3.5 Stars

Illinois DuPage

Blue Cross

and Blue

Shield of

IL, NM

Blue Cross

Medicare

Advantag

e Basic

Plus

(HMO-

POS)

Local

HMO $ - $ - Enhanced Yes EA H3822 007 0 4,500$ 3.5 Stars

Page 52: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois DuPage

Blue Cross

and Blue

Shield of

IL, NM

Blue Cross

Medicare

Advantag

e Choice

Plus (PPO)

Local PPO $ 79.00 $ 435.00 Enhanced Yes EA H8634 003 0 6,700$ 3 Stars

Illinois DuPage

Blue Cross

and Blue

Shield of

IL, NM

Blue Cross

Medicare

Advantag

e Choice

Premier

(PPO)

Local PPO $ 141.00 $ - Enhanced Yes EA H8634 004 0 5,900$ 3 Stars

Illinois DuPage

Blue Cross

and Blue

Shield of

IL, NM

Blue Cross

Medicare

Advantag

e Premier

Plus

(HMO-

POS)

Local

HMO $ 83.00 $ - Enhanced Yes EA H3822 008 0 4,500$ 3.5 Stars

Illinois DuPage Cigna

Cigna-

HealthSpr

ing

Advantag

e (HMO)

Local

HMO * $ - H1415 013 0 5,400$ 3.5 Stars

Illinois DuPage Cigna

Cigna-

HealthSpr

ing

Preferred

(HMO)

Local

HMO $ - $ - Enhanced No EA H1415 024 0 2,600$ 3.5 Stars

Illinois DuPage Cigna

Cigna-

HealthSpr

ing

Premier

(HMO-

POS)

Local

HMO $ - $ - Enhanced No EA H1415 021 0 3,400$ 3.5 Stars

Illinois DuPage Cigna

Cigna-

HealthSpr

ing True

Choice

(PPO)

Local PPO $ - $ - Enhanced No EA H7849 002 0 3,400$

Plan too

new to be

measured

Page 53: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois DuPage

Clear

Spring

Health

Clear

Spring

Health

Essential

(HMO)

Local

HMO $ - $ - Enhanced No EA H5454 002 0 2,900$

Plan too

new to be

measured

Illinois DuPage

Clear

Spring

Health

Clear

Spring

Health

Essential

Plus

(HMO)

Local

HMO $ 49.00 $ - Enhanced No EA H5454 004 0 2,500$

Plan too

new to be

measured

Illinois DuPage

Communi

ty Care

Alliance

of Illinois

Communi

ty

Advantag

e (HMO)

Local

HMO $ - $ - Enhanced No EA H3071 002 0 3,950$ 2.5 Stars

Illinois DuPage

Communi

ty Care

Alliance

of Illinois

Communi

ty Flex-

Plan

(HMO-

POS)

Local

HMO $ 26.00 $ 435.00 Basic No DS H3071 003 0 3,950$ 2.5 Stars

Illinois DuPage Humana

Humana

Gold Plus

H1468-

013

(HMO)

Local

HMO $ - $ - Enhanced No EA H1468 013 0 2,750$ 4.5 Stars

Illinois DuPage Humana

HumanaC

hoice

H5216-

013 (PPO)

Local PPO $ 88.00 $ - Enhanced No EA H5216 013 0 6,700$ 4 Stars

Illinois DuPage Humana

HumanaC

hoice

H5216-

178 (PPO)

Local PPO

* $ - H5216 178 1 6,700$ 4 Stars

Illinois DuPage Humana

HumanaC

hoice

R5361-

001

(Regional

PPO)

Regional

PPO * $ - R5361 001 0 6,700$ 3.5 Stars

Page 54: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois DuPage Humana

HumanaC

hoice

R5361-

002

(Regional

PPO)

Regional

PPO $ 139.00 $ 420.00 Basic No BA R5361 002 0 6,700$ 3.5 Stars

Illinois DuPage

Lasso

Healthcar

e

Lasso

Healthcar

e (MSA)

MSA * H1924 001 0 -$

Plan too

new to be

measured

Illinois DuPage

Sunrise

Advantag

e Plan

Sunrise

Advantag

e

Communi

ty Plan

(HMO)

Local

HMO $ 69.00 $ - Enhanced No EA H4778 003 0 5,700$

Not

enough

data

available

Illinois DuPageUnitedHe

althcare

AARP

Medicare

Advantag

e Access

(HMO)

Local

HMO $ - $ 100.00 Enhanced No EA H2802 024 0 3,600$ 4 Stars

Illinois DuPageUnitedHe

althcare

AARP

Medicare

Advantag

e Choice

(PPO)

Local PPO $ 38.00 $ 195.00 Enhanced No EA H8768 005 0 3,900$ 4.5 Stars

Illinois DuPageUnitedHe

althcare

AARP

Medicare

Advantag

e Plan 1

(HMO)

Local

HMO $ 26.00 $ 195.00 Enhanced No EA H2802 025 0 3,900$ 4 Stars

Illinois DuPageUnitedHe

althcare

AARP

Medicare

Advantag

e Plan 2

(HMO)

Local

HMO $ 76.00 $ 60.00 Enhanced No EA H2802 026 0 3,900$ 4 Stars

Page 55: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois DuPageUnitedHe

althcare

AARP

Medicare

Advantag

e

Walgreen

s (PPO)

Local PPO $ - $ 250.00 Enhanced No EA H8768 010 0 5,900$ 4.5 Stars

Illinois DuPage WellCare

WellCare

Essential

(HMO-

POS)

Local

HMO $ - $ - Enhanced No EA H5475 006 0 4,250$ 3 Stars

Illinois DuPage WellCare

WellCare

Explore

(HMO-

POS)

Local

HMO $ - $ - Enhanced No EA H5475 026 0 4,000$ 3 Stars

Illinois EdgarAetna

Medicare

Aetna

Medicare

Premier

Advantra

(PPO)

Local PPO $ 25.00 $ - Enhanced Yes EA H7301 009 0 5,500$ 4.5 Stars

Illinois EdgarAetna

Medicare

Aetna

Medicare

Value

Advantra

(PPO)

Local PPO $ - $ - Enhanced Yes EA H7301 007 0 4,650$ 4.5 Stars

Illinois Edgar

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO 20

Rx (HMO)

Local

HMO $ 120.00 $ - Enhanced No EA H1463 003 0 4,000$ 3.5 Stars

Illinois Edgar

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO 40

Rx (HMO)

Local

HMO $ 71.00 $ - Enhanced No EA H1463 010 0 4,700$ 3.5 Stars

Page 56: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Edgar

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO

Basic

(HMO)

Local

HMO * $ - H1463 008 0 6,700$ 3.5 Stars

Illinois Edgar

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO

Basic Rx

(HMO)

Local

HMO $ 32.00 $ - Enhanced No EA H1463 009 0 6,700$ 3.5 Stars

Illinois Edgar

Health

Alliance

Medicare

Health

Alliance

Medicare

POS 10 Rx

(HMO-

POS)

Local

HMO $ 160.00 $ - Enhanced No EA H1463 019 0 4,500$ 3.5 Stars

Illinois Edgar

Health

Alliance

Medicare

Health

Alliance

Medicare

POS 30 Rx

(HMO-

POS)

Local

HMO $ 100.00 $ - Enhanced No EA H1463 017 0 5,500$ 3.5 Stars

Illinois Edgar

Health

Alliance

Medicare

Health

Alliance

Medicare

POS Basic

(HMO-

POS)

Local

HMO * $ 23.00 H1463 014 0 6,700$ 3.5 Stars

Illinois Edgar

Health

Alliance

Medicare

Health

Alliance

Medicare

POS Basic

Rx (HMO-

POS)

Local

HMO $ 51.00 $ - Enhanced No EA H1463 015 0 6,700$ 3.5 Stars

Page 57: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Edgar Humana

Humana

Gold

Choice

H8145-

008

(PFFS)

PFFS $ 166.00 $ 380.00 Enhanced No EA H8145 008 0 -$ 3.5 Stars

Illinois Edgar Humana

Humana

Gold

Choice

H8145-

121

(PFFS)

PFFS * $ 75.00 H8145 121 0 -$ 3.5 Stars

Illinois Edgar Humana

HumanaC

hoice

H5216-

013 (PPO)

Local PPO $ 88.00 $ - Enhanced No EA H5216 013 0 6,700$ 4 Stars

Illinois Edgar Humana

HumanaC

hoice

R5361-

001

(Regional

PPO)

Regional

PPO * $ - R5361 001 0 6,700$ 3.5 Stars

Illinois Edgar Humana

HumanaC

hoice

R5361-

002

(Regional

PPO)

Regional

PPO $ 139.00 $ 420.00 Basic No BA R5361 002 0 6,700$ 3.5 Stars

Illinois Edgar

Lasso

Healthcar

e

Lasso

Healthcar

e (MSA)

MSA * H1924 001 0 -$

Plan too

new to be

measured

Illinois Edwards

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO 20

Rx (HMO)

Local

HMO $ 120.00 $ - Enhanced No EA H1463 003 0 4,000$ 3.5 Stars

Page 58: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Edwards

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO 40

Rx (HMO)

Local

HMO $ 71.00 $ - Enhanced No EA H1463 010 0 4,700$ 3.5 Stars

Illinois Edwards

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO

Basic

(HMO)

Local

HMO * $ - H1463 008 0 6,700$ 3.5 Stars

Illinois Edwards

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO

Basic Rx

(HMO)

Local

HMO $ 32.00 $ - Enhanced No EA H1463 009 0 6,700$ 3.5 Stars

Illinois Edwards

Health

Alliance

Medicare

Health

Alliance

Medicare

POS 10 Rx

(HMO-

POS)

Local

HMO $ 160.00 $ - Enhanced No EA H1463 019 0 4,500$ 3.5 Stars

Illinois Edwards

Health

Alliance

Medicare

Health

Alliance

Medicare

POS 30 Rx

(HMO-

POS)

Local

HMO $ 100.00 $ - Enhanced No EA H1463 017 0 5,500$ 3.5 Stars

Illinois Edwards

Health

Alliance

Medicare

Health

Alliance

Medicare

POS Basic

(HMO-

POS)

Local

HMO * $ 23.00 H1463 014 0 6,700$ 3.5 Stars

Page 59: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Edwards

Health

Alliance

Medicare

Health

Alliance

Medicare

POS Basic

Rx (HMO-

POS)

Local

HMO $ 51.00 $ - Enhanced No EA H1463 015 0 6,700$ 3.5 Stars

Illinois Edwards Humana

Humana

Gold

Choice

H8145-

008

(PFFS)

PFFS $ 166.00 $ 380.00 Enhanced No EA H8145 008 0 -$ 3.5 Stars

Illinois Edwards Humana

Humana

Gold

Choice

H8145-

121

(PFFS)

PFFS * $ 75.00 H8145 121 0 -$ 3.5 Stars

Illinois Edwards Humana

HumanaC

hoice

R5361-

001

(Regional

PPO)

Regional

PPO * $ - R5361 001 0 6,700$ 3.5 Stars

Illinois Edwards Humana

HumanaC

hoice

R5361-

002

(Regional

PPO)

Regional

PPO $ 139.00 $ 420.00 Basic No BA R5361 002 0 6,700$ 3.5 Stars

Illinois Edwards

Lasso

Healthcar

e

Lasso

Healthcar

e (MSA)

MSA * H1924 002 0 -$

Plan too

new to be

measured

Illinois EffinghamAetna

Medicare

Aetna

Medicare

Premier

Advantra

(PPO)

Local PPO $ 25.00 $ - Enhanced Yes EA H7301 009 0 5,500$ 4.5 Stars

Page 60: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois EffinghamAetna

Medicare

Aetna

Medicare

Value

Advantra

(PPO)

Local PPO $ - $ - Enhanced Yes EA H7301 007 0 4,650$ 4.5 Stars

Illinois Effingham

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO 20

Rx (HMO)

Local

HMO $ 120.00 $ - Enhanced No EA H1463 003 0 4,000$ 3.5 Stars

Illinois Effingham

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO 40

Rx (HMO)

Local

HMO $ 71.00 $ - Enhanced No EA H1463 010 0 4,700$ 3.5 Stars

Illinois Effingham

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO

Basic

(HMO)

Local

HMO * $ - H1463 008 0 6,700$ 3.5 Stars

Illinois Effingham

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO

Basic Rx

(HMO)

Local

HMO $ 32.00 $ - Enhanced No EA H1463 009 0 6,700$ 3.5 Stars

Illinois Effingham

Health

Alliance

Medicare

Health

Alliance

Medicare

POS 10 Rx

(HMO-

POS)

Local

HMO $ 160.00 $ - Enhanced No EA H1463 019 0 4,500$ 3.5 Stars

Illinois Effingham

Health

Alliance

Medicare

Health

Alliance

Medicare

POS 30 Rx

(HMO-

POS)

Local

HMO $ 100.00 $ - Enhanced No EA H1463 017 0 5,500$ 3.5 Stars

Page 61: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Effingham

Health

Alliance

Medicare

Health

Alliance

Medicare

POS Basic

(HMO-

POS)

Local

HMO * $ 23.00 H1463 014 0 6,700$ 3.5 Stars

Illinois Effingham

Health

Alliance

Medicare

Health

Alliance

Medicare

POS Basic

Rx (HMO-

POS)

Local

HMO $ 51.00 $ - Enhanced No EA H1463 015 0 6,700$ 3.5 Stars

Illinois Effingham Humana

HumanaC

hoice

R5361-

001

(Regional

PPO)

Regional

PPO * $ - R5361 001 0 6,700$ 3.5 Stars

Illinois Effingham Humana

HumanaC

hoice

R5361-

002

(Regional

PPO)

Regional

PPO $ 139.00 $ 420.00 Basic No BA R5361 002 0 6,700$ 3.5 Stars

Illinois Effingham

Lasso

Healthcar

e

Lasso

Healthcar

e (MSA)

MSA * H1924 001 0 -$

Plan too

new to be

measured

Illinois FayetteAetna

Medicare

Aetna

Medicare

Premier

Advantra

(PPO)

Local PPO $ 25.00 $ - Enhanced Yes EA H7301 009 0 5,500$ 4.5 Stars

Illinois FayetteAetna

Medicare

Aetna

Medicare

Value

Advantra

(PPO)

Local PPO $ - $ - Enhanced Yes EA H7301 007 0 4,650$ 4.5 Stars

Page 62: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Fayette

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO 20

Rx (HMO)

Local

HMO $ 120.00 $ - Enhanced No EA H1463 003 0 4,000$ 3.5 Stars

Illinois Fayette

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO 40

Rx (HMO)

Local

HMO $ 71.00 $ - Enhanced No EA H1463 010 0 4,700$ 3.5 Stars

Illinois Fayette

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO

Basic

(HMO)

Local

HMO * $ - H1463 008 0 6,700$ 3.5 Stars

Illinois Fayette

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO

Basic Rx

(HMO)

Local

HMO $ 32.00 $ - Enhanced No EA H1463 009 0 6,700$ 3.5 Stars

Illinois Fayette

Health

Alliance

Medicare

Health

Alliance

Medicare

POS 10 Rx

(HMO-

POS)

Local

HMO $ 160.00 $ - Enhanced No EA H1463 019 0 4,500$ 3.5 Stars

Illinois Fayette

Health

Alliance

Medicare

Health

Alliance

Medicare

POS 30 Rx

(HMO-

POS)

Local

HMO $ 100.00 $ - Enhanced No EA H1463 017 0 5,500$ 3.5 Stars

Page 63: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Fayette

Health

Alliance

Medicare

Health

Alliance

Medicare

POS Basic

(HMO-

POS)

Local

HMO * $ 23.00 H1463 014 0 6,700$ 3.5 Stars

Illinois Fayette

Health

Alliance

Medicare

Health

Alliance

Medicare

POS Basic

Rx (HMO-

POS)

Local

HMO $ 51.00 $ - Enhanced No EA H1463 015 0 6,700$ 3.5 Stars

Illinois Fayette Humana

HumanaC

hoice

R5361-

001

(Regional

PPO)

Regional

PPO * $ - R5361 001 0 6,700$ 3.5 Stars

Illinois Fayette Humana

HumanaC

hoice

R5361-

002

(Regional

PPO)

Regional

PPO $ 139.00 $ 420.00 Basic No BA R5361 002 0 6,700$ 3.5 Stars

Illinois Fayette

Lasso

Healthcar

e

Lasso

Healthcar

e (MSA)

MSA * H1924 001 0 -$

Plan too

new to be

measured

Illinois FordAetna

Medicare

Aetna

Medicare

Premier

Advantra

(PPO)

Local PPO $ 25.00 $ - Enhanced Yes EA H7301 009 0 5,500$ 4.5 Stars

Illinois FordAetna

Medicare

Aetna

Medicare

Value

Advantra

(PPO)

Local PPO $ - $ - Enhanced Yes EA H7301 007 0 4,650$ 4.5 Stars

Page 64: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Ford

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO 20

Rx (HMO)

Local

HMO $ 120.00 $ - Enhanced No EA H1463 003 0 4,000$ 3.5 Stars

Illinois Ford

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO 40

Rx (HMO)

Local

HMO $ 71.00 $ - Enhanced No EA H1463 010 0 4,700$ 3.5 Stars

Illinois Ford

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO

Basic

(HMO)

Local

HMO * $ - H1463 008 0 6,700$ 3.5 Stars

Illinois Ford

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO

Basic Rx

(HMO)

Local

HMO $ 32.00 $ - Enhanced No EA H1463 009 0 6,700$ 3.5 Stars

Illinois Ford

Health

Alliance

Medicare

Health

Alliance

Medicare

POS 10 Rx

(HMO-

POS)

Local

HMO $ 160.00 $ - Enhanced No EA H1463 019 0 4,500$ 3.5 Stars

Illinois Ford

Health

Alliance

Medicare

Health

Alliance

Medicare

POS 30 Rx

(HMO-

POS)

Local

HMO $ 100.00 $ - Enhanced No EA H1463 017 0 5,500$ 3.5 Stars

Page 65: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Ford

Health

Alliance

Medicare

Health

Alliance

Medicare

POS Basic

(HMO-

POS)

Local

HMO * $ 23.00 H1463 014 0 6,700$ 3.5 Stars

Illinois Ford

Health

Alliance

Medicare

Health

Alliance

Medicare

POS Basic

Rx (HMO-

POS)

Local

HMO $ 51.00 $ - Enhanced No EA H1463 015 0 6,700$ 3.5 Stars

Illinois Ford Humana

HumanaC

hoice

R5361-

001

(Regional

PPO)

Regional

PPO * $ - R5361 001 0 6,700$ 3.5 Stars

Illinois Ford Humana

HumanaC

hoice

R5361-

002

(Regional

PPO)

Regional

PPO $ 139.00 $ 420.00 Basic No BA R5361 002 0 6,700$ 3.5 Stars

Illinois Ford

Lasso

Healthcar

e

Lasso

Healthcar

e (MSA)

MSA * H1924 001 0 -$

Plan too

new to be

measured

Illinois FranklinAetna

Medicare

Aetna

Medicare

Premier

Plus (PPO)

Local PPO $ - $ 150.00 Enhanced Yes EA H1608 056 0 5,900$ 3.5 Stars

Illinois Franklin

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO 20

Rx (HMO)

Local

HMO $ 120.00 $ - Enhanced No EA H1463 003 0 4,000$ 3.5 Stars

Page 66: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Franklin

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO 40

Rx (HMO)

Local

HMO $ 71.00 $ - Enhanced No EA H1463 010 0 4,700$ 3.5 Stars

Illinois Franklin

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO

Basic

(HMO)

Local

HMO * $ - H1463 008 0 6,700$ 3.5 Stars

Illinois Franklin

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO

Basic Rx

(HMO)

Local

HMO $ 32.00 $ - Enhanced No EA H1463 009 0 6,700$ 3.5 Stars

Illinois Franklin

Health

Alliance

Medicare

Health

Alliance

Medicare

POS 10 Rx

(HMO-

POS)

Local

HMO $ 160.00 $ - Enhanced No EA H1463 019 0 4,500$ 3.5 Stars

Illinois Franklin

Health

Alliance

Medicare

Health

Alliance

Medicare

POS 30 Rx

(HMO-

POS)

Local

HMO $ 100.00 $ - Enhanced No EA H1463 017 0 5,500$ 3.5 Stars

Illinois Franklin

Health

Alliance

Medicare

Health

Alliance

Medicare

POS Basic

(HMO-

POS)

Local

HMO * $ 23.00 H1463 014 0 6,700$ 3.5 Stars

Page 67: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Franklin

Health

Alliance

Medicare

Health

Alliance

Medicare

POS Basic

Rx (HMO-

POS)

Local

HMO $ 51.00 $ - Enhanced No EA H1463 015 0 6,700$ 3.5 Stars

Illinois Franklin Humana

HumanaC

hoice

R5361-

001

(Regional

PPO)

Regional

PPO * $ - R5361 001 0 6,700$ 3.5 Stars

Illinois Franklin Humana

HumanaC

hoice

R5361-

002

(Regional

PPO)

Regional

PPO $ 139.00 $ 420.00 Basic No BA R5361 002 0 6,700$ 3.5 Stars

Illinois Franklin

Lasso

Healthcar

e

Lasso

Healthcar

e (MSA)

MSA * H1924 002 0 -$

Plan too

new to be

measured

Illinois FultonAetna

Medicare

Aetna

Medicare

Premier

Advantra

(PPO)

Local PPO $ 25.00 $ - Enhanced Yes EA H7301 009 0 5,500$ 4.5 Stars

Illinois FultonAetna

Medicare

Aetna

Medicare

Value

Advantra

(PPO)

Local PPO $ - $ - Enhanced Yes EA H7301 007 0 4,650$ 4.5 Stars

Illinois Fulton

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO 20

Rx (HMO)

Local

HMO $ 120.00 $ - Enhanced No EA H1463 003 0 4,000$ 3.5 Stars

Page 68: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Fulton

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO 40

Rx (HMO)

Local

HMO $ 71.00 $ - Enhanced No EA H1463 010 0 4,700$ 3.5 Stars

Illinois Fulton

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO

Basic

(HMO)

Local

HMO * $ - H1463 008 0 6,700$ 3.5 Stars

Illinois Fulton

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO

Basic Rx

(HMO)

Local

HMO $ 32.00 $ - Enhanced No EA H1463 009 0 6,700$ 3.5 Stars

Illinois Fulton

Health

Alliance

Medicare

Health

Alliance

Medicare

POS 10 Rx

(HMO-

POS)

Local

HMO $ 160.00 $ - Enhanced No EA H1463 019 0 4,500$ 3.5 Stars

Illinois Fulton

Health

Alliance

Medicare

Health

Alliance

Medicare

POS 30 Rx

(HMO-

POS)

Local

HMO $ 100.00 $ - Enhanced No EA H1463 017 0 5,500$ 3.5 Stars

Illinois Fulton

Health

Alliance

Medicare

Health

Alliance

Medicare

POS Basic

(HMO-

POS)

Local

HMO * $ 23.00 H1463 014 0 6,700$ 3.5 Stars

Page 69: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Fulton

Health

Alliance

Medicare

Health

Alliance

Medicare

POS Basic

Rx (HMO-

POS)

Local

HMO $ 51.00 $ - Enhanced No EA H1463 015 0 6,700$ 3.5 Stars

Illinois Fulton

HealthPar

tners

UnityPoin

t Health

HealthPar

tners

UnityPoin

t Health

Align

(PPO)

Local PPO $ - $ - Enhanced No EA H3416 001 4 3,700$ 4.5 Stars

Illinois Fulton

HealthPar

tners

UnityPoin

t Health

HealthPar

tners

UnityPoin

t Health

Symmetry

(PPO)

Local PPO $ 39.00 $ - Enhanced Yes EA H3416 002 2 3,300$ 4.5 Stars

Illinois Fulton Humana

HumanaC

hoice

H5525-

004 (PPO)

Local PPO $ 106.00 $ 250.00 Enhanced No EA H5525 004 0 5,500$ 4 Stars

Illinois Fulton Humana

HumanaC

hoice

R5361-

001

(Regional

PPO)

Regional

PPO * $ - R5361 001 0 6,700$ 3.5 Stars

Illinois Fulton Humana

HumanaC

hoice

R5361-

002

(Regional

PPO)

Regional

PPO $ 139.00 $ 420.00 Basic No BA R5361 002 0 6,700$ 3.5 Stars

Illinois Fulton

Lasso

Healthcar

e

Lasso

Healthcar

e (MSA)

MSA * H1924 001 0 -$

Plan too

new to be

measured

Page 70: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Gallatin Humana

Humana

Gold

Choice

H8145-

008

(PFFS)

PFFS $ 166.00 $ 380.00 Enhanced No EA H8145 008 0 -$ 3.5 Stars

Illinois Gallatin Humana

Humana

Gold

Choice

H8145-

121

(PFFS)

PFFS * $ 75.00 H8145 121 0 -$ 3.5 Stars

Illinois Gallatin Humana

HumanaC

hoice

R5361-

001

(Regional

PPO)

Regional

PPO * $ - R5361 001 0 6,700$ 3.5 Stars

Illinois Gallatin Humana

HumanaC

hoice

R5361-

002

(Regional

PPO)

Regional

PPO $ 139.00 $ 420.00 Basic No BA R5361 002 0 6,700$ 3.5 Stars

Illinois Gallatin

Lasso

Healthcar

e

Lasso

Healthcar

e (MSA)

MSA * H1924 003 0 -$

Plan too

new to be

measured

Illinois GreeneAetna

Medicare

Aetna

Medicare

Advantra

1 (HMO-

POS)

Local

HMO $ 33.00 $ - Enhanced Yes EA H2663 006 0 5,200$ 4 Stars

Illinois GreeneAetna

Medicare

Aetna

Medicare

Advantra

2 (HMO)

Local

HMO $ 81.00 $ - Enhanced Yes EA H2663 002 0 2,900$ 4 Stars

Page 71: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois GreeneAetna

Medicare

Aetna

Medicare

Elite

(PPO)

Local PPO $ - $ - Enhanced Yes EA H1608 050 0 3,400$ 3.5 Stars

Illinois GreeneAetna

Medicare

Aetna

Medicare

Gold

Advantag

e Value

Prime

(HMO)

Local

HMO $ - $ - Enhanced Yes EA H2663 032 0 3,400$ 4 Stars

Illinois GreeneAetna

Medicare

Aetna

Medicare

Premier

Advantra

(PPO)

Local PPO $ 51.00 $ 200.00 Enhanced Yes EA H1608 013 0 6,000$ 3.5 Stars

Illinois Greene Humana

Humana

Gold

Choice

H8145-

008

(PFFS)

PFFS $ 166.00 $ 380.00 Enhanced No EA H8145 008 0 -$ 3.5 Stars

Illinois Greene Humana

Humana

Gold

Choice

H8145-

121

(PFFS)

PFFS * $ 75.00 H8145 121 0 -$ 3.5 Stars

Illinois Greene Humana

HumanaC

hoice

R5361-

001

(Regional

PPO)

Regional

PPO * $ - R5361 001 0 6,700$ 3.5 Stars

Page 72: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Greene Humana

HumanaC

hoice

R5361-

002

(Regional

PPO)

Regional

PPO $ 139.00 $ 420.00 Basic No BA R5361 002 0 6,700$ 3.5 Stars

Illinois Greene

Lasso

Healthcar

e

Lasso

Healthcar

e (MSA)

MSA * H1924 001 0 -$

Plan too

new to be

measured

Illinois Grundy

Health

Alliance

Medicare

Simplete

Riverside

2 (HMO)

Local

HMO $ 48.00 $ - Enhanced No EA H1463 033 0 4,950$ 3.5 Stars

Illinois Grundy

Health

Alliance

Medicare

Simplete

Riverside

3 (HMO-

POS)

Local

HMO $ 68.00 $ - Enhanced No EA H1463 034 0 4,950$ 3.5 Stars

Illinois Grundy Humana

Humana

Gold

Choice

H8145-

008

(PFFS)

PFFS $ 166.00 $ 380.00 Enhanced No EA H8145 008 0 -$ 3.5 Stars

Illinois Grundy Humana

Humana

Gold

Choice

H8145-

121

(PFFS)

PFFS * $ 75.00 H8145 121 0 -$ 3.5 Stars

Illinois Grundy Humana

HumanaC

hoice

R5361-

001

(Regional

PPO)

Regional

PPO * $ - R5361 001 0 6,700$ 3.5 Stars

Page 73: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Grundy Humana

HumanaC

hoice

R5361-

002

(Regional

PPO)

Regional

PPO $ 139.00 $ 420.00 Basic No BA R5361 002 0 6,700$ 3.5 Stars

Illinois Grundy

Lasso

Healthcar

e

Lasso

Healthcar

e (MSA)

MSA * H1924 001 0 -$

Plan too

new to be

measured

Illinois Hamilton Humana

HumanaC

hoice

R5361-

001

(Regional

PPO)

Regional

PPO * $ - R5361 001 0 6,700$ 3.5 Stars

Illinois Hamilton Humana

HumanaC

hoice

R5361-

002

(Regional

PPO)

Regional

PPO $ 139.00 $ 420.00 Basic No BA R5361 002 0 6,700$ 3.5 Stars

Illinois Hamilton

Lasso

Healthcar

e

Lasso

Healthcar

e (MSA)

MSA * H1924 003 0 -$

Plan too

new to be

measured

Illinois HancockAetna

Medicare

Aetna

Medicare

Explorer

Value

(PPO)

Local PPO $ - $ - Enhanced Yes EA H5521 228 0 5,900$ 4.5 Stars

Illinois HancockAetna

Medicare

Aetna

Medicare

Premier

Advantra

(PPO)

Local PPO $ 23.00 $ - Enhanced Yes EA H7301 002 0 5,500$ 4.5 Stars

Illinois HancockAetna

Medicare

Aetna

Medicare

Value

Advantra

(PPO)

Local PPO $ - $ - Enhanced Yes EA H7301 006 0 5,900$ 4.5 Stars

Page 74: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Hancock

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO 20

Rx (HMO)

Local

HMO $ 120.00 $ - Enhanced No EA H1463 003 0 4,000$ 3.5 Stars

Illinois Hancock

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO 40

Rx (HMO)

Local

HMO $ 71.00 $ - Enhanced No EA H1463 010 0 4,700$ 3.5 Stars

Illinois Hancock

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO

Basic

(HMO)

Local

HMO * $ - H1463 008 0 6,700$ 3.5 Stars

Illinois Hancock

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO

Basic Rx

(HMO)

Local

HMO $ 32.00 $ - Enhanced No EA H1463 009 0 6,700$ 3.5 Stars

Illinois Hancock

Health

Alliance

Medicare

Health

Alliance

Medicare

POS 10 Rx

(HMO-

POS)

Local

HMO $ 160.00 $ - Enhanced No EA H1463 019 0 4,500$ 3.5 Stars

Illinois Hancock

Health

Alliance

Medicare

Health

Alliance

Medicare

POS 30 Rx

(HMO-

POS)

Local

HMO $ 100.00 $ - Enhanced No EA H1463 017 0 5,500$ 3.5 Stars

Page 75: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Hancock

Health

Alliance

Medicare

Health

Alliance

Medicare

POS Basic

(HMO-

POS)

Local

HMO * $ 23.00 H1463 014 0 6,700$ 3.5 Stars

Illinois Hancock

Health

Alliance

Medicare

Health

Alliance

Medicare

POS Basic

Rx (HMO-

POS)

Local

HMO $ 51.00 $ - Enhanced No EA H1463 015 0 6,700$ 3.5 Stars

Illinois Hancock Humana

HumanaC

hoice

H5525-

004 (PPO)

Local PPO $ 106.00 $ 250.00 Enhanced No EA H5525 004 0 5,500$ 4 Stars

Illinois Hancock Humana

HumanaC

hoice

R5361-

001

(Regional

PPO)

Regional

PPO * $ - R5361 001 0 6,700$ 3.5 Stars

Illinois Hancock Humana

HumanaC

hoice

R5361-

002

(Regional

PPO)

Regional

PPO $ 139.00 $ 420.00 Basic No BA R5361 002 0 6,700$ 3.5 Stars

Illinois Hancock

Lasso

Healthcar

e

Lasso

Healthcar

e (MSA)

MSA * H1924 002 0 -$

Plan too

new to be

measured

Illinois Hardin Humana

Humana

Gold

Choice

H8145-

008

(PFFS)

PFFS $ 166.00 $ 380.00 Enhanced No EA H8145 008 0 -$ 3.5 Stars

Page 76: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Hardin Humana

Humana

Gold

Choice

H8145-

121

(PFFS)

PFFS * $ 75.00 H8145 121 0 -$ 3.5 Stars

Illinois Hardin Humana

HumanaC

hoice

R5361-

001

(Regional

PPO)

Regional

PPO * $ - R5361 001 0 6,700$ 3.5 Stars

Illinois Hardin Humana

HumanaC

hoice

R5361-

002

(Regional

PPO)

Regional

PPO $ 139.00 $ 420.00 Basic No BA R5361 002 0 6,700$ 3.5 Stars

Illinois Hardin

Lasso

Healthcar

e

Lasso

Healthcar

e (MSA)

MSA * H1924 003 0 -$

Plan too

new to be

measured

IllinoisHenderso

n

Aetna

Medicare

Aetna

Medicare

Explorer

Value

(PPO)

Local PPO $ - $ - Enhanced Yes EA H5521 228 0 5,900$ 4.5 Stars

IllinoisHenderso

n

Aetna

Medicare

Aetna

Medicare

Premier

Advantra

(PPO)

Local PPO $ 23.00 $ - Enhanced Yes EA H7301 002 0 5,500$ 4.5 Stars

IllinoisHenderso

n

Aetna

Medicare

Aetna

Medicare

Value

Advantra

(PPO)

Local PPO $ - $ - Enhanced Yes EA H7301 006 0 5,900$ 4.5 Stars

Page 77: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

IllinoisHenderso

n

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO 20

Rx (HMO)

Local

HMO $ 120.00 $ - Enhanced No EA H1463 003 0 4,000$ 3.5 Stars

IllinoisHenderso

n

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO 40

Rx (HMO)

Local

HMO $ 71.00 $ - Enhanced No EA H1463 010 0 4,700$ 3.5 Stars

IllinoisHenderso

n

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO

Basic

(HMO)

Local

HMO * $ - H1463 008 0 6,700$ 3.5 Stars

IllinoisHenderso

n

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO

Basic Rx

(HMO)

Local

HMO $ 32.00 $ - Enhanced No EA H1463 009 0 6,700$ 3.5 Stars

IllinoisHenderso

n

Health

Alliance

Medicare

Health

Alliance

Medicare

POS 10 Rx

(HMO-

POS)

Local

HMO $ 160.00 $ - Enhanced No EA H1463 019 0 4,500$ 3.5 Stars

IllinoisHenderso

n

Health

Alliance

Medicare

Health

Alliance

Medicare

POS 30 Rx

(HMO-

POS)

Local

HMO $ 100.00 $ - Enhanced No EA H1463 017 0 5,500$ 3.5 Stars

Page 78: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

IllinoisHenderso

n

Health

Alliance

Medicare

Health

Alliance

Medicare

POS Basic

(HMO-

POS)

Local

HMO * $ 23.00 H1463 014 0 6,700$ 3.5 Stars

IllinoisHenderso

n

Health

Alliance

Medicare

Health

Alliance

Medicare

POS Basic

Rx (HMO-

POS)

Local

HMO $ 51.00 $ - Enhanced No EA H1463 015 0 6,700$ 3.5 Stars

IllinoisHenderso

n

Health

Alliance

Medicare

OSF

MedAdva

ntage

Core

(HMO)

Local

HMO $ - $ - Enhanced No EA H1463 035 0 4,000$ 3.5 Stars

IllinoisHenderso

n

Health

Alliance

Medicare

OSF

MedAdva

ntage

Open

(HMO-

POS)

Local

HMO $ 35.00 $ - Enhanced No EA H1463 036 0 4,500$ 3.5 Stars

IllinoisHenderso

n

Health

Alliance

Medicare

OSF

MedAdva

ntage Plus

(HMO-

POS)

Local

HMO $ 135.00 $ - Enhanced No EA H1463 037 0 3,400$ 3.5 Stars

IllinoisHenderso

n

Health

Alliance

Medicare

OSF

MedAdva

ntage

Select

(HMO)

Local

HMO $ 110.00 $ - Enhanced No EA H1463 038 0 3,400$ 3.5 Stars

IllinoisHenderso

nHumana

HumanaC

hoice

H5525-

004 (PPO)

Local PPO $ 106.00 $ 250.00 Enhanced No EA H5525 004 0 5,500$ 4 Stars

Page 79: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

IllinoisHenderso

nHumana

HumanaC

hoice

R5361-

001

(Regional

PPO)

Regional

PPO * $ - R5361 001 0 6,700$ 3.5 Stars

IllinoisHenderso

nHumana

HumanaC

hoice

R5361-

002

(Regional

PPO)

Regional

PPO $ 139.00 $ 420.00 Basic No BA R5361 002 0 6,700$ 3.5 Stars

IllinoisHenderso

n

Lasso

Healthcar

e

Lasso

Healthcar

e (MSA)

MSA * H1924 001 0 -$

Plan too

new to be

measured

IllinoisHenderso

n

UnitedHe

althcare

AARP

Medicare

Advantag

e (HMO-

POS)

Local

HMO $ 34.00 $ - Enhanced No EA H5253 108 1 3,900$ 4.5 Stars

IllinoisHenderso

n

UnitedHe

althcare

AARP

Medicare

Advantag

e Choice

(PPO)

Local PPO $ 79.00 $ - Enhanced No EA H8768 003 0 3,400$ 4.5 Stars

IllinoisHenderso

n

UnitedHe

althcare

AARP

Medicare

Advantag

e

Walgreen

s (PPO)

Local PPO $ - $ 250.00 Enhanced No EA H8768 011 0 5,900$ 4.5 Stars

Illinois HenryAetna

Medicare

Aetna

Medicare

Explorer

Value

(PPO)

Local PPO $ - $ - Enhanced Yes EA H5521 228 0 5,900$ 4.5 Stars

Page 80: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois HenryAetna

Medicare

Aetna

Medicare

Premier

Advantra

(PPO)

Local PPO $ 23.00 $ - Enhanced Yes EA H7301 002 0 5,500$ 4.5 Stars

Illinois HenryAetna

Medicare

Aetna

Medicare

Value

Advantra

(PPO)

Local PPO $ - $ - Enhanced Yes EA H7301 006 0 5,900$ 4.5 Stars

Illinois Henry

Health

Alliance

Medicare

Health

Alliance

Medicare

Guide

HMO Rx 2

(HMO)

Local

HMO $ - $ - Enhanced No EA H1463 021 0 5,900$ 3.5 Stars

Illinois Henry

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO 20

Rx (HMO)

Local

HMO $ 120.00 $ - Enhanced No EA H1463 003 0 4,000$ 3.5 Stars

Illinois Henry

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO 40

Rx (HMO)

Local

HMO $ 71.00 $ - Enhanced No EA H1463 010 0 4,700$ 3.5 Stars

Illinois Henry

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO

Basic

(HMO)

Local

HMO * $ - H1463 008 0 6,700$ 3.5 Stars

Illinois Henry

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO

Basic Rx

(HMO)

Local

HMO $ 32.00 $ - Enhanced No EA H1463 009 0 6,700$ 3.5 Stars

Page 81: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Henry

Health

Alliance

Medicare

Health

Alliance

Medicare

POS 10 Rx

(HMO-

POS)

Local

HMO $ 160.00 $ - Enhanced No EA H1463 019 0 4,500$ 3.5 Stars

Illinois Henry

Health

Alliance

Medicare

Health

Alliance

Medicare

POS 30 Rx

(HMO-

POS)

Local

HMO $ 100.00 $ - Enhanced No EA H1463 017 0 5,500$ 3.5 Stars

Illinois Henry

Health

Alliance

Medicare

Health

Alliance

Medicare

POS Basic

(HMO-

POS)

Local

HMO * $ 23.00 H1463 014 0 6,700$ 3.5 Stars

Illinois Henry

Health

Alliance

Medicare

Health

Alliance

Medicare

POS Basic

Rx (HMO-

POS)

Local

HMO $ 51.00 $ - Enhanced No EA H1463 015 0 6,700$ 3.5 Stars

Illinois Henry

Health

Alliance

Medicare

OSF

MedAdva

ntage

Core

(HMO)

Local

HMO $ - $ - Enhanced No EA H1463 035 0 4,000$ 3.5 Stars

Illinois Henry

Health

Alliance

Medicare

OSF

MedAdva

ntage

Open

(HMO-

POS)

Local

HMO $ 35.00 $ - Enhanced No EA H1463 036 0 4,500$ 3.5 Stars

Page 82: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Henry

Health

Alliance

Medicare

OSF

MedAdva

ntage Plus

(HMO-

POS)

Local

HMO $ 135.00 $ - Enhanced No EA H1463 037 0 3,400$ 3.5 Stars

Illinois Henry

Health

Alliance

Medicare

OSF

MedAdva

ntage

Select

(HMO)

Local

HMO $ 110.00 $ - Enhanced No EA H1463 038 0 3,400$ 3.5 Stars

Illinois Henry Humana

HumanaC

hoice

H5216-

013 (PPO)

Local PPO $ 88.00 $ - Enhanced No EA H5216 013 0 6,700$ 4 Stars

Illinois Henry Humana

HumanaC

hoice

R5361-

001

(Regional

PPO)

Regional

PPO * $ - R5361 001 0 6,700$ 3.5 Stars

Illinois Henry Humana

HumanaC

hoice

R5361-

002

(Regional

PPO)

Regional

PPO $ 139.00 $ 420.00 Basic No BA R5361 002 0 6,700$ 3.5 Stars

Illinois Henry

Lasso

Healthcar

e

Lasso

Healthcar

e (MSA)

MSA * H1924 001 0 -$

Plan too

new to be

measured

Illinois HenryUnitedHe

althcare

AARP

Medicare

Advantag

e (HMO-

POS)

Local

HMO $ 36.00 $ - Enhanced No EA H5253 108 2 3,900$ 4.5 Stars

Illinois HenryUnitedHe

althcare

AARP

Medicare

Advantag

e Choice

(PPO)

Local PPO $ - $ - Enhanced No EA H8768 017 2 4,100$ 4.5 Stars

Page 83: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois IroquoisAetna

Medicare

Aetna

Medicare

Premier

Advantra

(PPO)

Local PPO $ 25.00 $ - Enhanced Yes EA H7301 009 0 5,500$ 4.5 Stars

Illinois IroquoisAetna

Medicare

Aetna

Medicare

Value

Advantra

(PPO)

Local PPO $ - $ - Enhanced Yes EA H7301 007 0 4,650$ 4.5 Stars

Illinois Iroquois

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO 20

Rx (HMO)

Local

HMO $ 120.00 $ - Enhanced No EA H1463 003 0 4,000$ 3.5 Stars

Illinois Iroquois

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO 40

Rx (HMO)

Local

HMO $ 71.00 $ - Enhanced No EA H1463 010 0 4,700$ 3.5 Stars

Illinois Iroquois

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO

Basic

(HMO)

Local

HMO * $ - H1463 008 0 6,700$ 3.5 Stars

Illinois Iroquois

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO

Basic Rx

(HMO)

Local

HMO $ 32.00 $ - Enhanced No EA H1463 009 0 6,700$ 3.5 Stars

Illinois Iroquois

Health

Alliance

Medicare

Health

Alliance

Medicare

POS 10 Rx

(HMO-

POS)

Local

HMO $ 160.00 $ - Enhanced No EA H1463 019 0 4,500$ 3.5 Stars

Page 84: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Iroquois

Health

Alliance

Medicare

Health

Alliance

Medicare

POS 30 Rx

(HMO-

POS)

Local

HMO $ 100.00 $ - Enhanced No EA H1463 017 0 5,500$ 3.5 Stars

Illinois Iroquois

Health

Alliance

Medicare

Health

Alliance

Medicare

POS Basic

(HMO-

POS)

Local

HMO * $ 23.00 H1463 014 0 6,700$ 3.5 Stars

Illinois Iroquois

Health

Alliance

Medicare

Health

Alliance

Medicare

POS Basic

Rx (HMO-

POS)

Local

HMO $ 51.00 $ - Enhanced No EA H1463 015 0 6,700$ 3.5 Stars

Illinois Iroquois

Health

Alliance

Medicare

Simplete

Riverside

1 (HMO)

Local

HMO $ - $ - Enhanced No EA H1463 032 0 4,750$ 3.5 Stars

Illinois Iroquois

Health

Alliance

Medicare

Simplete

Riverside

2 (HMO)

Local

HMO $ 48.00 $ - Enhanced No EA H1463 033 0 4,950$ 3.5 Stars

Illinois Iroquois

Health

Alliance

Medicare

Simplete

Riverside

3 (HMO-

POS)

Local

HMO $ 68.00 $ - Enhanced No EA H1463 034 0 4,950$ 3.5 Stars

Illinois Iroquois Humana

Humana

Gold

Choice

H8145-

008

(PFFS)

PFFS $ 166.00 $ 380.00 Enhanced No EA H8145 008 0 -$ 3.5 Stars

Page 85: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Iroquois Humana

Humana

Gold

Choice

H8145-

121

(PFFS)

PFFS * $ 75.00 H8145 121 0 -$ 3.5 Stars

Illinois Iroquois Humana

HumanaC

hoice

R5361-

001

(Regional

PPO)

Regional

PPO * $ - R5361 001 0 6,700$ 3.5 Stars

Illinois Iroquois Humana

HumanaC

hoice

R5361-

002

(Regional

PPO)

Regional

PPO $ 139.00 $ 420.00 Basic No BA R5361 002 0 6,700$ 3.5 Stars

Illinois Iroquois

Lasso

Healthcar

e

Lasso

Healthcar

e (MSA)

MSA * H1924 002 0 -$

Plan too

new to be

measured

Illinois JacksonAetna

Medicare

Aetna

Medicare

Premier

Plus (PPO)

Local PPO $ - $ 150.00 Enhanced Yes EA H1608 056 0 5,900$ 3.5 Stars

Illinois Jackson

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO 20

Rx (HMO)

Local

HMO $ 120.00 $ - Enhanced No EA H1463 003 0 4,000$ 3.5 Stars

Illinois Jackson

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO 40

Rx (HMO)

Local

HMO $ 71.00 $ - Enhanced No EA H1463 010 0 4,700$ 3.5 Stars

Page 86: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Jackson

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO

Basic

(HMO)

Local

HMO * $ - H1463 008 0 6,700$ 3.5 Stars

Illinois Jackson

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO

Basic Rx

(HMO)

Local

HMO $ 32.00 $ - Enhanced No EA H1463 009 0 6,700$ 3.5 Stars

Illinois Jackson

Health

Alliance

Medicare

Health

Alliance

Medicare

POS 10 Rx

(HMO-

POS)

Local

HMO $ 160.00 $ - Enhanced No EA H1463 019 0 4,500$ 3.5 Stars

Illinois Jackson

Health

Alliance

Medicare

Health

Alliance

Medicare

POS 30 Rx

(HMO-

POS)

Local

HMO $ 100.00 $ - Enhanced No EA H1463 017 0 5,500$ 3.5 Stars

Illinois Jackson

Health

Alliance

Medicare

Health

Alliance

Medicare

POS Basic

(HMO-

POS)

Local

HMO * $ 23.00 H1463 014 0 6,700$ 3.5 Stars

Illinois Jackson

Health

Alliance

Medicare

Health

Alliance

Medicare

POS Basic

Rx (HMO-

POS)

Local

HMO $ 51.00 $ - Enhanced No EA H1463 015 0 6,700$ 3.5 Stars

Page 87: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Jackson Humana

HumanaC

hoice

R5361-

001

(Regional

PPO)

Regional

PPO * $ - R5361 001 0 6,700$ 3.5 Stars

Illinois Jackson Humana

HumanaC

hoice

R5361-

002

(Regional

PPO)

Regional

PPO $ 139.00 $ 420.00 Basic No BA R5361 002 0 6,700$ 3.5 Stars

Illinois Jackson

Lasso

Healthcar

e

Lasso

Healthcar

e (MSA)

MSA * H1924 002 0 -$

Plan too

new to be

measured

Illinois JasperAetna

Medicare

Aetna

Medicare

Premier

Advantra

(PPO)

Local PPO $ 25.00 $ - Enhanced Yes EA H7301 009 0 5,500$ 4.5 Stars

Illinois JasperAetna

Medicare

Aetna

Medicare

Value

Advantra

(PPO)

Local PPO $ - $ - Enhanced Yes EA H7301 007 0 4,650$ 4.5 Stars

Illinois Jasper

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO 20

Rx (HMO)

Local

HMO $ 120.00 $ - Enhanced No EA H1463 003 0 4,000$ 3.5 Stars

Illinois Jasper

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO 40

Rx (HMO)

Local

HMO $ 71.00 $ - Enhanced No EA H1463 010 0 4,700$ 3.5 Stars

Page 88: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Jasper

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO

Basic

(HMO)

Local

HMO * $ - H1463 008 0 6,700$ 3.5 Stars

Illinois Jasper

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO

Basic Rx

(HMO)

Local

HMO $ 32.00 $ - Enhanced No EA H1463 009 0 6,700$ 3.5 Stars

Illinois Jasper

Health

Alliance

Medicare

Health

Alliance

Medicare

POS 10 Rx

(HMO-

POS)

Local

HMO $ 160.00 $ - Enhanced No EA H1463 019 0 4,500$ 3.5 Stars

Illinois Jasper

Health

Alliance

Medicare

Health

Alliance

Medicare

POS 30 Rx

(HMO-

POS)

Local

HMO $ 100.00 $ - Enhanced No EA H1463 017 0 5,500$ 3.5 Stars

Illinois Jasper

Health

Alliance

Medicare

Health

Alliance

Medicare

POS Basic

(HMO-

POS)

Local

HMO * $ 23.00 H1463 014 0 6,700$ 3.5 Stars

Illinois Jasper

Health

Alliance

Medicare

Health

Alliance

Medicare

POS Basic

Rx (HMO-

POS)

Local

HMO $ 51.00 $ - Enhanced No EA H1463 015 0 6,700$ 3.5 Stars

Page 89: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Jasper Humana

Humana

Gold

Choice

H8145-

008

(PFFS)

PFFS $ 166.00 $ 380.00 Enhanced No EA H8145 008 0 -$ 3.5 Stars

Illinois Jasper Humana

Humana

Gold

Choice

H8145-

121

(PFFS)

PFFS * $ 75.00 H8145 121 0 -$ 3.5 Stars

Illinois Jasper Humana

HumanaC

hoice

H5216-

013 (PPO)

Local PPO $ 88.00 $ - Enhanced No EA H5216 013 0 6,700$ 4 Stars

Illinois Jasper Humana

HumanaC

hoice

R5361-

001

(Regional

PPO)

Regional

PPO * $ - R5361 001 0 6,700$ 3.5 Stars

Illinois Jasper Humana

HumanaC

hoice

R5361-

002

(Regional

PPO)

Regional

PPO $ 139.00 $ 420.00 Basic No BA R5361 002 0 6,700$ 3.5 Stars

Illinois Jasper

Lasso

Healthcar

e

Lasso

Healthcar

e (MSA)

MSA * H1924 001 0 -$

Plan too

new to be

measured

Illinois Jefferson

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO 20

Rx (HMO)

Local

HMO $ 120.00 $ - Enhanced No EA H1463 003 0 4,000$ 3.5 Stars

Page 90: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Jefferson

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO 40

Rx (HMO)

Local

HMO $ 71.00 $ - Enhanced No EA H1463 010 0 4,700$ 3.5 Stars

Illinois Jefferson

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO

Basic

(HMO)

Local

HMO * $ - H1463 008 0 6,700$ 3.5 Stars

Illinois Jefferson

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO

Basic Rx

(HMO)

Local

HMO $ 32.00 $ - Enhanced No EA H1463 009 0 6,700$ 3.5 Stars

Illinois Jefferson

Health

Alliance

Medicare

Health

Alliance

Medicare

POS 10 Rx

(HMO-

POS)

Local

HMO $ 160.00 $ - Enhanced No EA H1463 019 0 4,500$ 3.5 Stars

Illinois Jefferson

Health

Alliance

Medicare

Health

Alliance

Medicare

POS 30 Rx

(HMO-

POS)

Local

HMO $ 100.00 $ - Enhanced No EA H1463 017 0 5,500$ 3.5 Stars

Illinois Jefferson

Health

Alliance

Medicare

Health

Alliance

Medicare

POS Basic

(HMO-

POS)

Local

HMO * $ 23.00 H1463 014 0 6,700$ 3.5 Stars

Page 91: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Jefferson

Health

Alliance

Medicare

Health

Alliance

Medicare

POS Basic

Rx (HMO-

POS)

Local

HMO $ 51.00 $ - Enhanced No EA H1463 015 0 6,700$ 3.5 Stars

Illinois Jefferson Humana

HumanaC

hoice

R5361-

001

(Regional

PPO)

Regional

PPO * $ - R5361 001 0 6,700$ 3.5 Stars

Illinois Jefferson Humana

HumanaC

hoice

R5361-

002

(Regional

PPO)

Regional

PPO $ 139.00 $ 420.00 Basic No BA R5361 002 0 6,700$ 3.5 Stars

Illinois Jefferson

Lasso

Healthcar

e

Lasso

Healthcar

e (MSA)

MSA * H1924 003 0 -$

Plan too

new to be

measured

Illinois JerseyAetna

Medicare

Aetna

Medicare

Advantra

1 (HMO-

POS)

Local

HMO $ 33.00 $ - Enhanced Yes EA H2663 006 0 5,200$ 4 Stars

Illinois JerseyAetna

Medicare

Aetna

Medicare

Advantra

2 (HMO)

Local

HMO $ 81.00 $ - Enhanced Yes EA H2663 002 0 2,900$ 4 Stars

Illinois JerseyAetna

Medicare

Aetna

Medicare

Elite

(PPO)

Local PPO $ - $ - Enhanced Yes EA H1608 050 0 3,400$ 3.5 Stars

Page 92: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois JerseyAetna

Medicare

Aetna

Medicare

Gold

Advantag

e Value

Prime

(HMO)

Local

HMO $ - $ - Enhanced Yes EA H2663 032 0 3,400$ 4 Stars

Illinois JerseyAetna

Medicare

Aetna

Medicare

Premier

Advantra

(PPO)

Local PPO $ 51.00 $ 200.00 Enhanced Yes EA H1608 013 0 6,000$ 3.5 Stars

Illinois Jersey Humana

HumanaC

hoice

R5361-

001

(Regional

PPO)

Regional

PPO * $ - R5361 001 0 6,700$ 3.5 Stars

Illinois Jersey Humana

HumanaC

hoice

R5361-

002

(Regional

PPO)

Regional

PPO $ 139.00 $ 420.00 Basic No BA R5361 002 0 6,700$ 3.5 Stars

Illinois Jersey

Lasso

Healthcar

e

Lasso

Healthcar

e (MSA)

MSA * H1924 001 0 -$

Plan too

new to be

measured

Illinois JerseyUnitedHe

althcare

AARP

Medicare

Advantag

e (HMO-

POS)

Local

HMO $ - $ - Enhanced No EA H2802 028 0 2,900$ 4 Stars

Illinois JerseyUnitedHe

althcare

AARP

Medicare

Advantag

e Choice

Plan 1

(PPO)

Local PPO $ 29.00 $ 150.00 Enhanced No EA H2228 030 0 4,400$ 4 Stars

Page 93: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois JerseyUnitedHe

althcare

AARP

Medicare

Advantag

e

Walgreen

s (PPO)

Local PPO $ - $ - Enhanced No EA H2228 083 0 3,900$ 4 Stars

Illinois Jo DaviessAetna

Medicare

Aetna

Medicare

Explorer

Value

(PPO)

Local PPO $ - $ - Enhanced Yes EA H5521 228 0 5,900$ 4.5 Stars

Illinois Jo DaviessAetna

Medicare

Aetna

Medicare

Premier

Advantra

(PPO)

Local PPO $ 23.00 $ - Enhanced Yes EA H7301 002 0 5,500$ 4.5 Stars

Illinois Jo DaviessAetna

Medicare

Aetna

Medicare

Value

Advantra

(PPO)

Local PPO $ - $ - Enhanced Yes EA H7301 006 0 5,900$ 4.5 Stars

Illinois Jo Daviess

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO 20

Rx (HMO)

Local

HMO $ 120.00 $ - Enhanced No EA H1463 003 0 4,000$ 3.5 Stars

Illinois Jo Daviess

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO 40

Rx (HMO)

Local

HMO $ 71.00 $ - Enhanced No EA H1463 010 0 4,700$ 3.5 Stars

Illinois Jo Daviess

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO

Basic

(HMO)

Local

HMO * $ - H1463 008 0 6,700$ 3.5 Stars

Page 94: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Jo Daviess

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO

Basic Rx

(HMO)

Local

HMO $ 32.00 $ - Enhanced No EA H1463 009 0 6,700$ 3.5 Stars

Illinois Jo Daviess

Health

Alliance

Medicare

Health

Alliance

Medicare

POS 10 Rx

(HMO-

POS)

Local

HMO $ 160.00 $ - Enhanced No EA H1463 019 0 4,500$ 3.5 Stars

Illinois Jo Daviess

Health

Alliance

Medicare

Health

Alliance

Medicare

POS 30 Rx

(HMO-

POS)

Local

HMO $ 100.00 $ - Enhanced No EA H1463 017 0 5,500$ 3.5 Stars

Illinois Jo Daviess

Health

Alliance

Medicare

Health

Alliance

Medicare

POS Basic

(HMO-

POS)

Local

HMO * $ 23.00 H1463 014 0 6,700$ 3.5 Stars

Illinois Jo Daviess

Health

Alliance

Medicare

Health

Alliance

Medicare

POS Basic

Rx (HMO-

POS)

Local

HMO $ 51.00 $ - Enhanced No EA H1463 015 0 6,700$ 3.5 Stars

Illinois Jo Daviess

HealthPar

tners

UnityPoin

t Health

HealthPar

tners

UnityPoin

t Health

Align

(PPO)

Local PPO $ - $ - Enhanced No EA H3416 001 5 3,700$ 4.5 Stars

Page 95: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Jo Daviess

HealthPar

tners

UnityPoin

t Health

HealthPar

tners

UnityPoin

t Health

Symmetry

(PPO)

Local PPO $ 39.00 $ - Enhanced Yes EA H3416 002 3 3,300$ 4.5 Stars

Illinois Jo Daviess Humana

Humana

Gold

Choice

H8145-

008

(PFFS)

PFFS $ 166.00 $ 380.00 Enhanced No EA H8145 008 0 -$ 3.5 Stars

Illinois Jo Daviess Humana

Humana

Gold

Choice

H8145-

121

(PFFS)

PFFS * $ 75.00 H8145 121 0 -$ 3.5 Stars

Illinois Jo Daviess Humana

HumanaC

hoice

R5361-

001

(Regional

PPO)

Regional

PPO * $ - R5361 001 0 6,700$ 3.5 Stars

Illinois Jo Daviess Humana

HumanaC

hoice

R5361-

002

(Regional

PPO)

Regional

PPO $ 139.00 $ 420.00 Basic No BA R5361 002 0 6,700$ 3.5 Stars

Illinois Jo Daviess

Lasso

Healthcar

e

Lasso

Healthcar

e (MSA)

MSA * H1924 001 0 -$

Plan too

new to be

measured

Illinois Jo Daviess

Medical

Associate

s Health

Plan, Inc.

Medical

Associate

s

Communi

ty Plan

Cost * $ 145.00 H1651 005 0 -$ 5 Stars

Page 96: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Jo Daviess

Medical

Associate

s Health

Plan, Inc.

Medical

Associate

s

Freedom

Plan

Cost * $ 145.00 H1651 009 0 -$ 5 Stars

Illinois Jo Daviess

Medical

Associate

s Health

Plan, Inc.

Medical

Associate

s

SmartPlan

Cost * $ 120.00 H1651 003 0 -$ 5 Stars

Illinois Jo DaviessUnitedHe

althcare

AARP

Medicare

Advantag

e (HMO-

POS)

Local

HMO $ 34.00 $ - Enhanced No EA H5253 108 1 3,900$ 4.5 Stars

Illinois Jo DaviessUnitedHe

althcare

AARP

Medicare

Advantag

e Choice

(PPO)

Local PPO $ 79.00 $ - Enhanced No EA H8768 003 0 3,400$ 4.5 Stars

Illinois Jo DaviessUnitedHe

althcare

AARP

Medicare

Advantag

e

Walgreen

s (PPO)

Local PPO $ - $ 250.00 Enhanced No EA H8768 011 0 5,900$ 4.5 Stars

Illinois JohnsonAetna

Medicare

Aetna

Medicare

Premier

Plus (PPO)

Local PPO $ - $ 150.00 Enhanced Yes EA H1608 056 0 5,900$ 3.5 Stars

Illinois Johnson

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO 20

Rx (HMO)

Local

HMO $ 120.00 $ - Enhanced No EA H1463 003 0 4,000$ 3.5 Stars

Illinois Johnson

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO 40

Rx (HMO)

Local

HMO $ 71.00 $ - Enhanced No EA H1463 010 0 4,700$ 3.5 Stars

Page 97: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Johnson

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO

Basic

(HMO)

Local

HMO * $ - H1463 008 0 6,700$ 3.5 Stars

Illinois Johnson

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO

Basic Rx

(HMO)

Local

HMO $ 32.00 $ - Enhanced No EA H1463 009 0 6,700$ 3.5 Stars

Illinois Johnson

Health

Alliance

Medicare

Health

Alliance

Medicare

POS 10 Rx

(HMO-

POS)

Local

HMO $ 160.00 $ - Enhanced No EA H1463 019 0 4,500$ 3.5 Stars

Illinois Johnson

Health

Alliance

Medicare

Health

Alliance

Medicare

POS 30 Rx

(HMO-

POS)

Local

HMO $ 100.00 $ - Enhanced No EA H1463 017 0 5,500$ 3.5 Stars

Illinois Johnson

Health

Alliance

Medicare

Health

Alliance

Medicare

POS Basic

(HMO-

POS)

Local

HMO * $ 23.00 H1463 014 0 6,700$ 3.5 Stars

Illinois Johnson

Health

Alliance

Medicare

Health

Alliance

Medicare

POS Basic

Rx (HMO-

POS)

Local

HMO $ 51.00 $ - Enhanced No EA H1463 015 0 6,700$ 3.5 Stars

Page 98: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Johnson Humana

Humana

Gold

Choice

H8145-

008

(PFFS)

PFFS $ 166.00 $ 380.00 Enhanced No EA H8145 008 0 -$ 3.5 Stars

Illinois Johnson Humana

Humana

Gold

Choice

H8145-

121

(PFFS)

PFFS * $ 75.00 H8145 121 0 -$ 3.5 Stars

Illinois Johnson Humana

HumanaC

hoice

R5361-

001

(Regional

PPO)

Regional

PPO * $ - R5361 001 0 6,700$ 3.5 Stars

Illinois Johnson Humana

HumanaC

hoice

R5361-

002

(Regional

PPO)

Regional

PPO $ 139.00 $ 420.00 Basic No BA R5361 002 0 6,700$ 3.5 Stars

Illinois Johnson

Lasso

Healthcar

e

Lasso

Healthcar

e (MSA)

MSA * H1924 003 0 -$

Plan too

new to be

measured

Illinois KaneAetna

Medicare

Aetna

Medicare

Value

(PPO)

Local PPO $ - $ - Enhanced Yes EA H5521 086 0 3,750$ 4.5 Stars

Illinois Kane Allwell

Allwell

Medicare

(HMO)

Local

HMO $ - $ - Enhanced No EA H1475 001 0 2,700$

Plan too

new to be

measured

Illinois KaneAscension

Complete

Ascension

Complete

Illinois

Reward

(HMO)

Local

HMO $ - $ 430.00 Enhanced No EA H7399 001 0 6,700$

Plan too

new to be

measured

Page 99: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois KaneAscension

Complete

Ascension

Complete

Illinois

Secure

(HMO)

Local

HMO $ - $ - Enhanced No EA H7399 002 0 2,900$

Plan too

new to be

measured

Illinois Kane

Blue Cross

and Blue

Shield of

IL, NM

Blue Cross

Medicare

Advantag

e Basic

(HMO)

Local

HMO $ - $ - Enhanced Yes EA H3822 001 0 3,400$ 3.5 Stars

Illinois Kane

Blue Cross

and Blue

Shield of

IL, NM

Blue Cross

Medicare

Advantag

e Basic

Plus

(HMO-

POS)

Local

HMO $ - $ - Enhanced Yes EA H3822 007 0 4,500$ 3.5 Stars

Illinois Kane

Blue Cross

and Blue

Shield of

IL, NM

Blue Cross

Medicare

Advantag

e Choice

Plus (PPO)

Local PPO $ 79.00 $ 435.00 Enhanced Yes EA H8634 003 0 6,700$ 3 Stars

Illinois Kane

Blue Cross

and Blue

Shield of

IL, NM

Blue Cross

Medicare

Advantag

e Choice

Premier

(PPO)

Local PPO $ 141.00 $ - Enhanced Yes EA H8634 004 0 5,900$ 3 Stars

Illinois Kane

Blue Cross

and Blue

Shield of

IL, NM

Blue Cross

Medicare

Advantag

e Premier

Plus

(HMO-

POS)

Local

HMO $ 83.00 $ - Enhanced Yes EA H3822 008 0 4,500$ 3.5 Stars

Illinois KaneBright

Health

Bright

Advantag

e Assist

(HMO)

Local

HMO $ 25.00 $ 435.00 Enhanced Yes EA H6121 003 0 6,700$

Plan too

new to be

measured

Page 100: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois KaneBright

Health

Bright

Advantag

e Flex

Plus (PPO)

Local PPO $ 49.00 $ - Enhanced Yes EA H3725 001 0 6,700$

Plan too

new to be

measured

Illinois Kane Cigna

Cigna-

HealthSpr

ing

Advantag

e (HMO)

Local

HMO * $ - H1415 013 0 5,400$ 3.5 Stars

Illinois Kane Cigna

Cigna-

HealthSpr

ing

Preferred

(HMO)

Local

HMO $ - $ - Enhanced No EA H1415 024 0 2,600$ 3.5 Stars

Illinois Kane Cigna

Cigna-

HealthSpr

ing

Premier

(HMO-

POS)

Local

HMO $ - $ - Enhanced No EA H1415 021 0 3,400$ 3.5 Stars

Illinois Kane Cigna

Cigna-

HealthSpr

ing True

Choice

(PPO)

Local PPO $ - $ - Enhanced No EA H7849 002 0 3,400$

Plan too

new to be

measured

Illinois Kane

Clear

Spring

Health

Clear

Spring

Health

Essential

(HMO)

Local

HMO $ - $ - Enhanced No EA H5454 002 0 2,900$

Plan too

new to be

measured

Illinois Kane

Clear

Spring

Health

Clear

Spring

Health

Essential

Plus

(HMO)

Local

HMO $ 49.00 $ - Enhanced No EA H5454 004 0 2,500$

Plan too

new to be

measured

Page 101: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Kane

Communi

ty Care

Alliance

of Illinois

Communi

ty

Advantag

e (HMO)

Local

HMO $ - $ - Enhanced No EA H3071 002 0 3,950$ 2.5 Stars

Illinois Kane

Communi

ty Care

Alliance

of Illinois

Communi

ty Flex-

Plan

(HMO-

POS)

Local

HMO $ 26.00 $ 435.00 Basic No DS H3071 003 0 3,950$ 2.5 Stars

Illinois Kane Humana

Humana

Communi

ty Select

HMO

H1468-

018

(HMO)

Local

HMO $ - $ - Enhanced No EA H1468 018 0 3,200$ 4.5 Stars

Illinois Kane Humana

Humana

Gold

Choice

H8145-

008

(PFFS)

PFFS $ 166.00 $ 380.00 Enhanced No EA H8145 008 0 -$ 3.5 Stars

Illinois Kane Humana

Humana

Gold Plus

H1468-

014

(HMO)

Local

HMO $ 28.00 $ - Enhanced No EA H1468 014 0 6,700$ 4.5 Stars

Illinois Kane Humana

HumanaC

hoice

H5216-

013 (PPO)

Local PPO $ 88.00 $ - Enhanced No EA H5216 013 0 6,700$ 4 Stars

Illinois Kane Humana

HumanaC

hoice

H5216-

178 (PPO)

Local PPO

* $ - H5216 178 1 6,700$ 4 Stars

Page 102: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Kane Humana

HumanaC

hoice

R5361-

001

(Regional

PPO)

Regional

PPO * $ - R5361 001 0 6,700$ 3.5 Stars

Illinois Kane Humana

HumanaC

hoice

R5361-

002

(Regional

PPO)

Regional

PPO $ 139.00 $ 420.00 Basic No BA R5361 002 0 6,700$ 3.5 Stars

Illinois Kane

Lasso

Healthcar

e

Lasso

Healthcar

e (MSA)

MSA * H1924 001 0 -$

Plan too

new to be

measured

Illinois Kane

Sunrise

Advantag

e Plan

Sunrise

Advantag

e

Communi

ty Plan

(HMO)

Local

HMO $ 69.00 $ - Enhanced No EA H4778 003 0 5,700$

Not

enough

data

available

Illinois KaneUnitedHe

althcare

AARP

Medicare

Advantag

e Access

(HMO)

Local

HMO $ - $ 100.00 Enhanced No EA H2802 024 0 3,600$ 4 Stars

Illinois KaneUnitedHe

althcare

AARP

Medicare

Advantag

e Choice

(PPO)

Local PPO $ 38.00 $ 195.00 Enhanced No EA H8768 005 0 3,900$ 4.5 Stars

Illinois KaneUnitedHe

althcare

AARP

Medicare

Advantag

e Plan 1

(HMO)

Local

HMO $ 26.00 $ 195.00 Enhanced No EA H2802 025 0 3,900$ 4 Stars

Page 103: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois KaneUnitedHe

althcare

AARP

Medicare

Advantag

e Plan 2

(HMO)

Local

HMO $ 76.00 $ 60.00 Enhanced No EA H2802 026 0 3,900$ 4 Stars

Illinois KaneUnitedHe

althcare

AARP

Medicare

Advantag

e

Walgreen

s (PPO)

Local PPO $ - $ 250.00 Enhanced No EA H8768 010 0 5,900$ 4.5 Stars

Illinois Kane WellCare

WellCare

Advance

(HMO-

POS)

Local

HMO * $ - H1416 053 0 3,900$ 3.5 Stars

Illinois Kane WellCare

WellCare

Choice

(HMO-

POS)

Local

HMO $ 39.00 $ - Enhanced Yes EA H1416 024 0 3,400$ 3.5 Stars

Illinois Kane WellCare

WellCare

Edge

(HMO)

Local

HMO $ 15.30 $ 435.00 Enhanced No EA H5779 006 0 3,400$ 3.5 Stars

Illinois Kane WellCare

WellCare

Essential

(HMO)

Local

HMO $ - $ - Enhanced No EA H5779 005 0 3,750$ 3.5 Stars

Illinois Kane WellCare

WellCare

Plus

(HMO)

Local

HMO $ 13.20 $ 435.00 Enhanced No EA H1416 048 0 3,400$ 3.5 Stars

Illinois Kane WellCareWellCare

Rx (HMO)

Local

HMO $ 12.60 $ 435.00 Enhanced No EA H1416 023 0 3,400$ 3.5 Stars

Illinois Kane WellCare

WellCare

Value

(HMO-

POS)

Local

HMO $ - $ - Enhanced No EA H1416 009 0 3,900$ 3.5 Stars

Illinois KankakeeAetna

Medicare

Aetna

Medicare

Premier

Plus (PPO)

Local PPO $ 58.00 $ - Enhanced Yes EA H5521 016 0 3,250$ 4.5 Stars

Page 104: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois KankakeeAetna

Medicare

Aetna

Medicare

Value

(PPO)

Local PPO $ - $ - Enhanced Yes EA H5521 086 0 3,750$ 4.5 Stars

Illinois Kankakee Cigna

Cigna-

HealthSpr

ing

Advantag

e (HMO)

Local

HMO * $ - H1415 013 0 5,400$ 3.5 Stars

Illinois Kankakee Cigna

Cigna-

HealthSpr

ing

Preferred

(HMO)

Local

HMO $ - $ - Enhanced No EA H1415 024 0 2,600$ 3.5 Stars

Illinois Kankakee Cigna

Cigna-

HealthSpr

ing

Premier

(HMO-

POS)

Local

HMO $ - $ - Enhanced No EA H1415 021 0 3,400$ 3.5 Stars

Illinois Kankakee

Clear

Spring

Health

Clear

Spring

Health

Essential

(HMO)

Local

HMO $ - $ - Enhanced No EA H5454 002 0 2,900$

Plan too

new to be

measured

Illinois Kankakee

Clear

Spring

Health

Clear

Spring

Health

Essential

Plus

(HMO)

Local

HMO $ 49.00 $ - Enhanced No EA H5454 004 0 2,500$

Plan too

new to be

measured

Illinois Kankakee

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO 20

Rx (HMO)

Local

HMO $ 120.00 $ - Enhanced No EA H1463 003 0 4,000$ 3.5 Stars

Page 105: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Kankakee

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO 40

Rx (HMO)

Local

HMO $ 71.00 $ - Enhanced No EA H1463 010 0 4,700$ 3.5 Stars

Illinois Kankakee

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO

Basic

(HMO)

Local

HMO * $ - H1463 008 0 6,700$ 3.5 Stars

Illinois Kankakee

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO

Basic Rx

(HMO)

Local

HMO $ 32.00 $ - Enhanced No EA H1463 009 0 6,700$ 3.5 Stars

Illinois Kankakee

Health

Alliance

Medicare

Health

Alliance

Medicare

POS 10 Rx

(HMO-

POS)

Local

HMO $ 160.00 $ - Enhanced No EA H1463 019 0 4,500$ 3.5 Stars

Illinois Kankakee

Health

Alliance

Medicare

Health

Alliance

Medicare

POS 30 Rx

(HMO-

POS)

Local

HMO $ 100.00 $ - Enhanced No EA H1463 017 0 5,500$ 3.5 Stars

Illinois Kankakee

Health

Alliance

Medicare

Health

Alliance

Medicare

POS Basic

(HMO-

POS)

Local

HMO * $ 23.00 H1463 014 0 6,700$ 3.5 Stars

Page 106: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Kankakee

Health

Alliance

Medicare

Health

Alliance

Medicare

POS Basic

Rx (HMO-

POS)

Local

HMO $ 51.00 $ - Enhanced No EA H1463 015 0 6,700$ 3.5 Stars

Illinois Kankakee

Health

Alliance

Medicare

Simplete

Riverside

1 (HMO)

Local

HMO $ - $ - Enhanced No EA H1463 032 0 4,750$ 3.5 Stars

Illinois Kankakee

Health

Alliance

Medicare

Simplete

Riverside

2 (HMO)

Local

HMO $ 48.00 $ - Enhanced No EA H1463 033 0 4,950$ 3.5 Stars

Illinois Kankakee

Health

Alliance

Medicare

Simplete

Riverside

3 (HMO-

POS)

Local

HMO $ 68.00 $ - Enhanced No EA H1463 034 0 4,950$ 3.5 Stars

Illinois Kankakee Humana

Humana

Gold

Choice

H8145-

008

(PFFS)

PFFS $ 166.00 $ 380.00 Enhanced No EA H8145 008 0 -$ 3.5 Stars

Illinois Kankakee Humana

Humana

Gold

Choice

H8145-

121

(PFFS)

PFFS * $ 75.00 H8145 121 0 -$ 3.5 Stars

Illinois Kankakee Humana

HumanaC

hoice

H5216-

013 (PPO)

Local PPO $ 88.00 $ - Enhanced No EA H5216 013 0 6,700$ 4 Stars

Illinois Kankakee Humana

HumanaC

hoice

H5216-

178 (PPO)

Local PPO

* $ - H5216 178 1 6,700$ 4 Stars

Page 107: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Kankakee Humana

HumanaC

hoice

R5361-

001

(Regional

PPO)

Regional

PPO * $ - R5361 001 0 6,700$ 3.5 Stars

Illinois Kankakee Humana

HumanaC

hoice

R5361-

002

(Regional

PPO)

Regional

PPO $ 139.00 $ 420.00 Basic No BA R5361 002 0 6,700$ 3.5 Stars

Illinois Kankakee

Lasso

Healthcar

e

Lasso

Healthcar

e (MSA)

MSA * H1924 001 0 -$

Plan too

new to be

measured

Illinois KankakeeUnitedHe

althcare

AARP

Medicare

Advantag

e Plan 1

(HMO)

Local

HMO $ 26.00 $ 195.00 Enhanced No EA H2802 025 0 3,900$ 4 Stars

Illinois KankakeeUnitedHe

althcare

AARP

Medicare

Advantag

e Plan 2

(HMO)

Local

HMO $ 76.00 $ 60.00 Enhanced No EA H2802 026 0 3,900$ 4 Stars

Illinois Kankakee WellCare

WellCare

Advance

(HMO-

POS)

Local

HMO * $ - H1416 053 0 3,900$ 3.5 Stars

Illinois Kankakee WellCare

WellCare

Choice

(HMO-

POS)

Local

HMO $ 39.00 $ - Enhanced Yes EA H1416 024 0 3,400$ 3.5 Stars

Illinois Kankakee WellCare

WellCare

Plus

(HMO)

Local

HMO $ 13.20 $ 435.00 Enhanced No EA H1416 048 0 3,400$ 3.5 Stars

Illinois Kankakee WellCareWellCare

Rx (HMO)

Local

HMO $ 12.60 $ 435.00 Enhanced No EA H1416 023 0 3,400$ 3.5 Stars

Page 108: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Kankakee WellCare

WellCare

Value

(HMO-

POS)

Local

HMO $ - $ - Enhanced No EA H1416 009 0 3,900$ 3.5 Stars

Illinois KendallAetna

Medicare

Aetna

Medicare

Explorer

Value

(PPO)

Local PPO $ - $ - Enhanced Yes EA H5521 228 0 5,900$ 4.5 Stars

Illinois KendallAetna

Medicare

Aetna

Medicare

Premier

Advantra

(PPO)

Local PPO $ 23.00 $ - Enhanced Yes EA H7301 002 0 5,500$ 4.5 Stars

Illinois KendallAetna

Medicare

Aetna

Medicare

Value

Advantra

(PPO)

Local PPO $ - $ - Enhanced Yes EA H7301 006 0 5,900$ 4.5 Stars

Illinois Kendall Humana

Humana

Communi

ty Select

HMO

H1468-

018

(HMO)

Local

HMO $ - $ - Enhanced No EA H1468 018 0 3,200$ 4.5 Stars

Illinois Kendall Humana

Humana

Gold

Choice

H8145-

008

(PFFS)

PFFS $ 166.00 $ 380.00 Enhanced No EA H8145 008 0 -$ 3.5 Stars

Illinois Kendall Humana

Humana

Gold Plus

H1468-

014

(HMO)

Local

HMO $ 28.00 $ - Enhanced No EA H1468 014 0 6,700$ 4.5 Stars

Page 109: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Kendall Humana

HumanaC

hoice

H5216-

013 (PPO)

Local PPO $ 88.00 $ - Enhanced No EA H5216 013 0 6,700$ 4 Stars

Illinois Kendall Humana

HumanaC

hoice

H5216-

178 (PPO)

Local PPO

* $ - H5216 178 1 6,700$ 4 Stars

Illinois Kendall Humana

HumanaC

hoice

R5361-

001

(Regional

PPO)

Regional

PPO * $ - R5361 001 0 6,700$ 3.5 Stars

Illinois Kendall Humana

HumanaC

hoice

R5361-

002

(Regional

PPO)

Regional

PPO $ 139.00 $ 420.00 Basic No BA R5361 002 0 6,700$ 3.5 Stars

Illinois Kendall

Lasso

Healthcar

e

Lasso

Healthcar

e (MSA)

MSA * H1924 001 0 -$

Plan too

new to be

measured

Illinois KendallUnitedHe

althcare

AARP

Medicare

Advantag

e Access

(HMO)

Local

HMO $ - $ 100.00 Enhanced No EA H2802 024 0 3,600$ 4 Stars

Illinois KendallUnitedHe

althcare

AARP

Medicare

Advantag

e Plan 1

(HMO)

Local

HMO $ 26.00 $ 195.00 Enhanced No EA H2802 025 0 3,900$ 4 Stars

Illinois KendallUnitedHe

althcare

AARP

Medicare

Advantag

e Plan 2

(HMO)

Local

HMO $ 76.00 $ 60.00 Enhanced No EA H2802 026 0 3,900$ 4 Stars

Page 110: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Knox

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO 20

Rx (HMO)

Local

HMO $ 120.00 $ - Enhanced No EA H1463 003 0 4,000$ 3.5 Stars

Illinois Knox

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO 40

Rx (HMO)

Local

HMO $ 71.00 $ - Enhanced No EA H1463 010 0 4,700$ 3.5 Stars

Illinois Knox

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO

Basic

(HMO)

Local

HMO * $ - H1463 008 0 6,700$ 3.5 Stars

Illinois Knox

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO

Basic Rx

(HMO)

Local

HMO $ 32.00 $ - Enhanced No EA H1463 009 0 6,700$ 3.5 Stars

Illinois Knox

Health

Alliance

Medicare

Health

Alliance

Medicare

POS 10 Rx

(HMO-

POS)

Local

HMO $ 160.00 $ - Enhanced No EA H1463 019 0 4,500$ 3.5 Stars

Illinois Knox

Health

Alliance

Medicare

Health

Alliance

Medicare

POS 30 Rx

(HMO-

POS)

Local

HMO $ 100.00 $ - Enhanced No EA H1463 017 0 5,500$ 3.5 Stars

Page 111: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Knox

Health

Alliance

Medicare

Health

Alliance

Medicare

POS Basic

(HMO-

POS)

Local

HMO * $ 23.00 H1463 014 0 6,700$ 3.5 Stars

Illinois Knox

Health

Alliance

Medicare

Health

Alliance

Medicare

POS Basic

Rx (HMO-

POS)

Local

HMO $ 51.00 $ - Enhanced No EA H1463 015 0 6,700$ 3.5 Stars

Illinois Knox

Health

Alliance

Medicare

OSF

MedAdva

ntage

Core

(HMO)

Local

HMO $ - $ - Enhanced No EA H1463 035 0 4,000$ 3.5 Stars

Illinois Knox

Health

Alliance

Medicare

OSF

MedAdva

ntage

Open

(HMO-

POS)

Local

HMO $ 35.00 $ - Enhanced No EA H1463 036 0 4,500$ 3.5 Stars

Illinois Knox

Health

Alliance

Medicare

OSF

MedAdva

ntage Plus

(HMO-

POS)

Local

HMO $ 135.00 $ - Enhanced No EA H1463 037 0 3,400$ 3.5 Stars

Illinois Knox

Health

Alliance

Medicare

OSF

MedAdva

ntage

Select

(HMO)

Local

HMO $ 110.00 $ - Enhanced No EA H1463 038 0 3,400$ 3.5 Stars

Illinois Knox Humana

Humana

Gold

Choice

H8145-

008

(PFFS)

PFFS $ 166.00 $ 380.00 Enhanced No EA H8145 008 0 -$ 3.5 Stars

Page 112: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Knox Humana

Humana

Gold Plus

H1468-

007

(HMO)

Local

HMO $ - $ 200.00 Enhanced No EA H1468 007 0 4,500$ 4.5 Stars

Illinois Knox Humana

HumanaC

hoice

H5525-

004 (PPO)

Local PPO $ 106.00 $ 250.00 Enhanced No EA H5525 004 0 5,500$ 4 Stars

Illinois Knox Humana

HumanaC

hoice

R5361-

001

(Regional

PPO)

Regional

PPO * $ - R5361 001 0 6,700$ 3.5 Stars

Illinois Knox Humana

HumanaC

hoice

R5361-

002

(Regional

PPO)

Regional

PPO $ 139.00 $ 420.00 Basic No BA R5361 002 0 6,700$ 3.5 Stars

Illinois Knox

Lasso

Healthcar

e

Lasso

Healthcar

e (MSA)

MSA * H1924 001 0 -$

Plan too

new to be

measured

Illinois KnoxUnitedHe

althcare

AARP

Medicare

Advantag

e (HMO-

POS)

Local

HMO $ 34.00 $ - Enhanced No EA H5253 108 1 3,900$ 4.5 Stars

Illinois KnoxUnitedHe

althcare

AARP

Medicare

Advantag

e Choice

(PPO)

Local PPO $ 79.00 $ - Enhanced No EA H8768 003 0 3,400$ 4.5 Stars

Page 113: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois KnoxUnitedHe

althcare

AARP

Medicare

Advantag

e

Walgreen

s (PPO)

Local PPO $ - $ 250.00 Enhanced No EA H8768 011 0 5,900$ 4.5 Stars

Illinois Knox WellCare

WellCare

Advance

(HMO-

POS)

Local

HMO * $ - H1416 053 0 3,900$ 3.5 Stars

Illinois Knox WellCare

WellCare

Choice

(HMO-

POS)

Local

HMO $ 39.00 $ - Enhanced Yes EA H1416 024 0 3,400$ 3.5 Stars

Illinois Knox WellCare

WellCare

Edge

(HMO)

Local

HMO $ 15.30 $ 435.00 Enhanced No EA H5779 006 0 3,400$ 3.5 Stars

Illinois Knox WellCare

WellCare

Essential

(HMO)

Local

HMO $ - $ - Enhanced No EA H5779 002 0 4,000$ 3.5 Stars

Illinois Knox WellCare

WellCare

Plus

(HMO)

Local

HMO $ 13.20 $ 435.00 Enhanced No EA H1416 048 0 3,400$ 3.5 Stars

Illinois Knox WellCareWellCare

Rx (HMO)

Local

HMO $ 12.60 $ 435.00 Enhanced No EA H1416 023 0 3,400$ 3.5 Stars

Illinois Knox WellCare

WellCare

Value

(HMO-

POS)

Local

HMO $ - $ - Enhanced No EA H1416 009 0 3,900$ 3.5 Stars

Illinois La SalleAetna

Medicare

Aetna

Medicare

Premier

Advantra

(PPO)

Local PPO $ 25.00 $ - Enhanced Yes EA H7301 009 0 5,500$ 4.5 Stars

Illinois La SalleAetna

Medicare

Aetna

Medicare

Value

Advantra

(PPO)

Local PPO $ - $ - Enhanced Yes EA H7301 007 0 4,650$ 4.5 Stars

Page 114: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois La Salle

Clear

Spring

Health

Clear

Spring

Health

Essential

(HMO)

Local

HMO $ - $ - Enhanced No EA H5454 002 0 2,900$

Plan too

new to be

measured

Illinois La Salle

Clear

Spring

Health

Clear

Spring

Health

Essential

Plus

(HMO)

Local

HMO $ 49.00 $ - Enhanced No EA H5454 004 0 2,500$

Plan too

new to be

measured

Illinois La Salle

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO 20

Rx (HMO)

Local

HMO $ 120.00 $ - Enhanced No EA H1463 003 0 4,000$ 3.5 Stars

Illinois La Salle

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO 40

Rx (HMO)

Local

HMO $ 71.00 $ - Enhanced No EA H1463 010 0 4,700$ 3.5 Stars

Illinois La Salle

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO

Basic

(HMO)

Local

HMO * $ - H1463 008 0 6,700$ 3.5 Stars

Illinois La Salle

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO

Basic Rx

(HMO)

Local

HMO $ 32.00 $ - Enhanced No EA H1463 009 0 6,700$ 3.5 Stars

Illinois La Salle

Health

Alliance

Medicare

Health

Alliance

Medicare

POS 10 Rx

(HMO-

POS)

Local

HMO $ 160.00 $ - Enhanced No EA H1463 019 0 4,500$ 3.5 Stars

Page 115: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois La Salle

Health

Alliance

Medicare

Health

Alliance

Medicare

POS 30 Rx

(HMO-

POS)

Local

HMO $ 100.00 $ - Enhanced No EA H1463 017 0 5,500$ 3.5 Stars

Illinois La Salle

Health

Alliance

Medicare

Health

Alliance

Medicare

POS Basic

(HMO-

POS)

Local

HMO * $ 23.00 H1463 014 0 6,700$ 3.5 Stars

Illinois La Salle

Health

Alliance

Medicare

Health

Alliance

Medicare

POS Basic

Rx (HMO-

POS)

Local

HMO $ 51.00 $ - Enhanced No EA H1463 015 0 6,700$ 3.5 Stars

Illinois La Salle

Health

Alliance

Medicare

OSF

MedAdva

ntage

Core

(HMO)

Local

HMO $ - $ - Enhanced No EA H1463 035 0 4,000$ 3.5 Stars

Illinois La Salle

Health

Alliance

Medicare

OSF

MedAdva

ntage

Open

(HMO-

POS)

Local

HMO $ 35.00 $ - Enhanced No EA H1463 036 0 4,500$ 3.5 Stars

Illinois La Salle

Health

Alliance

Medicare

OSF

MedAdva

ntage Plus

(HMO-

POS)

Local

HMO $ 135.00 $ - Enhanced No EA H1463 037 0 3,400$ 3.5 Stars

Illinois La Salle

Health

Alliance

Medicare

OSF

MedAdva

ntage

Select

(HMO)

Local

HMO $ 110.00 $ - Enhanced No EA H1463 038 0 3,400$ 3.5 Stars

Page 116: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois La Salle Humana

Humana

Gold

Choice

H8145-

008

(PFFS)

PFFS $ 166.00 $ 380.00 Enhanced No EA H8145 008 0 -$ 3.5 Stars

Illinois La Salle Humana

Humana

Gold

Choice

H8145-

121

(PFFS)

PFFS * $ 75.00 H8145 121 0 -$ 3.5 Stars

Illinois La Salle Humana

HumanaC

hoice

H5525-

004 (PPO)

Local PPO $ 106.00 $ 250.00 Enhanced No EA H5525 004 0 5,500$ 4 Stars

Illinois La Salle Humana

HumanaC

hoice

R5361-

001

(Regional

PPO)

Regional

PPO * $ - R5361 001 0 6,700$ 3.5 Stars

Illinois La Salle Humana

HumanaC

hoice

R5361-

002

(Regional

PPO)

Regional

PPO $ 139.00 $ 420.00 Basic No BA R5361 002 0 6,700$ 3.5 Stars

Illinois La Salle

Lasso

Healthcar

e

Lasso

Healthcar

e (MSA)

MSA * H1924 002 0 -$

Plan too

new to be

measured

Illinois LakeAetna

Medicare

Aetna

Medicare

Premier

Plus (PPO)

Local PPO $ 58.00 $ - Enhanced Yes EA H5521 016 0 3,250$ 4.5 Stars

Illinois LakeAetna

Medicare

Aetna

Medicare

Value

(PPO)

Local PPO $ - $ - Enhanced Yes EA H5521 086 0 3,750$ 4.5 Stars

Page 117: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Lake Cigna

Cigna-

HealthSpr

ing

Advantag

e (HMO)

Local

HMO * $ - H1415 013 0 5,400$ 3.5 Stars

Illinois Lake Cigna

Cigna-

HealthSpr

ing

Preferred

(HMO)

Local

HMO $ - $ - Enhanced No EA H1415 024 0 2,600$ 3.5 Stars

Illinois Lake Cigna

Cigna-

HealthSpr

ing

Premier

(HMO-

POS)

Local

HMO $ - $ - Enhanced No EA H1415 021 0 3,400$ 3.5 Stars

Illinois Lake Cigna

Cigna-

HealthSpr

ing True

Choice

(PPO)

Local PPO $ - $ - Enhanced No EA H7849 002 0 3,400$

Plan too

new to be

measured

Illinois Lake Humana

Humana

Gold Plus

H1468-

013

(HMO)

Local

HMO $ - $ - Enhanced No EA H1468 013 0 2,750$ 4.5 Stars

Illinois Lake Humana

HumanaC

hoice

H5216-

013 (PPO)

Local PPO $ 88.00 $ - Enhanced No EA H5216 013 0 6,700$ 4 Stars

Illinois Lake Humana

HumanaC

hoice

H5216-

178 (PPO)

Local PPO

* $ - H5216 178 1 6,700$ 4 Stars

Page 118: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Lake Humana

HumanaC

hoice

R5361-

001

(Regional

PPO)

Regional

PPO * $ - R5361 001 0 6,700$ 3.5 Stars

Illinois Lake Humana

HumanaC

hoice

R5361-

002

(Regional

PPO)

Regional

PPO $ 139.00 $ 420.00 Basic No BA R5361 002 0 6,700$ 3.5 Stars

Illinois Lake

Lasso

Healthcar

e

Lasso

Healthcar

e (MSA)

MSA * H1924 001 0 -$

Plan too

new to be

measured

Illinois Lake

Sunrise

Advantag

e Plan

Sunrise

Advantag

e

Communi

ty Plan

(HMO)

Local

HMO $ 69.00 $ - Enhanced No EA H4778 003 0 5,700$

Not

enough

data

available

Illinois LakeUnitedHe

althcare

AARP

Medicare

Advantag

e Access

(HMO)

Local

HMO $ - $ 100.00 Enhanced No EA H2802 024 0 3,600$ 4 Stars

Illinois LakeUnitedHe

althcare

AARP

Medicare

Advantag

e Choice

(PPO)

Local PPO $ 38.00 $ 195.00 Enhanced No EA H8768 005 0 3,900$ 4.5 Stars

Illinois LakeUnitedHe

althcare

AARP

Medicare

Advantag

e Plan 1

(HMO)

Local

HMO $ 26.00 $ 195.00 Enhanced No EA H2802 025 0 3,900$ 4 Stars

Page 119: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois LakeUnitedHe

althcare

AARP

Medicare

Advantag

e Plan 2

(HMO)

Local

HMO $ 76.00 $ 60.00 Enhanced No EA H2802 026 0 3,900$ 4 Stars

Illinois LakeUnitedHe

althcare

AARP

Medicare

Advantag

e

Walgreen

s (PPO)

Local PPO $ - $ 250.00 Enhanced No EA H8768 010 0 5,900$ 4.5 Stars

Illinois Lawrence

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO 20

Rx (HMO)

Local

HMO $ 120.00 $ - Enhanced No EA H1463 003 0 4,000$ 3.5 Stars

Illinois Lawrence

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO 40

Rx (HMO)

Local

HMO $ 71.00 $ - Enhanced No EA H1463 010 0 4,700$ 3.5 Stars

Illinois Lawrence

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO

Basic

(HMO)

Local

HMO * $ - H1463 008 0 6,700$ 3.5 Stars

Illinois Lawrence

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO

Basic Rx

(HMO)

Local

HMO $ 32.00 $ - Enhanced No EA H1463 009 0 6,700$ 3.5 Stars

Illinois Lawrence

Health

Alliance

Medicare

Health

Alliance

Medicare

POS 10 Rx

(HMO-

POS)

Local

HMO $ 160.00 $ - Enhanced No EA H1463 019 0 4,500$ 3.5 Stars

Page 120: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Lawrence

Health

Alliance

Medicare

Health

Alliance

Medicare

POS 30 Rx

(HMO-

POS)

Local

HMO $ 100.00 $ - Enhanced No EA H1463 017 0 5,500$ 3.5 Stars

Illinois Lawrence

Health

Alliance

Medicare

Health

Alliance

Medicare

POS Basic

(HMO-

POS)

Local

HMO * $ 23.00 H1463 014 0 6,700$ 3.5 Stars

Illinois Lawrence

Health

Alliance

Medicare

Health

Alliance

Medicare

POS Basic

Rx (HMO-

POS)

Local

HMO $ 51.00 $ - Enhanced No EA H1463 015 0 6,700$ 3.5 Stars

Illinois Lawrence Humana

Humana

Gold

Choice

H8145-

008

(PFFS)

PFFS $ 166.00 $ 380.00 Enhanced No EA H8145 008 0 -$ 3.5 Stars

Illinois Lawrence Humana

Humana

Gold

Choice

H8145-

121

(PFFS)

PFFS * $ 75.00 H8145 121 0 -$ 3.5 Stars

Illinois Lawrence Humana

HumanaC

hoice

R5361-

001

(Regional

PPO)

Regional

PPO * $ - R5361 001 0 6,700$ 3.5 Stars

Page 121: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Lawrence Humana

HumanaC

hoice

R5361-

002

(Regional

PPO)

Regional

PPO $ 139.00 $ 420.00 Basic No BA R5361 002 0 6,700$ 3.5 Stars

Illinois Lawrence

Lasso

Healthcar

e

Lasso

Healthcar

e (MSA)

MSA * H1924 003 0 -$

Plan too

new to be

measured

Illinois LeeAetna

Medicare

Aetna

Medicare

Explorer

Value

(PPO)

Local PPO $ - $ - Enhanced Yes EA H5521 228 0 5,900$ 4.5 Stars

Illinois LeeAetna

Medicare

Aetna

Medicare

Premier

Advantra

(PPO)

Local PPO $ 23.00 $ - Enhanced Yes EA H7301 002 0 5,500$ 4.5 Stars

Illinois LeeAetna

Medicare

Aetna

Medicare

Value

Advantra

(PPO)

Local PPO $ - $ - Enhanced Yes EA H7301 006 0 5,900$ 4.5 Stars

Illinois Lee

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO 20

Rx (HMO)

Local

HMO $ 120.00 $ - Enhanced No EA H1463 003 0 4,000$ 3.5 Stars

Illinois Lee

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO 40

Rx (HMO)

Local

HMO $ 71.00 $ - Enhanced No EA H1463 010 0 4,700$ 3.5 Stars

Page 122: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Lee

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO

Basic

(HMO)

Local

HMO * $ - H1463 008 0 6,700$ 3.5 Stars

Illinois Lee

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO

Basic Rx

(HMO)

Local

HMO $ 32.00 $ - Enhanced No EA H1463 009 0 6,700$ 3.5 Stars

Illinois Lee

Health

Alliance

Medicare

Health

Alliance

Medicare

POS 10 Rx

(HMO-

POS)

Local

HMO $ 160.00 $ - Enhanced No EA H1463 019 0 4,500$ 3.5 Stars

Illinois Lee

Health

Alliance

Medicare

Health

Alliance

Medicare

POS 30 Rx

(HMO-

POS)

Local

HMO $ 100.00 $ - Enhanced No EA H1463 017 0 5,500$ 3.5 Stars

Illinois Lee

Health

Alliance

Medicare

Health

Alliance

Medicare

POS Basic

(HMO-

POS)

Local

HMO * $ 23.00 H1463 014 0 6,700$ 3.5 Stars

Illinois Lee

Health

Alliance

Medicare

Health

Alliance

Medicare

POS Basic

Rx (HMO-

POS)

Local

HMO $ 51.00 $ - Enhanced No EA H1463 015 0 6,700$ 3.5 Stars

Page 123: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Lee Humana

Humana

Gold

Choice

H8145-

008

(PFFS)

PFFS $ 166.00 $ 380.00 Enhanced No EA H8145 008 0 -$ 3.5 Stars

Illinois Lee Humana

Humana

Gold

Choice

H8145-

121

(PFFS)

PFFS * $ 75.00 H8145 121 0 -$ 3.5 Stars

Illinois Lee Humana

HumanaC

hoice

H5525-

004 (PPO)

Local PPO $ 106.00 $ 250.00 Enhanced No EA H5525 004 0 5,500$ 4 Stars

Illinois Lee Humana

HumanaC

hoice

R5361-

001

(Regional

PPO)

Regional

PPO * $ - R5361 001 0 6,700$ 3.5 Stars

Illinois Lee Humana

HumanaC

hoice

R5361-

002

(Regional

PPO)

Regional

PPO $ 139.00 $ 420.00 Basic No BA R5361 002 0 6,700$ 3.5 Stars

Illinois Lee

Lasso

Healthcar

e

Lasso

Healthcar

e (MSA)

MSA * H1924 001 0 -$

Plan too

new to be

measured

Illinois LeeUnitedHe

althcare

AARP

Medicare

Advantag

e (HMO-

POS)

Local

HMO $ 34.00 $ - Enhanced No EA H5253 108 1 3,900$ 4.5 Stars

Page 124: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois LeeUnitedHe

althcare

AARP

Medicare

Advantag

e Choice

(PPO)

Local PPO $ 79.00 $ - Enhanced No EA H8768 003 0 3,400$ 4.5 Stars

Illinois LeeUnitedHe

althcare

AARP

Medicare

Advantag

e

Walgreen

s (PPO)

Local PPO $ - $ 250.00 Enhanced No EA H8768 011 0 5,900$ 4.5 Stars

Illinois LivingstonAetna

Medicare

Aetna

Medicare

Premier

Advantra

(PPO)

Local PPO $ 25.00 $ - Enhanced Yes EA H7301 009 0 5,500$ 4.5 Stars

Illinois LivingstonAetna

Medicare

Aetna

Medicare

Value

Advantra

(PPO)

Local PPO $ - $ - Enhanced Yes EA H7301 007 0 4,650$ 4.5 Stars

Illinois Livingston

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO 20

Rx (HMO)

Local

HMO $ 120.00 $ - Enhanced No EA H1463 003 0 4,000$ 3.5 Stars

Illinois Livingston

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO 40

Rx (HMO)

Local

HMO $ 71.00 $ - Enhanced No EA H1463 010 0 4,700$ 3.5 Stars

Illinois Livingston

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO

Basic

(HMO)

Local

HMO * $ - H1463 008 0 6,700$ 3.5 Stars

Page 125: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Livingston

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO

Basic Rx

(HMO)

Local

HMO $ 32.00 $ - Enhanced No EA H1463 009 0 6,700$ 3.5 Stars

Illinois Livingston

Health

Alliance

Medicare

Health

Alliance

Medicare

POS 10 Rx

(HMO-

POS)

Local

HMO $ 160.00 $ - Enhanced No EA H1463 019 0 4,500$ 3.5 Stars

Illinois Livingston

Health

Alliance

Medicare

Health

Alliance

Medicare

POS 30 Rx

(HMO-

POS)

Local

HMO $ 100.00 $ - Enhanced No EA H1463 017 0 5,500$ 3.5 Stars

Illinois Livingston

Health

Alliance

Medicare

Health

Alliance

Medicare

POS Basic

(HMO-

POS)

Local

HMO * $ 23.00 H1463 014 0 6,700$ 3.5 Stars

Illinois Livingston

Health

Alliance

Medicare

Health

Alliance

Medicare

POS Basic

Rx (HMO-

POS)

Local

HMO $ 51.00 $ - Enhanced No EA H1463 015 0 6,700$ 3.5 Stars

Illinois Livingston

Health

Alliance

Medicare

OSF

MedAdva

ntage

Core

(HMO)

Local

HMO $ - $ - Enhanced No EA H1463 035 0 4,000$ 3.5 Stars

Page 126: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Livingston

Health

Alliance

Medicare

OSF

MedAdva

ntage

Open

(HMO-

POS)

Local

HMO $ 35.00 $ - Enhanced No EA H1463 036 0 4,500$ 3.5 Stars

Illinois Livingston

Health

Alliance

Medicare

OSF

MedAdva

ntage Plus

(HMO-

POS)

Local

HMO $ 135.00 $ - Enhanced No EA H1463 037 0 3,400$ 3.5 Stars

Illinois Livingston

Health

Alliance

Medicare

OSF

MedAdva

ntage

Select

(HMO)

Local

HMO $ 110.00 $ - Enhanced No EA H1463 038 0 3,400$ 3.5 Stars

Illinois Livingston

Health

Alliance

Medicare

Simplete

Riverside

2 (HMO)

Local

HMO $ 48.00 $ - Enhanced No EA H1463 033 0 4,950$ 3.5 Stars

Illinois Livingston

Health

Alliance

Medicare

Simplete

Riverside

3 (HMO-

POS)

Local

HMO $ 68.00 $ - Enhanced No EA H1463 034 0 4,950$ 3.5 Stars

Illinois Livingston Humana

Humana

Gold Plus

H1468-

007

(HMO)

Local

HMO $ - $ 200.00 Enhanced No EA H1468 007 0 4,500$ 4.5 Stars

Illinois Livingston Humana

HumanaC

hoice

H5525-

004 (PPO)

Local PPO $ 106.00 $ 250.00 Enhanced No EA H5525 004 0 5,500$ 4 Stars

Illinois Livingston Humana

HumanaC

hoice

R5361-

001

(Regional

PPO)

Regional

PPO * $ - R5361 001 0 6,700$ 3.5 Stars

Page 127: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Livingston Humana

HumanaC

hoice

R5361-

002

(Regional

PPO)

Regional

PPO $ 139.00 $ 420.00 Basic No BA R5361 002 0 6,700$ 3.5 Stars

Illinois Livingston

Lasso

Healthcar

e

Lasso

Healthcar

e (MSA)

MSA * H1924 001 0 -$

Plan too

new to be

measured

Illinois LoganAetna

Medicare

Aetna

Medicare

Premier

Advantra

(PPO)

Local PPO $ 25.00 $ - Enhanced Yes EA H7301 009 0 5,500$ 4.5 Stars

Illinois LoganAetna

Medicare

Aetna

Medicare

Value

Advantra

(PPO)

Local PPO $ - $ - Enhanced Yes EA H7301 007 0 4,650$ 4.5 Stars

Illinois Logan

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO 20

Rx (HMO)

Local

HMO $ 120.00 $ - Enhanced No EA H1463 003 0 4,000$ 3.5 Stars

Illinois Logan

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO 40

Rx (HMO)

Local

HMO $ 71.00 $ - Enhanced No EA H1463 010 0 4,700$ 3.5 Stars

Illinois Logan

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO

Basic

(HMO)

Local

HMO * $ - H1463 008 0 6,700$ 3.5 Stars

Page 128: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Logan

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO

Basic Rx

(HMO)

Local

HMO $ 32.00 $ - Enhanced No EA H1463 009 0 6,700$ 3.5 Stars

Illinois Logan

Health

Alliance

Medicare

Health

Alliance

Medicare

POS 10 Rx

(HMO-

POS)

Local

HMO $ 160.00 $ - Enhanced No EA H1463 019 0 4,500$ 3.5 Stars

Illinois Logan

Health

Alliance

Medicare

Health

Alliance

Medicare

POS 30 Rx

(HMO-

POS)

Local

HMO $ 100.00 $ - Enhanced No EA H1463 017 0 5,500$ 3.5 Stars

Illinois Logan

Health

Alliance

Medicare

Health

Alliance

Medicare

POS Basic

(HMO-

POS)

Local

HMO * $ 23.00 H1463 014 0 6,700$ 3.5 Stars

Illinois Logan

Health

Alliance

Medicare

Health

Alliance

Medicare

POS Basic

Rx (HMO-

POS)

Local

HMO $ 51.00 $ - Enhanced No EA H1463 015 0 6,700$ 3.5 Stars

Illinois Logan Humana

Humana

Gold

Choice

H8145-

008

(PFFS)

PFFS $ 166.00 $ 380.00 Enhanced No EA H8145 008 0 -$ 3.5 Stars

Page 129: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Logan Humana

Humana

Gold

Choice

H8145-

121

(PFFS)

PFFS * $ 75.00 H8145 121 0 -$ 3.5 Stars

Illinois Logan Humana

HumanaC

hoice

R5361-

001

(Regional

PPO)

Regional

PPO * $ - R5361 001 0 6,700$ 3.5 Stars

Illinois Logan Humana

HumanaC

hoice

R5361-

002

(Regional

PPO)

Regional

PPO $ 139.00 $ 420.00 Basic No BA R5361 002 0 6,700$ 3.5 Stars

Illinois Logan

Lasso

Healthcar

e

Lasso

Healthcar

e (MSA)

MSA * H1924 001 0 -$

Plan too

new to be

measured

Illinois MaconAetna

Medicare

Aetna

Medicare

Premier

Advantra

(PPO)

Local PPO $ 25.00 $ - Enhanced Yes EA H7301 009 0 5,500$ 4.5 Stars

Illinois MaconAetna

Medicare

Aetna

Medicare

Value

Advantra

(PPO)

Local PPO $ - $ - Enhanced Yes EA H7301 007 0 4,650$ 4.5 Stars

Illinois Macon

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO 20

Rx (HMO)

Local

HMO $ 120.00 $ - Enhanced No EA H1463 003 0 4,000$ 3.5 Stars

Page 130: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Macon

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO 40

Rx (HMO)

Local

HMO $ 71.00 $ - Enhanced No EA H1463 010 0 4,700$ 3.5 Stars

Illinois Macon

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO

Basic

(HMO)

Local

HMO * $ - H1463 008 0 6,700$ 3.5 Stars

Illinois Macon

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO

Basic Rx

(HMO)

Local

HMO $ 32.00 $ - Enhanced No EA H1463 009 0 6,700$ 3.5 Stars

Illinois Macon

Health

Alliance

Medicare

Health

Alliance

Medicare

POS 10 Rx

(HMO-

POS)

Local

HMO $ 160.00 $ - Enhanced No EA H1463 019 0 4,500$ 3.5 Stars

Illinois Macon

Health

Alliance

Medicare

Health

Alliance

Medicare

POS 30 Rx

(HMO-

POS)

Local

HMO $ 100.00 $ - Enhanced No EA H1463 017 0 5,500$ 3.5 Stars

Illinois Macon

Health

Alliance

Medicare

Health

Alliance

Medicare

POS Basic

(HMO-

POS)

Local

HMO * $ 23.00 H1463 014 0 6,700$ 3.5 Stars

Page 131: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Macon

Health

Alliance

Medicare

Health

Alliance

Medicare

POS Basic

Rx (HMO-

POS)

Local

HMO $ 51.00 $ - Enhanced No EA H1463 015 0 6,700$ 3.5 Stars

Illinois Macon Humana

HumanaC

hoice

R5361-

001

(Regional

PPO)

Regional

PPO * $ - R5361 001 0 6,700$ 3.5 Stars

Illinois Macon Humana

HumanaC

hoice

R5361-

002

(Regional

PPO)

Regional

PPO $ 139.00 $ 420.00 Basic No BA R5361 002 0 6,700$ 3.5 Stars

Illinois Macon

Lasso

Healthcar

e

Lasso

Healthcar

e (MSA)

MSA * H1924 001 0 -$

Plan too

new to be

measured

Illinois MacoupinAetna

Medicare

Aetna

Medicare

Premier

Advantra

(PPO)

Local PPO $ 25.00 $ - Enhanced Yes EA H7301 009 0 5,500$ 4.5 Stars

Illinois MacoupinAetna

Medicare

Aetna

Medicare

Value

Advantra

(PPO)

Local PPO $ - $ - Enhanced Yes EA H7301 007 0 4,650$ 4.5 Stars

Illinois Macoupin

Clear

Spring

Health

Clear

Spring

Health

Essential

(HMO)

Local

HMO $ - $ - Enhanced No EA H5454 001 0 2,900$

Plan too

new to be

measured

Page 132: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Macoupin

Clear

Spring

Health

Clear

Spring

Health

Essential

Plus

(HMO)

Local

HMO $ 49.00 $ - Enhanced No EA H5454 003 0 2,500$

Plan too

new to be

measured

Illinois Macoupin

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO 20

Rx (HMO)

Local

HMO $ 120.00 $ - Enhanced No EA H1463 003 0 4,000$ 3.5 Stars

Illinois Macoupin

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO 40

Rx (HMO)

Local

HMO $ 71.00 $ - Enhanced No EA H1463 010 0 4,700$ 3.5 Stars

Illinois Macoupin

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO

Basic

(HMO)

Local

HMO * $ - H1463 008 0 6,700$ 3.5 Stars

Illinois Macoupin

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO

Basic Rx

(HMO)

Local

HMO $ 32.00 $ - Enhanced No EA H1463 009 0 6,700$ 3.5 Stars

Illinois Macoupin

Health

Alliance

Medicare

Health

Alliance

Medicare

POS 10 Rx

(HMO-

POS)

Local

HMO $ 160.00 $ - Enhanced No EA H1463 019 0 4,500$ 3.5 Stars

Page 133: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Macoupin

Health

Alliance

Medicare

Health

Alliance

Medicare

POS 30 Rx

(HMO-

POS)

Local

HMO $ 100.00 $ - Enhanced No EA H1463 017 0 5,500$ 3.5 Stars

Illinois Macoupin

Health

Alliance

Medicare

Health

Alliance

Medicare

POS Basic

(HMO-

POS)

Local

HMO * $ 23.00 H1463 014 0 6,700$ 3.5 Stars

Illinois Macoupin

Health

Alliance

Medicare

Health

Alliance

Medicare

POS Basic

Rx (HMO-

POS)

Local

HMO $ 51.00 $ - Enhanced No EA H1463 015 0 6,700$ 3.5 Stars

Illinois Macoupin Humana

HumanaC

hoice

R5361-

001

(Regional

PPO)

Regional

PPO * $ - R5361 001 0 6,700$ 3.5 Stars

Illinois Macoupin Humana

HumanaC

hoice

R5361-

002

(Regional

PPO)

Regional

PPO $ 139.00 $ 420.00 Basic No BA R5361 002 0 6,700$ 3.5 Stars

Illinois Macoupin

Lasso

Healthcar

e

Lasso

Healthcar

e (MSA)

MSA * H1924 001 0 -$

Plan too

new to be

measured

Illinois MacoupinUnitedHe

althcare

AARP

Medicare

Advantag

e (HMO-

POS)

Local

HMO $ - $ - Enhanced No EA H2802 028 0 2,900$ 4 Stars

Page 134: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois MacoupinUnitedHe

althcare

AARP

Medicare

Advantag

e Choice

Plan 1

(PPO)

Local PPO $ 29.00 $ 150.00 Enhanced No EA H2228 030 0 4,400$ 4 Stars

Illinois MacoupinUnitedHe

althcare

AARP

Medicare

Advantag

e

Walgreen

s (PPO)

Local PPO $ - $ - Enhanced No EA H2228 083 0 3,900$ 4 Stars

Illinois MadisonAetna

Medicare

Aetna

Medicare

Advantra

1 (HMO-

POS)

Local

HMO $ 33.00 $ - Enhanced Yes EA H2663 006 0 5,200$ 4 Stars

Illinois MadisonAetna

Medicare

Aetna

Medicare

Advantra

2 (HMO)

Local

HMO $ 81.00 $ - Enhanced Yes EA H2663 002 0 2,900$ 4 Stars

Illinois MadisonAetna

Medicare

Aetna

Medicare

Elite

(PPO)

Local PPO $ - $ - Enhanced Yes EA H1608 050 0 3,400$ 3.5 Stars

Illinois MadisonAetna

Medicare

Aetna

Medicare

Gold

Advantag

e Prime

(HMO)

Local

HMO $ - $ - Enhanced Yes EA H2663 005 0 2,800$ 4 Stars

Illinois MadisonAetna

Medicare

Aetna

Medicare

Premier

Advantra

(PPO)

Local PPO $ 51.00 $ 200.00 Enhanced Yes EA H1608 013 0 6,000$ 3.5 Stars

Page 135: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Madison

Clear

Spring

Health

Clear

Spring

Health

Essential

(HMO)

Local

HMO $ - $ - Enhanced No EA H5454 001 0 2,900$

Plan too

new to be

measured

Illinois Madison

Clear

Spring

Health

Clear

Spring

Health

Essential

Plus

(HMO)

Local

HMO $ 49.00 $ - Enhanced No EA H5454 003 0 2,500$

Plan too

new to be

measured

Illinois Madison

Essence

Healthcar

e

Essence

Advantag

e (HMO)

Local

HMO $ - $ - Enhanced No EA H2610 005 0 1,900$ 4 Stars

Illinois Madison

Essence

Healthcar

e

Essence

Advantag

e Plus

(HMO)

Local

HMO $ 73.00 $ - Enhanced Yes EA H2610 006 0 1,700$ 4 Stars

Illinois Madison

Essence

Healthcar

e

Essence

Advantag

e Select

(HMO)

Local

HMO $ - $ - Enhanced No EA H2610 016 0 2,900$ 4 Stars

Illinois Madison Humana

Humana

Gold

Choice

H8145-

008

(PFFS)

PFFS $ 166.00 $ 380.00 Enhanced No EA H8145 008 0 -$ 3.5 Stars

Illinois Madison Humana

Humana

Gold

Choice

H8145-

121

(PFFS)

PFFS * $ 75.00 H8145 121 0 -$ 3.5 Stars

Illinois Madison Humana

Humana

Gold Plus

H0028-

014

(HMO)

Local

HMO $ - $ - Enhanced No EA H0028 014 0 2,900$ 4.5 Stars

Page 136: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Madison Humana

Humana

Honor

(PPO)

Local PPO

* $ - H5216 140 0 4,900$ 4 Stars

Illinois Madison Humana

HumanaC

hoice

H5216-

032 (PPO)

Local PPO $ 82.00 $ 195.00 Enhanced No EA H5216 032 0 6,700$ 4 Stars

Illinois Madison Humana

HumanaC

hoice

H5216-

033 (PPO)

Local PPO $ - $ - Enhanced No EA H5216 033 2 3,600$ 4 Stars

Illinois Madison Humana

HumanaC

hoice

R5361-

001

(Regional

PPO)

Regional

PPO * $ - R5361 001 0 6,700$ 3.5 Stars

Illinois Madison Humana

HumanaC

hoice

R5361-

002

(Regional

PPO)

Regional

PPO $ 139.00 $ 420.00 Basic No BA R5361 002 0 6,700$ 3.5 Stars

Illinois Madison

Lasso

Healthcar

e

Lasso

Healthcar

e (MSA)

MSA * H1924 001 0 -$

Plan too

new to be

measured

Illinois MadisonUnitedHe

althcare

AARP

Medicare

Advantag

e (HMO-

POS)

Local

HMO $ - $ - Enhanced No EA H2802 028 0 2,900$ 4 Stars

Illinois MadisonUnitedHe

althcare

AARP

Medicare

Advantag

e Choice

Plan 1

(PPO)

Local PPO $ 29.00 $ 150.00 Enhanced No EA H2228 030 0 4,400$ 4 Stars

Page 137: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois MadisonUnitedHe

althcare

AARP

Medicare

Advantag

e

Walgreen

s (PPO)

Local PPO $ - $ - Enhanced No EA H2228 083 0 3,900$ 4 Stars

Illinois Madison WellCare

WellCare

Advance

(HMO-

POS)

Local

HMO * $ - H1416 053 0 3,900$ 3.5 Stars

Illinois Madison WellCare

WellCare

Choice

(HMO-

POS)

Local

HMO $ 39.00 $ - Enhanced Yes EA H1416 024 0 3,400$ 3.5 Stars

Illinois Madison WellCare

WellCare

Plus

(HMO)

Local

HMO $ 13.20 $ 435.00 Enhanced No EA H1416 048 0 3,400$ 3.5 Stars

Illinois Madison WellCareWellCare

Rx (HMO)

Local

HMO $ 12.60 $ 435.00 Enhanced No EA H1416 023 0 3,400$ 3.5 Stars

Illinois Madison WellCare

WellCare

Value

(HMO-

POS)

Local

HMO $ - $ - Enhanced No EA H1416 009 0 3,900$ 3.5 Stars

Illinois Marion

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO 20

Rx (HMO)

Local

HMO $ 120.00 $ - Enhanced No EA H1463 003 0 4,000$ 3.5 Stars

Illinois Marion

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO 40

Rx (HMO)

Local

HMO $ 71.00 $ - Enhanced No EA H1463 010 0 4,700$ 3.5 Stars

Illinois Marion

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO

Basic

(HMO)

Local

HMO * $ - H1463 008 0 6,700$ 3.5 Stars

Page 138: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Marion

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO

Basic Rx

(HMO)

Local

HMO $ 32.00 $ - Enhanced No EA H1463 009 0 6,700$ 3.5 Stars

Illinois Marion

Health

Alliance

Medicare

Health

Alliance

Medicare

POS 10 Rx

(HMO-

POS)

Local

HMO $ 160.00 $ - Enhanced No EA H1463 019 0 4,500$ 3.5 Stars

Illinois Marion

Health

Alliance

Medicare

Health

Alliance

Medicare

POS 30 Rx

(HMO-

POS)

Local

HMO $ 100.00 $ - Enhanced No EA H1463 017 0 5,500$ 3.5 Stars

Illinois Marion

Health

Alliance

Medicare

Health

Alliance

Medicare

POS Basic

(HMO-

POS)

Local

HMO * $ 23.00 H1463 014 0 6,700$ 3.5 Stars

Illinois Marion

Health

Alliance

Medicare

Health

Alliance

Medicare

POS Basic

Rx (HMO-

POS)

Local

HMO $ 51.00 $ - Enhanced No EA H1463 015 0 6,700$ 3.5 Stars

Illinois Marion Humana

HumanaC

hoice

R5361-

001

(Regional

PPO)

Regional

PPO * $ - R5361 001 0 6,700$ 3.5 Stars

Page 139: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Marion Humana

HumanaC

hoice

R5361-

002

(Regional

PPO)

Regional

PPO $ 139.00 $ 420.00 Basic No BA R5361 002 0 6,700$ 3.5 Stars

Illinois Marion

Lasso

Healthcar

e

Lasso

Healthcar

e (MSA)

MSA * H1924 003 0 -$

Plan too

new to be

measured

Illinois MarshallAetna

Medicare

Aetna

Medicare

Premier

Advantra

(PPO)

Local PPO $ 25.00 $ - Enhanced Yes EA H7301 009 0 5,500$ 4.5 Stars

Illinois MarshallAetna

Medicare

Aetna

Medicare

Value

Advantra

(PPO)

Local PPO $ - $ - Enhanced Yes EA H7301 007 0 4,650$ 4.5 Stars

Illinois Marshall

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO 20

Rx (HMO)

Local

HMO $ 120.00 $ - Enhanced No EA H1463 003 0 4,000$ 3.5 Stars

Illinois Marshall

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO 40

Rx (HMO)

Local

HMO $ 71.00 $ - Enhanced No EA H1463 010 0 4,700$ 3.5 Stars

Illinois Marshall

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO

Basic

(HMO)

Local

HMO * $ - H1463 008 0 6,700$ 3.5 Stars

Page 140: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Marshall

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO

Basic Rx

(HMO)

Local

HMO $ 32.00 $ - Enhanced No EA H1463 009 0 6,700$ 3.5 Stars

Illinois Marshall

Health

Alliance

Medicare

Health

Alliance

Medicare

POS 10 Rx

(HMO-

POS)

Local

HMO $ 160.00 $ - Enhanced No EA H1463 019 0 4,500$ 3.5 Stars

Illinois Marshall

Health

Alliance

Medicare

Health

Alliance

Medicare

POS 30 Rx

(HMO-

POS)

Local

HMO $ 100.00 $ - Enhanced No EA H1463 017 0 5,500$ 3.5 Stars

Illinois Marshall

Health

Alliance

Medicare

Health

Alliance

Medicare

POS Basic

(HMO-

POS)

Local

HMO * $ 23.00 H1463 014 0 6,700$ 3.5 Stars

Illinois Marshall

Health

Alliance

Medicare

Health

Alliance

Medicare

POS Basic

Rx (HMO-

POS)

Local

HMO $ 51.00 $ - Enhanced No EA H1463 015 0 6,700$ 3.5 Stars

Illinois Marshall

Health

Alliance

Medicare

OSF

MedAdva

ntage

Core

(HMO)

Local

HMO $ - $ - Enhanced No EA H1463 035 0 4,000$ 3.5 Stars

Page 141: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Marshall

Health

Alliance

Medicare

OSF

MedAdva

ntage

Open

(HMO-

POS)

Local

HMO $ 35.00 $ - Enhanced No EA H1463 036 0 4,500$ 3.5 Stars

Illinois Marshall

Health

Alliance

Medicare

OSF

MedAdva

ntage Plus

(HMO-

POS)

Local

HMO $ 135.00 $ - Enhanced No EA H1463 037 0 3,400$ 3.5 Stars

Illinois Marshall

Health

Alliance

Medicare

OSF

MedAdva

ntage

Select

(HMO)

Local

HMO $ 110.00 $ - Enhanced No EA H1463 038 0 3,400$ 3.5 Stars

Illinois Marshall Humana

Humana

Gold Plus

H1468-

007

(HMO)

Local

HMO $ - $ 200.00 Enhanced No EA H1468 007 0 4,500$ 4.5 Stars

Illinois Marshall Humana

HumanaC

hoice

H5525-

004 (PPO)

Local PPO $ 106.00 $ 250.00 Enhanced No EA H5525 004 0 5,500$ 4 Stars

Illinois Marshall Humana

HumanaC

hoice

R5361-

001

(Regional

PPO)

Regional

PPO * $ - R5361 001 0 6,700$ 3.5 Stars

Illinois Marshall Humana

HumanaC

hoice

R5361-

002

(Regional

PPO)

Regional

PPO $ 139.00 $ 420.00 Basic No BA R5361 002 0 6,700$ 3.5 Stars

Page 142: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Marshall

Lasso

Healthcar

e

Lasso

Healthcar

e (MSA)

MSA * H1924 001 0 -$

Plan too

new to be

measured

Illinois MarshallUnitedHe

althcare

AARP

Medicare

Advantag

e (HMO-

POS)

Local

HMO $ 34.00 $ - Enhanced No EA H5253 108 1 3,900$ 4.5 Stars

Illinois MarshallUnitedHe

althcare

AARP

Medicare

Advantag

e Choice

(PPO)

Local PPO $ 79.00 $ - Enhanced No EA H8768 003 0 3,400$ 4.5 Stars

Illinois MarshallUnitedHe

althcare

AARP

Medicare

Advantag

e

Walgreen

s (PPO)

Local PPO $ - $ 250.00 Enhanced No EA H8768 011 0 5,900$ 4.5 Stars

Illinois MasonAetna

Medicare

Aetna

Medicare

Premier

Advantra

(PPO)

Local PPO $ 25.00 $ - Enhanced Yes EA H7301 009 0 5,500$ 4.5 Stars

Illinois MasonAetna

Medicare

Aetna

Medicare

Value

Advantra

(PPO)

Local PPO $ - $ - Enhanced Yes EA H7301 007 0 4,650$ 4.5 Stars

Illinois Mason

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO 20

Rx (HMO)

Local

HMO $ 120.00 $ - Enhanced No EA H1463 003 0 4,000$ 3.5 Stars

Illinois Mason

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO 40

Rx (HMO)

Local

HMO $ 71.00 $ - Enhanced No EA H1463 010 0 4,700$ 3.5 Stars

Page 143: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Mason

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO

Basic

(HMO)

Local

HMO * $ - H1463 008 0 6,700$ 3.5 Stars

Illinois Mason

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO

Basic Rx

(HMO)

Local

HMO $ 32.00 $ - Enhanced No EA H1463 009 0 6,700$ 3.5 Stars

Illinois Mason

Health

Alliance

Medicare

Health

Alliance

Medicare

POS 10 Rx

(HMO-

POS)

Local

HMO $ 160.00 $ - Enhanced No EA H1463 019 0 4,500$ 3.5 Stars

Illinois Mason

Health

Alliance

Medicare

Health

Alliance

Medicare

POS 30 Rx

(HMO-

POS)

Local

HMO $ 100.00 $ - Enhanced No EA H1463 017 0 5,500$ 3.5 Stars

Illinois Mason

Health

Alliance

Medicare

Health

Alliance

Medicare

POS Basic

(HMO-

POS)

Local

HMO * $ 23.00 H1463 014 0 6,700$ 3.5 Stars

Illinois Mason

Health

Alliance

Medicare

Health

Alliance

Medicare

POS Basic

Rx (HMO-

POS)

Local

HMO $ 51.00 $ - Enhanced No EA H1463 015 0 6,700$ 3.5 Stars

Page 144: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Mason Humana

Humana

Gold

Choice

H8145-

008

(PFFS)

PFFS $ 166.00 $ 380.00 Enhanced No EA H8145 008 0 -$ 3.5 Stars

Illinois Mason Humana

Humana

Gold

Choice

H8145-

121

(PFFS)

PFFS * $ 75.00 H8145 121 0 -$ 3.5 Stars

Illinois Mason Humana

HumanaC

hoice

R5361-

001

(Regional

PPO)

Regional

PPO * $ - R5361 001 0 6,700$ 3.5 Stars

Illinois Mason Humana

HumanaC

hoice

R5361-

002

(Regional

PPO)

Regional

PPO $ 139.00 $ 420.00 Basic No BA R5361 002 0 6,700$ 3.5 Stars

Illinois Mason

Lasso

Healthcar

e

Lasso

Healthcar

e (MSA)

MSA * H1924 001 0 -$

Plan too

new to be

measured

Illinois Massac Humana

HumanaC

hoice

R5361-

001

(Regional

PPO)

Regional

PPO * $ - R5361 001 0 6,700$ 3.5 Stars

Illinois Massac Humana

HumanaC

hoice

R5361-

002

(Regional

PPO)

Regional

PPO $ 139.00 $ 420.00 Basic No BA R5361 002 0 6,700$ 3.5 Stars

Page 145: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Massac

Lasso

Healthcar

e

Lasso

Healthcar

e (MSA)

MSA * H1924 003 0 -$

Plan too

new to be

measured

IllinoisMcDonou

gh

Aetna

Medicare

Aetna

Medicare

Premier

Advantra

(PPO)

Local PPO $ 25.00 $ - Enhanced Yes EA H7301 009 0 5,500$ 4.5 Stars

IllinoisMcDonou

gh

Aetna

Medicare

Aetna

Medicare

Value

Advantra

(PPO)

Local PPO $ - $ - Enhanced Yes EA H7301 007 0 4,650$ 4.5 Stars

IllinoisMcDonou

gh

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO 20

Rx (HMO)

Local

HMO $ 120.00 $ - Enhanced No EA H1463 003 0 4,000$ 3.5 Stars

IllinoisMcDonou

gh

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO 40

Rx (HMO)

Local

HMO $ 71.00 $ - Enhanced No EA H1463 010 0 4,700$ 3.5 Stars

IllinoisMcDonou

gh

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO

Basic

(HMO)

Local

HMO * $ - H1463 008 0 6,700$ 3.5 Stars

IllinoisMcDonou

gh

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO

Basic Rx

(HMO)

Local

HMO $ 32.00 $ - Enhanced No EA H1463 009 0 6,700$ 3.5 Stars

Page 146: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

IllinoisMcDonou

gh

Health

Alliance

Medicare

Health

Alliance

Medicare

POS 10 Rx

(HMO-

POS)

Local

HMO $ 160.00 $ - Enhanced No EA H1463 019 0 4,500$ 3.5 Stars

IllinoisMcDonou

gh

Health

Alliance

Medicare

Health

Alliance

Medicare

POS 30 Rx

(HMO-

POS)

Local

HMO $ 100.00 $ - Enhanced No EA H1463 017 0 5,500$ 3.5 Stars

IllinoisMcDonou

gh

Health

Alliance

Medicare

Health

Alliance

Medicare

POS Basic

(HMO-

POS)

Local

HMO * $ 23.00 H1463 014 0 6,700$ 3.5 Stars

IllinoisMcDonou

gh

Health

Alliance

Medicare

Health

Alliance

Medicare

POS Basic

Rx (HMO-

POS)

Local

HMO $ 51.00 $ - Enhanced No EA H1463 015 0 6,700$ 3.5 Stars

IllinoisMcDonou

ghHumana

HumanaC

hoice

H5525-

004 (PPO)

Local PPO $ 106.00 $ 250.00 Enhanced No EA H5525 004 0 5,500$ 4 Stars

IllinoisMcDonou

ghHumana

HumanaC

hoice

R5361-

001

(Regional

PPO)

Regional

PPO * $ - R5361 001 0 6,700$ 3.5 Stars

Page 147: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

IllinoisMcDonou

ghHumana

HumanaC

hoice

R5361-

002

(Regional

PPO)

Regional

PPO $ 139.00 $ 420.00 Basic No BA R5361 002 0 6,700$ 3.5 Stars

IllinoisMcDonou

gh

Lasso

Healthcar

e

Lasso

Healthcar

e (MSA)

MSA * H1924 003 0 -$

Plan too

new to be

measured

Illinois McHenryAetna

Medicare

Aetna

Medicare

Premier

Plus (PPO)

Local PPO $ 58.00 $ - Enhanced Yes EA H5521 016 0 3,250$ 4.5 Stars

Illinois McHenryAetna

Medicare

Aetna

Medicare

Prime

(HMO)

Local

HMO $ - $ - Enhanced Yes EA H3192 001 0 3,450$

Plan too

new to be

measured

Illinois McHenryAetna

Medicare

Aetna

Medicare

Value

(HMO)

Local

HMO $ 9.00 $ 150.00 Enhanced Yes EA H3931 106 0 4,000$ 3.5 Stars

Illinois McHenryAetna

Medicare

Aetna

Medicare

Value

(PPO)

Local PPO $ - $ - Enhanced Yes EA H5521 086 0 3,750$ 4.5 Stars

Illinois McHenry

Clear

Spring

Health

Clear

Spring

Health

Essential

(HMO)

Local

HMO $ - $ - Enhanced No EA H5454 002 0 2,900$

Plan too

new to be

measured

Illinois McHenry

Clear

Spring

Health

Clear

Spring

Health

Essential

Plus

(HMO)

Local

HMO $ 49.00 $ - Enhanced No EA H5454 004 0 2,500$

Plan too

new to be

measured

Page 148: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois McHenry

Communi

ty Care

Alliance

of Illinois

Communi

ty

Advantag

e (HMO)

Local

HMO $ - $ - Enhanced No EA H3071 002 0 3,950$ 2.5 Stars

Illinois McHenry

Communi

ty Care

Alliance

of Illinois

Communi

ty Flex-

Plan

(HMO-

POS)

Local

HMO $ 26.00 $ 435.00 Basic No DS H3071 003 0 3,950$ 2.5 Stars

Illinois McHenry Humana

Humana

Communi

ty Select

HMO

H1468-

018

(HMO)

Local

HMO $ - $ - Enhanced No EA H1468 018 0 3,200$ 4.5 Stars

Illinois McHenry Humana

Humana

Gold

Choice

H8145-

008

(PFFS)

PFFS $ 166.00 $ 380.00 Enhanced No EA H8145 008 0 -$ 3.5 Stars

Illinois McHenry Humana

Humana

Gold Plus

H1468-

014

(HMO)

Local

HMO $ 28.00 $ - Enhanced No EA H1468 014 0 6,700$ 4.5 Stars

Illinois McHenry Humana

HumanaC

hoice

H5216-

013 (PPO)

Local PPO $ 88.00 $ - Enhanced No EA H5216 013 0 6,700$ 4 Stars

Illinois McHenry Humana

HumanaC

hoice

H5216-

178 (PPO)

Local PPO

* $ - H5216 178 1 6,700$ 4 Stars

Page 149: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois McHenry Humana

HumanaC

hoice

R5361-

001

(Regional

PPO)

Regional

PPO * $ - R5361 001 0 6,700$ 3.5 Stars

Illinois McHenry Humana

HumanaC

hoice

R5361-

002

(Regional

PPO)

Regional

PPO $ 139.00 $ 420.00 Basic No BA R5361 002 0 6,700$ 3.5 Stars

Illinois McHenry

Lasso

Healthcar

e

Lasso

Healthcar

e (MSA)

MSA * H1924 001 0 -$

Plan too

new to be

measured

Illinois McHenry

Sunrise

Advantag

e Plan

Sunrise

Advantag

e

Communi

ty Plan

(HMO)

Local

HMO $ 69.00 $ - Enhanced No EA H4778 003 0 5,700$

Not

enough

data

available

Illinois McHenryUnitedHe

althcare

AARP

Medicare

Advantag

e Access

(HMO)

Local

HMO $ - $ 100.00 Enhanced No EA H2802 024 0 3,600$ 4 Stars

Illinois McHenryUnitedHe

althcare

AARP

Medicare

Advantag

e Choice

(PPO)

Local PPO $ 38.00 $ 195.00 Enhanced No EA H8768 005 0 3,900$ 4.5 Stars

Illinois McHenryUnitedHe

althcare

AARP

Medicare

Advantag

e Plan 1

(HMO)

Local

HMO $ 26.00 $ 195.00 Enhanced No EA H2802 025 0 3,900$ 4 Stars

Page 150: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois McHenryUnitedHe

althcare

AARP

Medicare

Advantag

e Plan 2

(HMO)

Local

HMO $ 76.00 $ 60.00 Enhanced No EA H2802 026 0 3,900$ 4 Stars

Illinois McHenryUnitedHe

althcare

AARP

Medicare

Advantag

e

Walgreen

s (PPO)

Local PPO $ - $ 250.00 Enhanced No EA H8768 010 0 5,900$ 4.5 Stars

Illinois McHenry WellCare

WellCare

Edge

(HMO)

Local

HMO $ 15.30 $ 435.00 Enhanced No EA H5779 006 0 3,400$ 3.5 Stars

Illinois McHenry WellCare

WellCare

Essential

(HMO)

Local

HMO $ - $ - Enhanced No EA H5779 005 0 3,750$ 3.5 Stars

Illinois McLeanAetna

Medicare

Aetna

Medicare

Premier

Advantra

(PPO)

Local PPO $ 25.00 $ - Enhanced Yes EA H7301 009 0 5,500$ 4.5 Stars

Illinois McLeanAetna

Medicare

Aetna

Medicare

Value

Advantra

(PPO)

Local PPO $ - $ - Enhanced Yes EA H7301 007 0 4,650$ 4.5 Stars

Illinois McLean

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO 20

Rx (HMO)

Local

HMO $ 120.00 $ - Enhanced No EA H1463 003 0 4,000$ 3.5 Stars

Illinois McLean

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO 40

Rx (HMO)

Local

HMO $ 71.00 $ - Enhanced No EA H1463 010 0 4,700$ 3.5 Stars

Page 151: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois McLean

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO

Basic

(HMO)

Local

HMO * $ - H1463 008 0 6,700$ 3.5 Stars

Illinois McLean

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO

Basic Rx

(HMO)

Local

HMO $ 32.00 $ - Enhanced No EA H1463 009 0 6,700$ 3.5 Stars

Illinois McLean

Health

Alliance

Medicare

Health

Alliance

Medicare

POS 10 Rx

(HMO-

POS)

Local

HMO $ 160.00 $ - Enhanced No EA H1463 019 0 4,500$ 3.5 Stars

Illinois McLean

Health

Alliance

Medicare

Health

Alliance

Medicare

POS 30 Rx

(HMO-

POS)

Local

HMO $ 100.00 $ - Enhanced No EA H1463 017 0 5,500$ 3.5 Stars

Illinois McLean

Health

Alliance

Medicare

Health

Alliance

Medicare

POS Basic

(HMO-

POS)

Local

HMO * $ 23.00 H1463 014 0 6,700$ 3.5 Stars

Illinois McLean

Health

Alliance

Medicare

Health

Alliance

Medicare

POS Basic

Rx (HMO-

POS)

Local

HMO $ 51.00 $ - Enhanced No EA H1463 015 0 6,700$ 3.5 Stars

Page 152: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois McLean

Health

Alliance

Medicare

OSF

MedAdva

ntage

Core

(HMO)

Local

HMO $ - $ - Enhanced No EA H1463 035 0 4,000$ 3.5 Stars

Illinois McLean

Health

Alliance

Medicare

OSF

MedAdva

ntage

Open

(HMO-

POS)

Local

HMO $ 35.00 $ - Enhanced No EA H1463 036 0 4,500$ 3.5 Stars

Illinois McLean

Health

Alliance

Medicare

OSF

MedAdva

ntage Plus

(HMO-

POS)

Local

HMO $ 135.00 $ - Enhanced No EA H1463 037 0 3,400$ 3.5 Stars

Illinois McLean

Health

Alliance

Medicare

OSF

MedAdva

ntage

Select

(HMO)

Local

HMO $ 110.00 $ - Enhanced No EA H1463 038 0 3,400$ 3.5 Stars

Illinois McLean

Health

Alliance

Medicare

Simplete

1 (HMO)

Local

HMO $ - $ - Enhanced No EA H1463 023 0 4,000$ 3.5 Stars

Illinois McLean

Health

Alliance

Medicare

Simplete

2 (HMO)

Local

HMO $ 28.00 $ - Enhanced No EA H1463 024 0 4,500$ 3.5 Stars

Illinois McLean

Health

Alliance

Medicare

Simplete

3 (HMO-

POS)

Local

HMO $ 48.00 $ - Enhanced No EA H1463 025 0 4,500$ 3.5 Stars

Illinois McLean Humana

Humana

Gold

Choice

H8145-

008

(PFFS)

PFFS $ 166.00 $ 380.00 Enhanced No EA H8145 008 0 -$ 3.5 Stars

Page 153: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois McLean Humana

Humana

Gold Plus

H1468-

007

(HMO)

Local

HMO $ - $ 200.00 Enhanced No EA H1468 007 0 4,500$ 4.5 Stars

Illinois McLean Humana

HumanaC

hoice

H5525-

004 (PPO)

Local PPO $ 106.00 $ 250.00 Enhanced No EA H5525 004 0 5,500$ 4 Stars

Illinois McLean Humana

HumanaC

hoice

R5361-

001

(Regional

PPO)

Regional

PPO * $ - R5361 001 0 6,700$ 3.5 Stars

Illinois McLean Humana

HumanaC

hoice

R5361-

002

(Regional

PPO)

Regional

PPO $ 139.00 $ 420.00 Basic No BA R5361 002 0 6,700$ 3.5 Stars

Illinois McLean

Lasso

Healthcar

e

Lasso

Healthcar

e (MSA)

MSA * H1924 001 0 -$

Plan too

new to be

measured

Illinois McLeanUnitedHe

althcare

AARP

Medicare

Advantag

e Access

(HMO)

Local

HMO $ - $ 100.00 Enhanced No EA H2802 024 0 3,600$ 4 Stars

Illinois MenardAetna

Medicare

Aetna

Medicare

Premier

Advantra

(PPO)

Local PPO $ 25.00 $ - Enhanced Yes EA H7301 009 0 5,500$ 4.5 Stars

Illinois MenardAetna

Medicare

Aetna

Medicare

Value

Advantra

(PPO)

Local PPO $ - $ - Enhanced Yes EA H7301 007 0 4,650$ 4.5 Stars

Page 154: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Menard

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO 20

Rx (HMO)

Local

HMO $ 120.00 $ - Enhanced No EA H1463 003 0 4,000$ 3.5 Stars

Illinois Menard

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO 40

Rx (HMO)

Local

HMO $ 71.00 $ - Enhanced No EA H1463 010 0 4,700$ 3.5 Stars

Illinois Menard

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO

Basic

(HMO)

Local

HMO * $ - H1463 008 0 6,700$ 3.5 Stars

Illinois Menard

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO

Basic Rx

(HMO)

Local

HMO $ 32.00 $ - Enhanced No EA H1463 009 0 6,700$ 3.5 Stars

Illinois Menard

Health

Alliance

Medicare

Health

Alliance

Medicare

POS 10 Rx

(HMO-

POS)

Local

HMO $ 160.00 $ - Enhanced No EA H1463 019 0 4,500$ 3.5 Stars

Illinois Menard

Health

Alliance

Medicare

Health

Alliance

Medicare

POS 30 Rx

(HMO-

POS)

Local

HMO $ 100.00 $ - Enhanced No EA H1463 017 0 5,500$ 3.5 Stars

Page 155: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Menard

Health

Alliance

Medicare

Health

Alliance

Medicare

POS Basic

(HMO-

POS)

Local

HMO * $ 23.00 H1463 014 0 6,700$ 3.5 Stars

Illinois Menard

Health

Alliance

Medicare

Health

Alliance

Medicare

POS Basic

Rx (HMO-

POS)

Local

HMO $ 51.00 $ - Enhanced No EA H1463 015 0 6,700$ 3.5 Stars

Illinois Menard Humana

HumanaC

hoice

H5216-

013 (PPO)

Local PPO $ 88.00 $ - Enhanced No EA H5216 013 0 6,700$ 4 Stars

Illinois Menard Humana

HumanaC

hoice

R5361-

001

(Regional

PPO)

Regional

PPO * $ - R5361 001 0 6,700$ 3.5 Stars

Illinois Menard Humana

HumanaC

hoice

R5361-

002

(Regional

PPO)

Regional

PPO $ 139.00 $ 420.00 Basic No BA R5361 002 0 6,700$ 3.5 Stars

Illinois Menard

Lasso

Healthcar

e

Lasso

Healthcar

e (MSA)

MSA * H1924 001 0 -$

Plan too

new to be

measured

Illinois MercerAetna

Medicare

Aetna

Medicare

Explorer

Value

(PPO)

Local PPO $ - $ - Enhanced Yes EA H5521 228 0 5,900$ 4.5 Stars

Page 156: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois MercerAetna

Medicare

Aetna

Medicare

Premier

Advantra

(PPO)

Local PPO $ 23.00 $ - Enhanced Yes EA H7301 002 0 5,500$ 4.5 Stars

Illinois MercerAetna

Medicare

Aetna

Medicare

Value

Advantra

(PPO)

Local PPO $ - $ - Enhanced Yes EA H7301 006 0 5,900$ 4.5 Stars

Illinois Mercer

Health

Alliance

Medicare

Health

Alliance

Medicare

Guide

HMO Rx 2

(HMO)

Local

HMO $ - $ - Enhanced No EA H1463 021 0 5,900$ 3.5 Stars

Illinois Mercer

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO 20

Rx (HMO)

Local

HMO $ 120.00 $ - Enhanced No EA H1463 003 0 4,000$ 3.5 Stars

Illinois Mercer

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO 40

Rx (HMO)

Local

HMO $ 71.00 $ - Enhanced No EA H1463 010 0 4,700$ 3.5 Stars

Illinois Mercer

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO

Basic

(HMO)

Local

HMO * $ - H1463 008 0 6,700$ 3.5 Stars

Illinois Mercer

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO

Basic Rx

(HMO)

Local

HMO $ 32.00 $ - Enhanced No EA H1463 009 0 6,700$ 3.5 Stars

Page 157: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Mercer

Health

Alliance

Medicare

Health

Alliance

Medicare

POS 10 Rx

(HMO-

POS)

Local

HMO $ 160.00 $ - Enhanced No EA H1463 019 0 4,500$ 3.5 Stars

Illinois Mercer

Health

Alliance

Medicare

Health

Alliance

Medicare

POS 30 Rx

(HMO-

POS)

Local

HMO $ 100.00 $ - Enhanced No EA H1463 017 0 5,500$ 3.5 Stars

Illinois Mercer

Health

Alliance

Medicare

Health

Alliance

Medicare

POS Basic

(HMO-

POS)

Local

HMO * $ 23.00 H1463 014 0 6,700$ 3.5 Stars

Illinois Mercer

Health

Alliance

Medicare

Health

Alliance

Medicare

POS Basic

Rx (HMO-

POS)

Local

HMO $ 51.00 $ - Enhanced No EA H1463 015 0 6,700$ 3.5 Stars

Illinois Mercer Humana

HumanaC

hoice

H5216-

013 (PPO)

Local PPO $ 88.00 $ - Enhanced No EA H5216 013 0 6,700$ 4 Stars

Illinois Mercer Humana

HumanaC

hoice

R5361-

001

(Regional

PPO)

Regional

PPO * $ - R5361 001 0 6,700$ 3.5 Stars

Page 158: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Mercer Humana

HumanaC

hoice

R5361-

002

(Regional

PPO)

Regional

PPO $ 139.00 $ 420.00 Basic No BA R5361 002 0 6,700$ 3.5 Stars

Illinois Mercer

Lasso

Healthcar

e

Lasso

Healthcar

e (MSA)

MSA * H1924 001 0 -$

Plan too

new to be

measured

Illinois MercerUnitedHe

althcare

AARP

Medicare

Advantag

e (HMO-

POS)

Local

HMO $ 36.00 $ - Enhanced No EA H5253 108 2 3,900$ 4.5 Stars

Illinois MercerUnitedHe

althcare

AARP

Medicare

Advantag

e Choice

(PPO)

Local PPO $ - $ - Enhanced No EA H8768 017 2 4,100$ 4.5 Stars

Illinois Mercer WellCare

WellCare

Edge

(HMO)

Local

HMO $ 15.30 $ 435.00 Enhanced No EA H5779 006 0 3,400$ 3.5 Stars

Illinois Mercer WellCare

WellCare

Essential

(HMO)

Local

HMO $ - $ - Enhanced No EA H5779 002 0 4,000$ 3.5 Stars

Illinois MonroeAetna

Medicare

Aetna

Medicare

Advantra

1 (HMO-

POS)

Local

HMO $ 33.00 $ - Enhanced Yes EA H2663 006 0 5,200$ 4 Stars

Illinois MonroeAetna

Medicare

Aetna

Medicare

Advantra

2 (HMO)

Local

HMO $ 81.00 $ - Enhanced Yes EA H2663 002 0 2,900$ 4 Stars

Illinois MonroeAetna

Medicare

Aetna

Medicare

Elite

(PPO)

Local PPO $ - $ - Enhanced Yes EA H1608 050 0 3,400$ 3.5 Stars

Page 159: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois MonroeAetna

Medicare

Aetna

Medicare

Gold

Advantag

e Prime

(HMO)

Local

HMO $ - $ - Enhanced Yes EA H2663 005 0 2,800$ 4 Stars

Illinois MonroeAetna

Medicare

Aetna

Medicare

Premier

Advantra

(PPO)

Local PPO $ 51.00 $ 200.00 Enhanced Yes EA H1608 013 0 6,000$ 3.5 Stars

Illinois Monroe

Essence

Healthcar

e

Essence

Advantag

e (HMO)

Local

HMO $ - $ - Enhanced No EA H2610 005 0 1,900$ 4 Stars

Illinois Monroe

Essence

Healthcar

e

Essence

Advantag

e Plus

(HMO)

Local

HMO $ 73.00 $ - Enhanced Yes EA H2610 006 0 1,700$ 4 Stars

Illinois Monroe

Essence

Healthcar

e

Essence

Advantag

e Select

(HMO)

Local

HMO $ - $ - Enhanced No EA H2610 016 0 2,900$ 4 Stars

Illinois Monroe Humana

Humana

Honor

(PPO)

Local PPO

* $ - H5216 140 0 4,900$ 4 Stars

Illinois Monroe Humana

HumanaC

hoice

H5216-

032 (PPO)

Local PPO $ 82.00 $ 195.00 Enhanced No EA H5216 032 0 6,700$ 4 Stars

Illinois Monroe Humana

HumanaC

hoice

H5216-

033 (PPO)

Local PPO $ - $ - Enhanced No EA H5216 033 2 3,600$ 4 Stars

Illinois Monroe Humana

HumanaC

hoice

R5361-

001

(Regional

PPO)

Regional

PPO * $ - R5361 001 0 6,700$ 3.5 Stars

Page 160: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Monroe Humana

HumanaC

hoice

R5361-

002

(Regional

PPO)

Regional

PPO $ 139.00 $ 420.00 Basic No BA R5361 002 0 6,700$ 3.5 Stars

Illinois Monroe

Lasso

Healthcar

e

Lasso

Healthcar

e (MSA)

MSA * H1924 001 0 -$

Plan too

new to be

measured

Illinois MonroeUnitedHe

althcare

AARP

Medicare

Advantag

e (HMO-

POS)

Local

HMO $ - $ - Enhanced No EA H2802 028 0 2,900$ 4 Stars

Illinois MonroeUnitedHe

althcare

AARP

Medicare

Advantag

e Choice

Plan 1

(PPO)

Local PPO $ 29.00 $ 150.00 Enhanced No EA H2228 030 0 4,400$ 4 Stars

Illinois MonroeUnitedHe

althcare

AARP

Medicare

Advantag

e

Walgreen

s (PPO)

Local PPO $ - $ - Enhanced No EA H2228 083 0 3,900$ 4 Stars

IllinoisMontgom

ery

Aetna

Medicare

Aetna

Medicare

Premier

Advantra

(PPO)

Local PPO $ 25.00 $ - Enhanced Yes EA H7301 009 0 5,500$ 4.5 Stars

IllinoisMontgom

ery

Aetna

Medicare

Aetna

Medicare

Value

Advantra

(PPO)

Local PPO $ - $ - Enhanced Yes EA H7301 007 0 4,650$ 4.5 Stars

Page 161: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

IllinoisMontgom

ery

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO 20

Rx (HMO)

Local

HMO $ 120.00 $ - Enhanced No EA H1463 003 0 4,000$ 3.5 Stars

IllinoisMontgom

ery

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO 40

Rx (HMO)

Local

HMO $ 71.00 $ - Enhanced No EA H1463 010 0 4,700$ 3.5 Stars

IllinoisMontgom

ery

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO

Basic

(HMO)

Local

HMO * $ - H1463 008 0 6,700$ 3.5 Stars

IllinoisMontgom

ery

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO

Basic Rx

(HMO)

Local

HMO $ 32.00 $ - Enhanced No EA H1463 009 0 6,700$ 3.5 Stars

IllinoisMontgom

ery

Health

Alliance

Medicare

Health

Alliance

Medicare

POS 10 Rx

(HMO-

POS)

Local

HMO $ 160.00 $ - Enhanced No EA H1463 019 0 4,500$ 3.5 Stars

IllinoisMontgom

ery

Health

Alliance

Medicare

Health

Alliance

Medicare

POS 30 Rx

(HMO-

POS)

Local

HMO $ 100.00 $ - Enhanced No EA H1463 017 0 5,500$ 3.5 Stars

Page 162: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

IllinoisMontgom

ery

Health

Alliance

Medicare

Health

Alliance

Medicare

POS Basic

(HMO-

POS)

Local

HMO * $ 23.00 H1463 014 0 6,700$ 3.5 Stars

IllinoisMontgom

ery

Health

Alliance

Medicare

Health

Alliance

Medicare

POS Basic

Rx (HMO-

POS)

Local

HMO $ 51.00 $ - Enhanced No EA H1463 015 0 6,700$ 3.5 Stars

IllinoisMontgom

eryHumana

Humana

Gold

Choice

H8145-

008

(PFFS)

PFFS $ 166.00 $ 380.00 Enhanced No EA H8145 008 0 -$ 3.5 Stars

IllinoisMontgom

eryHumana

Humana

Gold

Choice

H8145-

121

(PFFS)

PFFS * $ 75.00 H8145 121 0 -$ 3.5 Stars

IllinoisMontgom

eryHumana

HumanaC

hoice

R5361-

001

(Regional

PPO)

Regional

PPO * $ - R5361 001 0 6,700$ 3.5 Stars

IllinoisMontgom

eryHumana

HumanaC

hoice

R5361-

002

(Regional

PPO)

Regional

PPO $ 139.00 $ 420.00 Basic No BA R5361 002 0 6,700$ 3.5 Stars

IllinoisMontgom

ery

Lasso

Healthcar

e

Lasso

Healthcar

e (MSA)

MSA * H1924 001 0 -$

Plan too

new to be

measured

Page 163: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois MorganAetna

Medicare

Aetna

Medicare

Premier

Advantra

(PPO)

Local PPO $ 25.00 $ - Enhanced Yes EA H7301 009 0 5,500$ 4.5 Stars

Illinois MorganAetna

Medicare

Aetna

Medicare

Value

Advantra

(PPO)

Local PPO $ - $ - Enhanced Yes EA H7301 007 0 4,650$ 4.5 Stars

Illinois Morgan

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO 20

Rx (HMO)

Local

HMO $ 120.00 $ - Enhanced No EA H1463 003 0 4,000$ 3.5 Stars

Illinois Morgan

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO 40

Rx (HMO)

Local

HMO $ 71.00 $ - Enhanced No EA H1463 010 0 4,700$ 3.5 Stars

Illinois Morgan

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO

Basic

(HMO)

Local

HMO * $ - H1463 008 0 6,700$ 3.5 Stars

Illinois Morgan

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO

Basic Rx

(HMO)

Local

HMO $ 32.00 $ - Enhanced No EA H1463 009 0 6,700$ 3.5 Stars

Illinois Morgan

Health

Alliance

Medicare

Health

Alliance

Medicare

POS 10 Rx

(HMO-

POS)

Local

HMO $ 160.00 $ - Enhanced No EA H1463 019 0 4,500$ 3.5 Stars

Page 164: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Morgan

Health

Alliance

Medicare

Health

Alliance

Medicare

POS 30 Rx

(HMO-

POS)

Local

HMO $ 100.00 $ - Enhanced No EA H1463 017 0 5,500$ 3.5 Stars

Illinois Morgan

Health

Alliance

Medicare

Health

Alliance

Medicare

POS Basic

(HMO-

POS)

Local

HMO * $ 23.00 H1463 014 0 6,700$ 3.5 Stars

Illinois Morgan

Health

Alliance

Medicare

Health

Alliance

Medicare

POS Basic

Rx (HMO-

POS)

Local

HMO $ 51.00 $ - Enhanced No EA H1463 015 0 6,700$ 3.5 Stars

Illinois Morgan Humana

HumanaC

hoice

H5216-

013 (PPO)

Local PPO $ 88.00 $ - Enhanced No EA H5216 013 0 6,700$ 4 Stars

Illinois Morgan Humana

HumanaC

hoice

H5216-

215 (PPO)

Local PPO $ 14.00 $ 195.00 Enhanced No EA H5216 215 0 6,700$ 4 Stars

Illinois Morgan Humana

HumanaC

hoice

R5361-

001

(Regional

PPO)

Regional

PPO * $ - R5361 001 0 6,700$ 3.5 Stars

Illinois Morgan Humana

HumanaC

hoice

R5361-

002

(Regional

PPO)

Regional

PPO $ 139.00 $ 420.00 Basic No BA R5361 002 0 6,700$ 3.5 Stars

Page 165: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Morgan

Lasso

Healthcar

e

Lasso

Healthcar

e (MSA)

MSA * H1924 001 0 -$

Plan too

new to be

measured

Illinois MoultrieAetna

Medicare

Aetna

Medicare

Premier

Advantra

(PPO)

Local PPO $ 25.00 $ - Enhanced Yes EA H7301 009 0 5,500$ 4.5 Stars

Illinois MoultrieAetna

Medicare

Aetna

Medicare

Value

Advantra

(PPO)

Local PPO $ - $ - Enhanced Yes EA H7301 007 0 4,650$ 4.5 Stars

Illinois Moultrie

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO 20

Rx (HMO)

Local

HMO $ 120.00 $ - Enhanced No EA H1463 003 0 4,000$ 3.5 Stars

Illinois Moultrie

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO 40

Rx (HMO)

Local

HMO $ 71.00 $ - Enhanced No EA H1463 010 0 4,700$ 3.5 Stars

Illinois Moultrie

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO

Basic

(HMO)

Local

HMO * $ - H1463 008 0 6,700$ 3.5 Stars

Illinois Moultrie

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO

Basic Rx

(HMO)

Local

HMO $ 32.00 $ - Enhanced No EA H1463 009 0 6,700$ 3.5 Stars

Page 166: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Moultrie

Health

Alliance

Medicare

Health

Alliance

Medicare

POS 10 Rx

(HMO-

POS)

Local

HMO $ 160.00 $ - Enhanced No EA H1463 019 0 4,500$ 3.5 Stars

Illinois Moultrie

Health

Alliance

Medicare

Health

Alliance

Medicare

POS 30 Rx

(HMO-

POS)

Local

HMO $ 100.00 $ - Enhanced No EA H1463 017 0 5,500$ 3.5 Stars

Illinois Moultrie

Health

Alliance

Medicare

Health

Alliance

Medicare

POS Basic

(HMO-

POS)

Local

HMO * $ 23.00 H1463 014 0 6,700$ 3.5 Stars

Illinois Moultrie

Health

Alliance

Medicare

Health

Alliance

Medicare

POS Basic

Rx (HMO-

POS)

Local

HMO $ 51.00 $ - Enhanced No EA H1463 015 0 6,700$ 3.5 Stars

Illinois Moultrie Humana

Humana

Gold

Choice

H8145-

008

(PFFS)

PFFS $ 166.00 $ 380.00 Enhanced No EA H8145 008 0 -$ 3.5 Stars

Illinois Moultrie Humana

Humana

Gold

Choice

H8145-

121

(PFFS)

PFFS * $ 75.00 H8145 121 0 -$ 3.5 Stars

Page 167: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Moultrie Humana

HumanaC

hoice

H5216-

013 (PPO)

Local PPO $ 88.00 $ - Enhanced No EA H5216 013 0 6,700$ 4 Stars

Illinois Moultrie Humana

HumanaC

hoice

R5361-

001

(Regional

PPO)

Regional

PPO * $ - R5361 001 0 6,700$ 3.5 Stars

Illinois Moultrie Humana

HumanaC

hoice

R5361-

002

(Regional

PPO)

Regional

PPO $ 139.00 $ 420.00 Basic No BA R5361 002 0 6,700$ 3.5 Stars

Illinois Moultrie

Lasso

Healthcar

e

Lasso

Healthcar

e (MSA)

MSA * H1924 001 0 -$

Plan too

new to be

measured

Illinois OgleAetna

Medicare

Aetna

Medicare

Explorer

Value

(PPO)

Local PPO $ - $ - Enhanced Yes EA H5521 228 0 5,900$ 4.5 Stars

Illinois OgleAetna

Medicare

Aetna

Medicare

Premier

Advantra

(PPO)

Local PPO $ 23.00 $ - Enhanced Yes EA H7301 002 0 5,500$ 4.5 Stars

Illinois OgleAetna

Medicare

Aetna

Medicare

Value

Advantra

(PPO)

Local PPO $ - $ - Enhanced Yes EA H7301 006 0 5,900$ 4.5 Stars

Illinois Ogle

Clear

Spring

Health

Clear

Spring

Health

Essential

(HMO)

Local

HMO $ - $ - Enhanced No EA H5454 001 0 2,900$

Plan too

new to be

measured

Page 168: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Ogle

Clear

Spring

Health

Clear

Spring

Health

Essential

Plus

(HMO)

Local

HMO $ 49.00 $ - Enhanced No EA H5454 003 0 2,500$

Plan too

new to be

measured

Illinois Ogle

Communi

ty Care

Alliance

of Illinois

Communi

ty

Advantag

e (HMO)

Local

HMO $ - $ - Enhanced No EA H3071 002 0 3,950$ 2.5 Stars

Illinois Ogle

Communi

ty Care

Alliance

of Illinois

Communi

ty Flex-

Plan

(HMO-

POS)

Local

HMO $ 26.00 $ 435.00 Basic No DS H3071 003 0 3,950$ 2.5 Stars

Illinois Ogle

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO 20

Rx (HMO)

Local

HMO $ 120.00 $ - Enhanced No EA H1463 003 0 4,000$ 3.5 Stars

Illinois Ogle

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO 40

Rx (HMO)

Local

HMO $ 71.00 $ - Enhanced No EA H1463 010 0 4,700$ 3.5 Stars

Illinois Ogle

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO

Basic

(HMO)

Local

HMO * $ - H1463 008 0 6,700$ 3.5 Stars

Illinois Ogle

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO

Basic Rx

(HMO)

Local

HMO $ 32.00 $ - Enhanced No EA H1463 009 0 6,700$ 3.5 Stars

Page 169: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Ogle

Health

Alliance

Medicare

Health

Alliance

Medicare

POS 10 Rx

(HMO-

POS)

Local

HMO $ 160.00 $ - Enhanced No EA H1463 019 0 4,500$ 3.5 Stars

Illinois Ogle

Health

Alliance

Medicare

Health

Alliance

Medicare

POS 30 Rx

(HMO-

POS)

Local

HMO $ 100.00 $ - Enhanced No EA H1463 017 0 5,500$ 3.5 Stars

Illinois Ogle

Health

Alliance

Medicare

Health

Alliance

Medicare

POS Basic

(HMO-

POS)

Local

HMO * $ 23.00 H1463 014 0 6,700$ 3.5 Stars

Illinois Ogle

Health

Alliance

Medicare

Health

Alliance

Medicare

POS Basic

Rx (HMO-

POS)

Local

HMO $ 51.00 $ - Enhanced No EA H1463 015 0 6,700$ 3.5 Stars

Illinois Ogle Humana

Humana

Gold

Choice

H8145-

008

(PFFS)

PFFS $ 166.00 $ 380.00 Enhanced No EA H8145 008 0 -$ 3.5 Stars

Illinois Ogle Humana

Humana

Gold

Choice

H8145-

121

(PFFS)

PFFS * $ 75.00 H8145 121 0 -$ 3.5 Stars

Page 170: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Ogle Humana

HumanaC

hoice

H5525-

004 (PPO)

Local PPO $ 106.00 $ 250.00 Enhanced No EA H5525 004 0 5,500$ 4 Stars

Illinois Ogle Humana

HumanaC

hoice

R5361-

001

(Regional

PPO)

Regional

PPO * $ - R5361 001 0 6,700$ 3.5 Stars

Illinois Ogle Humana

HumanaC

hoice

R5361-

002

(Regional

PPO)

Regional

PPO $ 139.00 $ 420.00 Basic No BA R5361 002 0 6,700$ 3.5 Stars

Illinois Ogle

Lasso

Healthcar

e

Lasso

Healthcar

e (MSA)

MSA * H1924 002 0 -$

Plan too

new to be

measured

Illinois OgleUnitedHe

althcare

AARP

Medicare

Advantag

e (HMO-

POS)

Local

HMO $ 34.00 $ - Enhanced No EA H5253 108 1 3,900$ 4.5 Stars

Illinois OgleUnitedHe

althcare

AARP

Medicare

Advantag

e Choice

(PPO)

Local PPO $ 79.00 $ - Enhanced No EA H8768 003 0 3,400$ 4.5 Stars

Illinois OgleUnitedHe

althcare

AARP

Medicare

Advantag

e

Walgreen

s (PPO)

Local PPO $ - $ 250.00 Enhanced No EA H8768 011 0 5,900$ 4.5 Stars

Page 171: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois PeoriaAetna

Medicare

Aetna

Medicare

Premier

Advantra

(PPO)

Local PPO $ 25.00 $ - Enhanced Yes EA H7301 009 0 5,500$ 4.5 Stars

Illinois PeoriaAetna

Medicare

Aetna

Medicare

UnityPoin

t Health

Prime

(HMO)

Local

HMO $ - $ - Enhanced Yes EA H2663 017 0 3,400$ 4 Stars

Illinois PeoriaAetna

Medicare

Aetna

Medicare

Value

Advantra

(PPO)

Local PPO $ - $ - Enhanced Yes EA H7301 007 0 4,650$ 4.5 Stars

Illinois Peoria

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO 20

Rx (HMO)

Local

HMO $ 120.00 $ - Enhanced No EA H1463 003 0 4,000$ 3.5 Stars

Illinois Peoria

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO 40

Rx (HMO)

Local

HMO $ 71.00 $ - Enhanced No EA H1463 010 0 4,700$ 3.5 Stars

Illinois Peoria

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO

Basic

(HMO)

Local

HMO * $ - H1463 008 0 6,700$ 3.5 Stars

Illinois Peoria

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO

Basic Rx

(HMO)

Local

HMO $ 32.00 $ - Enhanced No EA H1463 009 0 6,700$ 3.5 Stars

Page 172: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Peoria

Health

Alliance

Medicare

Health

Alliance

Medicare

POS 10 Rx

(HMO-

POS)

Local

HMO $ 160.00 $ - Enhanced No EA H1463 019 0 4,500$ 3.5 Stars

Illinois Peoria

Health

Alliance

Medicare

Health

Alliance

Medicare

POS 30 Rx

(HMO-

POS)

Local

HMO $ 100.00 $ - Enhanced No EA H1463 017 0 5,500$ 3.5 Stars

Illinois Peoria

Health

Alliance

Medicare

Health

Alliance

Medicare

POS Basic

(HMO-

POS)

Local

HMO * $ 23.00 H1463 014 0 6,700$ 3.5 Stars

Illinois Peoria

Health

Alliance

Medicare

Health

Alliance

Medicare

POS Basic

Rx (HMO-

POS)

Local

HMO $ 51.00 $ - Enhanced No EA H1463 015 0 6,700$ 3.5 Stars

Illinois Peoria

Health

Alliance

Medicare

OSF

MedAdva

ntage

Core

(HMO)

Local

HMO $ - $ - Enhanced No EA H1463 035 0 4,000$ 3.5 Stars

Illinois Peoria

Health

Alliance

Medicare

OSF

MedAdva

ntage

Open

(HMO-

POS)

Local

HMO $ 35.00 $ - Enhanced No EA H1463 036 0 4,500$ 3.5 Stars

Page 173: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Peoria

Health

Alliance

Medicare

OSF

MedAdva

ntage Plus

(HMO-

POS)

Local

HMO $ 135.00 $ - Enhanced No EA H1463 037 0 3,400$ 3.5 Stars

Illinois Peoria

Health

Alliance

Medicare

OSF

MedAdva

ntage

Select

(HMO)

Local

HMO $ 110.00 $ - Enhanced No EA H1463 038 0 3,400$ 3.5 Stars

Illinois Peoria

HealthPar

tners

UnityPoin

t Health

HealthPar

tners

UnityPoin

t Health

Align

(PPO)

Local PPO $ - $ - Enhanced No EA H3416 001 4 3,700$ 4.5 Stars

Illinois Peoria

HealthPar

tners

UnityPoin

t Health

HealthPar

tners

UnityPoin

t Health

Symmetry

(PPO)

Local PPO $ 39.00 $ - Enhanced Yes EA H3416 002 2 3,300$ 4.5 Stars

Illinois Peoria Humana

Humana

Gold

Choice

H8145-

008

(PFFS)

PFFS $ 166.00 $ 380.00 Enhanced No EA H8145 008 0 -$ 3.5 Stars

Illinois Peoria Humana

Humana

Gold Plus

H1468-

007

(HMO)

Local

HMO $ - $ 200.00 Enhanced No EA H1468 007 0 4,500$ 4.5 Stars

Illinois Peoria Humana

HumanaC

hoice

H5525-

004 (PPO)

Local PPO $ 106.00 $ 250.00 Enhanced No EA H5525 004 0 5,500$ 4 Stars

Page 174: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Peoria Humana

HumanaC

hoice

R5361-

001

(Regional

PPO)

Regional

PPO * $ - R5361 001 0 6,700$ 3.5 Stars

Illinois Peoria Humana

HumanaC

hoice

R5361-

002

(Regional

PPO)

Regional

PPO $ 139.00 $ 420.00 Basic No BA R5361 002 0 6,700$ 3.5 Stars

Illinois Peoria

Lasso

Healthcar

e

Lasso

Healthcar

e (MSA)

MSA * H1924 001 0 -$

Plan too

new to be

measured

Illinois PeoriaUnitedHe

althcare

AARP

Medicare

Advantag

e (HMO-

POS)

Local

HMO $ 34.00 $ - Enhanced No EA H5253 108 1 3,900$ 4.5 Stars

Illinois PeoriaUnitedHe

althcare

AARP

Medicare

Advantag

e Choice

(PPO)

Local PPO $ 79.00 $ - Enhanced No EA H8768 003 0 3,400$ 4.5 Stars

Illinois PeoriaUnitedHe

althcare

AARP

Medicare

Advantag

e

Walgreen

s (PPO)

Local PPO $ - $ 250.00 Enhanced No EA H8768 011 0 5,900$ 4.5 Stars

Illinois Peoria WellCare

WellCare

Advance

(HMO-

POS)

Local

HMO * $ - H1416 053 0 3,900$ 3.5 Stars

Illinois Peoria WellCare

WellCare

Choice

(HMO-

POS)

Local

HMO $ 39.00 $ - Enhanced Yes EA H1416 024 0 3,400$ 3.5 Stars

Page 175: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Peoria WellCare

WellCare

Edge

(HMO)

Local

HMO $ 15.30 $ 435.00 Enhanced No EA H5779 006 0 3,400$ 3.5 Stars

Illinois Peoria WellCare

WellCare

Essential

(HMO)

Local

HMO $ - $ - Enhanced No EA H5779 002 0 4,000$ 3.5 Stars

Illinois Peoria WellCare

WellCare

Plus

(HMO)

Local

HMO $ 13.20 $ 435.00 Enhanced No EA H1416 048 0 3,400$ 3.5 Stars

Illinois Peoria WellCareWellCare

Rx (HMO)

Local

HMO $ 12.60 $ 435.00 Enhanced No EA H1416 023 0 3,400$ 3.5 Stars

Illinois Peoria WellCare

WellCare

Value

(HMO-

POS)

Local

HMO $ - $ - Enhanced No EA H1416 009 0 3,900$ 3.5 Stars

Illinois PerryAetna

Medicare

Aetna

Medicare

Premier

Plus (PPO)

Local PPO $ - $ 150.00 Enhanced Yes EA H1608 056 0 5,900$ 3.5 Stars

Illinois Perry

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO 20

Rx (HMO)

Local

HMO $ 120.00 $ - Enhanced No EA H1463 003 0 4,000$ 3.5 Stars

Illinois Perry

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO 40

Rx (HMO)

Local

HMO $ 71.00 $ - Enhanced No EA H1463 010 0 4,700$ 3.5 Stars

Illinois Perry

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO

Basic

(HMO)

Local

HMO * $ - H1463 008 0 6,700$ 3.5 Stars

Page 176: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Perry

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO

Basic Rx

(HMO)

Local

HMO $ 32.00 $ - Enhanced No EA H1463 009 0 6,700$ 3.5 Stars

Illinois Perry

Health

Alliance

Medicare

Health

Alliance

Medicare

POS 10 Rx

(HMO-

POS)

Local

HMO $ 160.00 $ - Enhanced No EA H1463 019 0 4,500$ 3.5 Stars

Illinois Perry

Health

Alliance

Medicare

Health

Alliance

Medicare

POS 30 Rx

(HMO-

POS)

Local

HMO $ 100.00 $ - Enhanced No EA H1463 017 0 5,500$ 3.5 Stars

Illinois Perry

Health

Alliance

Medicare

Health

Alliance

Medicare

POS Basic

(HMO-

POS)

Local

HMO * $ 23.00 H1463 014 0 6,700$ 3.5 Stars

Illinois Perry

Health

Alliance

Medicare

Health

Alliance

Medicare

POS Basic

Rx (HMO-

POS)

Local

HMO $ 51.00 $ - Enhanced No EA H1463 015 0 6,700$ 3.5 Stars

Illinois Perry Humana

HumanaC

hoice

R5361-

001

(Regional

PPO)

Regional

PPO * $ - R5361 001 0 6,700$ 3.5 Stars

Page 177: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Perry Humana

HumanaC

hoice

R5361-

002

(Regional

PPO)

Regional

PPO $ 139.00 $ 420.00 Basic No BA R5361 002 0 6,700$ 3.5 Stars

Illinois Perry

Lasso

Healthcar

e

Lasso

Healthcar

e (MSA)

MSA * H1924 003 0 -$

Plan too

new to be

measured

Illinois PiattAetna

Medicare

Aetna

Medicare

Premier

Advantra

(PPO)

Local PPO $ 25.00 $ - Enhanced Yes EA H7301 009 0 5,500$ 4.5 Stars

Illinois PiattAetna

Medicare

Aetna

Medicare

Value

Advantra

(PPO)

Local PPO $ - $ - Enhanced Yes EA H7301 007 0 4,650$ 4.5 Stars

Illinois Piatt

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO 20

Rx (HMO)

Local

HMO $ 120.00 $ - Enhanced No EA H1463 003 0 4,000$ 3.5 Stars

Illinois Piatt

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO 40

Rx (HMO)

Local

HMO $ 71.00 $ - Enhanced No EA H1463 010 0 4,700$ 3.5 Stars

Illinois Piatt

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO

Basic

(HMO)

Local

HMO * $ - H1463 008 0 6,700$ 3.5 Stars

Page 178: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Piatt

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO

Basic Rx

(HMO)

Local

HMO $ 32.00 $ - Enhanced No EA H1463 009 0 6,700$ 3.5 Stars

Illinois Piatt

Health

Alliance

Medicare

Health

Alliance

Medicare

POS 10 Rx

(HMO-

POS)

Local

HMO $ 160.00 $ - Enhanced No EA H1463 019 0 4,500$ 3.5 Stars

Illinois Piatt

Health

Alliance

Medicare

Health

Alliance

Medicare

POS 30 Rx

(HMO-

POS)

Local

HMO $ 100.00 $ - Enhanced No EA H1463 017 0 5,500$ 3.5 Stars

Illinois Piatt

Health

Alliance

Medicare

Health

Alliance

Medicare

POS Basic

(HMO-

POS)

Local

HMO * $ 23.00 H1463 014 0 6,700$ 3.5 Stars

Illinois Piatt

Health

Alliance

Medicare

Health

Alliance

Medicare

POS Basic

Rx (HMO-

POS)

Local

HMO $ 51.00 $ - Enhanced No EA H1463 015 0 6,700$ 3.5 Stars

Illinois Piatt

Health

Alliance

Medicare

Simplete

1 (HMO)

Local

HMO $ - $ - Enhanced No EA H1463 023 0 4,000$ 3.5 Stars

Illinois Piatt

Health

Alliance

Medicare

Simplete

2 (HMO)

Local

HMO $ 28.00 $ - Enhanced No EA H1463 024 0 4,500$ 3.5 Stars

Illinois Piatt

Health

Alliance

Medicare

Simplete

3 (HMO-

POS)

Local

HMO $ 48.00 $ - Enhanced No EA H1463 025 0 4,500$ 3.5 Stars

Page 179: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Piatt Humana

HumanaC

hoice

R5361-

001

(Regional

PPO)

Regional

PPO * $ - R5361 001 0 6,700$ 3.5 Stars

Illinois Piatt Humana

HumanaC

hoice

R5361-

002

(Regional

PPO)

Regional

PPO $ 139.00 $ 420.00 Basic No BA R5361 002 0 6,700$ 3.5 Stars

Illinois Piatt

Lasso

Healthcar

e

Lasso

Healthcar

e (MSA)

MSA * H1924 001 0 -$

Plan too

new to be

measured

Illinois PikeAetna

Medicare

Aetna

Medicare

Premier

Advantra

(PPO)

Local PPO $ 25.00 $ - Enhanced Yes EA H7301 009 0 5,500$ 4.5 Stars

Illinois PikeAetna

Medicare

Aetna

Medicare

Value

Advantra

(PPO)

Local PPO $ - $ - Enhanced Yes EA H7301 007 0 4,650$ 4.5 Stars

Illinois Pike

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO 20

Rx (HMO)

Local

HMO $ 120.00 $ - Enhanced No EA H1463 003 0 4,000$ 3.5 Stars

Illinois Pike

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO 40

Rx (HMO)

Local

HMO $ 71.00 $ - Enhanced No EA H1463 010 0 4,700$ 3.5 Stars

Page 180: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Pike

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO

Basic

(HMO)

Local

HMO * $ - H1463 008 0 6,700$ 3.5 Stars

Illinois Pike

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO

Basic Rx

(HMO)

Local

HMO $ 32.00 $ - Enhanced No EA H1463 009 0 6,700$ 3.5 Stars

Illinois Pike

Health

Alliance

Medicare

Health

Alliance

Medicare

POS 10 Rx

(HMO-

POS)

Local

HMO $ 160.00 $ - Enhanced No EA H1463 019 0 4,500$ 3.5 Stars

Illinois Pike

Health

Alliance

Medicare

Health

Alliance

Medicare

POS 30 Rx

(HMO-

POS)

Local

HMO $ 100.00 $ - Enhanced No EA H1463 017 0 5,500$ 3.5 Stars

Illinois Pike

Health

Alliance

Medicare

Health

Alliance

Medicare

POS Basic

(HMO-

POS)

Local

HMO * $ 23.00 H1463 014 0 6,700$ 3.5 Stars

Illinois Pike

Health

Alliance

Medicare

Health

Alliance

Medicare

POS Basic

Rx (HMO-

POS)

Local

HMO $ 51.00 $ - Enhanced No EA H1463 015 0 6,700$ 3.5 Stars

Page 181: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Pike Humana

Humana

Gold

Choice

H8145-

008

(PFFS)

PFFS $ 166.00 $ 380.00 Enhanced No EA H8145 008 0 -$ 3.5 Stars

Illinois Pike Humana

Humana

Gold

Choice

H8145-

121

(PFFS)

PFFS * $ 75.00 H8145 121 0 -$ 3.5 Stars

Illinois Pike Humana

HumanaC

hoice

H5216-

013 (PPO)

Local PPO $ 88.00 $ - Enhanced No EA H5216 013 0 6,700$ 4 Stars

Illinois Pike Humana

HumanaC

hoice

R5361-

001

(Regional

PPO)

Regional

PPO * $ - R5361 001 0 6,700$ 3.5 Stars

Illinois Pike Humana

HumanaC

hoice

R5361-

002

(Regional

PPO)

Regional

PPO $ 139.00 $ 420.00 Basic No BA R5361 002 0 6,700$ 3.5 Stars

Illinois Pike

Lasso

Healthcar

e

Lasso

Healthcar

e (MSA)

MSA * H1924 001 0 -$

Plan too

new to be

measured

Illinois Pope Humana

Humana

Gold

Choice

H8145-

008

(PFFS)

PFFS $ 166.00 $ 380.00 Enhanced No EA H8145 008 0 -$ 3.5 Stars

Page 182: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Pope Humana

Humana

Gold

Choice

H8145-

121

(PFFS)

PFFS * $ 75.00 H8145 121 0 -$ 3.5 Stars

Illinois Pope Humana

HumanaC

hoice

R5361-

001

(Regional

PPO)

Regional

PPO * $ - R5361 001 0 6,700$ 3.5 Stars

Illinois Pope Humana

HumanaC

hoice

R5361-

002

(Regional

PPO)

Regional

PPO $ 139.00 $ 420.00 Basic No BA R5361 002 0 6,700$ 3.5 Stars

Illinois Pope

Lasso

Healthcar

e

Lasso

Healthcar

e (MSA)

MSA * H1924 003 0 -$

Plan too

new to be

measured

Illinois Pulaski Humana

HumanaC

hoice

R5361-

001

(Regional

PPO)

Regional

PPO * $ - R5361 001 0 6,700$ 3.5 Stars

Illinois Pulaski Humana

HumanaC

hoice

R5361-

002

(Regional

PPO)

Regional

PPO $ 139.00 $ 420.00 Basic No BA R5361 002 0 6,700$ 3.5 Stars

Illinois Pulaski

Lasso

Healthcar

e

Lasso

Healthcar

e (MSA)

MSA * H1924 003 0 -$

Plan too

new to be

measured

Page 183: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois PutnamAetna

Medicare

Aetna

Medicare

Premier

Advantra

(PPO)

Local PPO $ 25.00 $ - Enhanced Yes EA H7301 009 0 5,500$ 4.5 Stars

Illinois PutnamAetna

Medicare

Aetna

Medicare

Value

Advantra

(PPO)

Local PPO $ - $ - Enhanced Yes EA H7301 007 0 4,650$ 4.5 Stars

Illinois Putnam

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO 20

Rx (HMO)

Local

HMO $ 120.00 $ - Enhanced No EA H1463 003 0 4,000$ 3.5 Stars

Illinois Putnam

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO 40

Rx (HMO)

Local

HMO $ 71.00 $ - Enhanced No EA H1463 010 0 4,700$ 3.5 Stars

Illinois Putnam

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO

Basic

(HMO)

Local

HMO * $ - H1463 008 0 6,700$ 3.5 Stars

Illinois Putnam

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO

Basic Rx

(HMO)

Local

HMO $ 32.00 $ - Enhanced No EA H1463 009 0 6,700$ 3.5 Stars

Illinois Putnam

Health

Alliance

Medicare

Health

Alliance

Medicare

POS 10 Rx

(HMO-

POS)

Local

HMO $ 160.00 $ - Enhanced No EA H1463 019 0 4,500$ 3.5 Stars

Page 184: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Putnam

Health

Alliance

Medicare

Health

Alliance

Medicare

POS 30 Rx

(HMO-

POS)

Local

HMO $ 100.00 $ - Enhanced No EA H1463 017 0 5,500$ 3.5 Stars

Illinois Putnam

Health

Alliance

Medicare

Health

Alliance

Medicare

POS Basic

(HMO-

POS)

Local

HMO * $ 23.00 H1463 014 0 6,700$ 3.5 Stars

Illinois Putnam

Health

Alliance

Medicare

Health

Alliance

Medicare

POS Basic

Rx (HMO-

POS)

Local

HMO $ 51.00 $ - Enhanced No EA H1463 015 0 6,700$ 3.5 Stars

Illinois Putnam

Health

Alliance

Medicare

OSF

MedAdva

ntage

Core

(HMO)

Local

HMO $ - $ - Enhanced No EA H1463 035 0 4,000$ 3.5 Stars

Illinois Putnam

Health

Alliance

Medicare

OSF

MedAdva

ntage

Open

(HMO-

POS)

Local

HMO $ 35.00 $ - Enhanced No EA H1463 036 0 4,500$ 3.5 Stars

Illinois Putnam

Health

Alliance

Medicare

OSF

MedAdva

ntage Plus

(HMO-

POS)

Local

HMO $ 135.00 $ - Enhanced No EA H1463 037 0 3,400$ 3.5 Stars

Illinois Putnam

Health

Alliance

Medicare

OSF

MedAdva

ntage

Select

(HMO)

Local

HMO $ 110.00 $ - Enhanced No EA H1463 038 0 3,400$ 3.5 Stars

Page 185: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Putnam Humana

HumanaC

hoice

H5525-

004 (PPO)

Local PPO $ 106.00 $ 250.00 Enhanced No EA H5525 004 0 5,500$ 4 Stars

Illinois Putnam Humana

HumanaC

hoice

R5361-

001

(Regional

PPO)

Regional

PPO * $ - R5361 001 0 6,700$ 3.5 Stars

Illinois Putnam Humana

HumanaC

hoice

R5361-

002

(Regional

PPO)

Regional

PPO $ 139.00 $ 420.00 Basic No BA R5361 002 0 6,700$ 3.5 Stars

Illinois Putnam

Lasso

Healthcar

e

Lasso

Healthcar

e (MSA)

MSA * H1924 001 0 -$

Plan too

new to be

measured

Illinois PutnamUnitedHe

althcare

AARP

Medicare

Advantag

e (HMO-

POS)

Local

HMO $ 34.00 $ - Enhanced No EA H5253 108 1 3,900$ 4.5 Stars

Illinois PutnamUnitedHe

althcare

AARP

Medicare

Advantag

e Choice

(PPO)

Local PPO $ 79.00 $ - Enhanced No EA H8768 003 0 3,400$ 4.5 Stars

Illinois PutnamUnitedHe

althcare

AARP

Medicare

Advantag

e

Walgreen

s (PPO)

Local PPO $ - $ 250.00 Enhanced No EA H8768 011 0 5,900$ 4.5 Stars

Page 186: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois RandolphAetna

Medicare

Aetna

Medicare

Advantra

1 (HMO-

POS)

Local

HMO $ 33.00 $ - Enhanced Yes EA H2663 006 0 5,200$ 4 Stars

Illinois RandolphAetna

Medicare

Aetna

Medicare

Advantra

2 (HMO)

Local

HMO $ 81.00 $ - Enhanced Yes EA H2663 002 0 2,900$ 4 Stars

Illinois RandolphAetna

Medicare

Aetna

Medicare

Elite

(PPO)

Local PPO $ - $ - Enhanced Yes EA H1608 050 0 3,400$ 3.5 Stars

Illinois RandolphAetna

Medicare

Aetna

Medicare

Premier

Advantra

(PPO)

Local PPO $ 51.00 $ 200.00 Enhanced Yes EA H1608 013 0 6,000$ 3.5 Stars

Illinois Randolph Humana

HumanaC

hoice

R5361-

001

(Regional

PPO)

Regional

PPO * $ - R5361 001 0 6,700$ 3.5 Stars

Illinois Randolph Humana

HumanaC

hoice

R5361-

002

(Regional

PPO)

Regional

PPO $ 139.00 $ 420.00 Basic No BA R5361 002 0 6,700$ 3.5 Stars

Illinois Randolph

Lasso

Healthcar

e

Lasso

Healthcar

e (MSA)

MSA * H1924 001 0 -$

Plan too

new to be

measured

Illinois RichlandAetna

Medicare

Aetna

Medicare

Premier

Advantra

(PPO)

Local PPO $ 25.00 $ - Enhanced Yes EA H7301 009 0 5,500$ 4.5 Stars

Page 187: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois RichlandAetna

Medicare

Aetna

Medicare

Value

Advantra

(PPO)

Local PPO $ - $ - Enhanced Yes EA H7301 007 0 4,650$ 4.5 Stars

Illinois Richland

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO 20

Rx (HMO)

Local

HMO $ 120.00 $ - Enhanced No EA H1463 003 0 4,000$ 3.5 Stars

Illinois Richland

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO 40

Rx (HMO)

Local

HMO $ 71.00 $ - Enhanced No EA H1463 010 0 4,700$ 3.5 Stars

Illinois Richland

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO

Basic

(HMO)

Local

HMO * $ - H1463 008 0 6,700$ 3.5 Stars

Illinois Richland

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO

Basic Rx

(HMO)

Local

HMO $ 32.00 $ - Enhanced No EA H1463 009 0 6,700$ 3.5 Stars

Illinois Richland

Health

Alliance

Medicare

Health

Alliance

Medicare

POS 10 Rx

(HMO-

POS)

Local

HMO $ 160.00 $ - Enhanced No EA H1463 019 0 4,500$ 3.5 Stars

Illinois Richland

Health

Alliance

Medicare

Health

Alliance

Medicare

POS 30 Rx

(HMO-

POS)

Local

HMO $ 100.00 $ - Enhanced No EA H1463 017 0 5,500$ 3.5 Stars

Page 188: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Richland

Health

Alliance

Medicare

Health

Alliance

Medicare

POS Basic

(HMO-

POS)

Local

HMO * $ 23.00 H1463 014 0 6,700$ 3.5 Stars

Illinois Richland

Health

Alliance

Medicare

Health

Alliance

Medicare

POS Basic

Rx (HMO-

POS)

Local

HMO $ 51.00 $ - Enhanced No EA H1463 015 0 6,700$ 3.5 Stars

Illinois Richland Humana

Humana

Gold

Choice

H8145-

008

(PFFS)

PFFS $ 166.00 $ 380.00 Enhanced No EA H8145 008 0 -$ 3.5 Stars

Illinois Richland Humana

Humana

Gold

Choice

H8145-

121

(PFFS)

PFFS * $ 75.00 H8145 121 0 -$ 3.5 Stars

Illinois Richland Humana

HumanaC

hoice

H5216-

013 (PPO)

Local PPO $ 88.00 $ - Enhanced No EA H5216 013 0 6,700$ 4 Stars

Illinois Richland Humana

HumanaC

hoice

R5361-

001

(Regional

PPO)

Regional

PPO * $ - R5361 001 0 6,700$ 3.5 Stars

Page 189: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Richland Humana

HumanaC

hoice

R5361-

002

(Regional

PPO)

Regional

PPO $ 139.00 $ 420.00 Basic No BA R5361 002 0 6,700$ 3.5 Stars

Illinois Richland

Lasso

Healthcar

e

Lasso

Healthcar

e (MSA)

MSA * H1924 002 0 -$

Plan too

new to be

measured

IllinoisRock

Island

Aetna

Medicare

Aetna

Medicare

Explorer

Value

(PPO)

Local PPO $ - $ - Enhanced Yes EA H5521 228 0 5,900$ 4.5 Stars

IllinoisRock

Island

Aetna

Medicare

Aetna

Medicare

Premier

Advantra

(PPO)

Local PPO $ 23.00 $ - Enhanced Yes EA H7301 002 0 5,500$ 4.5 Stars

IllinoisRock

Island

Aetna

Medicare

Aetna

Medicare

Value

Advantra

(PPO)

Local PPO $ - $ - Enhanced Yes EA H7301 006 0 5,900$ 4.5 Stars

IllinoisRock

Island

Health

Alliance

Medicare

Health

Alliance

Medicare

Guide

HMO Rx 2

(HMO)

Local

HMO $ - $ - Enhanced No EA H1463 021 0 5,900$ 3.5 Stars

IllinoisRock

Island

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO 20

Rx (HMO)

Local

HMO $ 120.00 $ - Enhanced No EA H1463 003 0 4,000$ 3.5 Stars

Page 190: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

IllinoisRock

Island

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO 40

Rx (HMO)

Local

HMO $ 71.00 $ - Enhanced No EA H1463 010 0 4,700$ 3.5 Stars

IllinoisRock

Island

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO

Basic

(HMO)

Local

HMO * $ - H1463 008 0 6,700$ 3.5 Stars

IllinoisRock

Island

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO

Basic Rx

(HMO)

Local

HMO $ 32.00 $ - Enhanced No EA H1463 009 0 6,700$ 3.5 Stars

IllinoisRock

Island

Health

Alliance

Medicare

Health

Alliance

Medicare

POS 10 Rx

(HMO-

POS)

Local

HMO $ 160.00 $ - Enhanced No EA H1463 019 0 4,500$ 3.5 Stars

IllinoisRock

Island

Health

Alliance

Medicare

Health

Alliance

Medicare

POS 30 Rx

(HMO-

POS)

Local

HMO $ 100.00 $ - Enhanced No EA H1463 017 0 5,500$ 3.5 Stars

IllinoisRock

Island

Health

Alliance

Medicare

Health

Alliance

Medicare

POS Basic

(HMO-

POS)

Local

HMO * $ 23.00 H1463 014 0 6,700$ 3.5 Stars

Page 191: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

IllinoisRock

Island

Health

Alliance

Medicare

Health

Alliance

Medicare

POS Basic

Rx (HMO-

POS)

Local

HMO $ 51.00 $ - Enhanced No EA H1463 015 0 6,700$ 3.5 Stars

IllinoisRock

Island

HealthPar

tners

UnityPoin

t Health

HealthPar

tners

UnityPoin

t Health

Align

(PPO)

Local PPO $ - $ - Enhanced No EA H3416 001 5 3,700$ 4.5 Stars

IllinoisRock

Island

HealthPar

tners

UnityPoin

t Health

HealthPar

tners

UnityPoin

t Health

Symmetry

(PPO)

Local PPO $ 39.00 $ - Enhanced Yes EA H3416 002 3 3,300$ 4.5 Stars

IllinoisRock

IslandHumana

Humana

Gold

Choice

H8145-

008

(PFFS)

PFFS $ 166.00 $ 380.00 Enhanced No EA H8145 008 0 -$ 3.5 Stars

IllinoisRock

IslandHumana

Humana

Gold

Choice

H8145-

121

(PFFS)

PFFS * $ 75.00 H8145 121 0 -$ 3.5 Stars

IllinoisRock

IslandHumana

HumanaC

hoice

H5216-

013 (PPO)

Local PPO $ 88.00 $ - Enhanced No EA H5216 013 0 6,700$ 4 Stars

IllinoisRock

IslandHumana

HumanaC

hoice

H5216-

178 (PPO)

Local PPO

* $ - H5216 178 1 6,700$ 4 Stars

Page 192: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

IllinoisRock

IslandHumana

HumanaC

hoice

R5361-

001

(Regional

PPO)

Regional

PPO * $ - R5361 001 0 6,700$ 3.5 Stars

IllinoisRock

IslandHumana

HumanaC

hoice

R5361-

002

(Regional

PPO)

Regional

PPO $ 139.00 $ 420.00 Basic No BA R5361 002 0 6,700$ 3.5 Stars

IllinoisRock

Island

Lasso

Healthcar

e

Lasso

Healthcar

e (MSA)

MSA * H1924 001 0 -$

Plan too

new to be

measured

IllinoisRock

Island

Medical

Associate

s Health

Plan, Inc.

Quad

Cities

Communi

ty Health

Senior

Plan

(Cost)

Cost * $ 145.00 H1651 017 0 -$ 5 Stars

IllinoisRock

Island

UnitedHe

althcare

AARP

Medicare

Advantag

e (HMO-

POS)

Local

HMO $ 36.00 $ - Enhanced No EA H5253 108 2 3,900$ 4.5 Stars

IllinoisRock

Island

UnitedHe

althcare

AARP

Medicare

Advantag

e Choice

(PPO)

Local PPO $ - $ - Enhanced No EA H8768 017 2 4,100$ 4.5 Stars

IllinoisRock

IslandWellCare

WellCare

Edge

(HMO)

Local

HMO $ 15.30 $ 435.00 Enhanced No EA H5779 006 0 3,400$ 3.5 Stars

IllinoisRock

IslandWellCare

WellCare

Essential

(HMO)

Local

HMO $ - $ - Enhanced No EA H5779 002 0 4,000$ 3.5 Stars

Page 193: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Saline

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO 20

Rx (HMO)

Local

HMO $ 120.00 $ - Enhanced No EA H1463 003 0 4,000$ 3.5 Stars

Illinois Saline

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO 40

Rx (HMO)

Local

HMO $ 71.00 $ - Enhanced No EA H1463 010 0 4,700$ 3.5 Stars

Illinois Saline

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO

Basic

(HMO)

Local

HMO * $ - H1463 008 0 6,700$ 3.5 Stars

Illinois Saline

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO

Basic Rx

(HMO)

Local

HMO $ 32.00 $ - Enhanced No EA H1463 009 0 6,700$ 3.5 Stars

Illinois Saline

Health

Alliance

Medicare

Health

Alliance

Medicare

POS 10 Rx

(HMO-

POS)

Local

HMO $ 160.00 $ - Enhanced No EA H1463 019 0 4,500$ 3.5 Stars

Illinois Saline

Health

Alliance

Medicare

Health

Alliance

Medicare

POS 30 Rx

(HMO-

POS)

Local

HMO $ 100.00 $ - Enhanced No EA H1463 017 0 5,500$ 3.5 Stars

Page 194: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Saline

Health

Alliance

Medicare

Health

Alliance

Medicare

POS Basic

(HMO-

POS)

Local

HMO * $ 23.00 H1463 014 0 6,700$ 3.5 Stars

Illinois Saline

Health

Alliance

Medicare

Health

Alliance

Medicare

POS Basic

Rx (HMO-

POS)

Local

HMO $ 51.00 $ - Enhanced No EA H1463 015 0 6,700$ 3.5 Stars

Illinois Saline Humana

HumanaC

hoice

R5361-

001

(Regional

PPO)

Regional

PPO * $ - R5361 001 0 6,700$ 3.5 Stars

Illinois Saline Humana

HumanaC

hoice

R5361-

002

(Regional

PPO)

Regional

PPO $ 139.00 $ 420.00 Basic No BA R5361 002 0 6,700$ 3.5 Stars

Illinois Saline

Lasso

Healthcar

e

Lasso

Healthcar

e (MSA)

MSA * H1924 002 0 -$

Plan too

new to be

measured

IllinoisSangamo

n

Aetna

Medicare

Aetna

Medicare

Premier

Advantra

(PPO)

Local PPO $ 25.00 $ - Enhanced Yes EA H7301 009 0 5,500$ 4.5 Stars

IllinoisSangamo

n

Aetna

Medicare

Aetna

Medicare

Value

Advantra

(PPO)

Local PPO $ - $ - Enhanced Yes EA H7301 007 0 4,650$ 4.5 Stars

Page 195: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

IllinoisSangamo

n

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO 20

Rx (HMO)

Local

HMO $ 120.00 $ - Enhanced No EA H1463 003 0 4,000$ 3.5 Stars

IllinoisSangamo

n

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO 40

Rx (HMO)

Local

HMO $ 71.00 $ - Enhanced No EA H1463 010 0 4,700$ 3.5 Stars

IllinoisSangamo

n

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO

Basic

(HMO)

Local

HMO * $ - H1463 008 0 6,700$ 3.5 Stars

IllinoisSangamo

n

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO

Basic Rx

(HMO)

Local

HMO $ 32.00 $ - Enhanced No EA H1463 009 0 6,700$ 3.5 Stars

IllinoisSangamo

n

Health

Alliance

Medicare

Health

Alliance

Medicare

POS 10 Rx

(HMO-

POS)

Local

HMO $ 160.00 $ - Enhanced No EA H1463 019 0 4,500$ 3.5 Stars

IllinoisSangamo

n

Health

Alliance

Medicare

Health

Alliance

Medicare

POS 30 Rx

(HMO-

POS)

Local

HMO $ 100.00 $ - Enhanced No EA H1463 017 0 5,500$ 3.5 Stars

Page 196: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

IllinoisSangamo

n

Health

Alliance

Medicare

Health

Alliance

Medicare

POS Basic

(HMO-

POS)

Local

HMO * $ 23.00 H1463 014 0 6,700$ 3.5 Stars

IllinoisSangamo

n

Health

Alliance

Medicare

Health

Alliance

Medicare

POS Basic

Rx (HMO-

POS)

Local

HMO $ 51.00 $ - Enhanced No EA H1463 015 0 6,700$ 3.5 Stars

IllinoisSangamo

nHumana

Humana

Gold

Choice

H8145-

008

(PFFS)

PFFS $ 166.00 $ 380.00 Enhanced No EA H8145 008 0 -$ 3.5 Stars

IllinoisSangamo

nHumana

Humana

Gold

Choice

H8145-

121

(PFFS)

PFFS * $ 75.00 H8145 121 0 -$ 3.5 Stars

IllinoisSangamo

nHumana

HumanaC

hoice

H5216-

013 (PPO)

Local PPO $ 88.00 $ - Enhanced No EA H5216 013 0 6,700$ 4 Stars

IllinoisSangamo

nHumana

HumanaC

hoice

H5216-

215 (PPO)

Local PPO $ 14.00 $ 195.00 Enhanced No EA H5216 215 0 6,700$ 4 Stars

IllinoisSangamo

nHumana

HumanaC

hoice

R5361-

001

(Regional

PPO)

Regional

PPO * $ - R5361 001 0 6,700$ 3.5 Stars

Page 197: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

IllinoisSangamo

nHumana

HumanaC

hoice

R5361-

002

(Regional

PPO)

Regional

PPO $ 139.00 $ 420.00 Basic No BA R5361 002 0 6,700$ 3.5 Stars

IllinoisSangamo

n

Lasso

Healthcar

e

Lasso

Healthcar

e (MSA)

MSA * H1924 001 0 -$

Plan too

new to be

measured

Illinois SchuylerAetna

Medicare

Aetna

Medicare

Premier

Advantra

(PPO)

Local PPO $ 25.00 $ - Enhanced Yes EA H7301 009 0 5,500$ 4.5 Stars

Illinois SchuylerAetna

Medicare

Aetna

Medicare

Value

Advantra

(PPO)

Local PPO $ - $ - Enhanced Yes EA H7301 007 0 4,650$ 4.5 Stars

Illinois Schuyler

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO 20

Rx (HMO)

Local

HMO $ 120.00 $ - Enhanced No EA H1463 003 0 4,000$ 3.5 Stars

Illinois Schuyler

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO 40

Rx (HMO)

Local

HMO $ 71.00 $ - Enhanced No EA H1463 010 0 4,700$ 3.5 Stars

Illinois Schuyler

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO

Basic

(HMO)

Local

HMO * $ - H1463 008 0 6,700$ 3.5 Stars

Page 198: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Schuyler

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO

Basic Rx

(HMO)

Local

HMO $ 32.00 $ - Enhanced No EA H1463 009 0 6,700$ 3.5 Stars

Illinois Schuyler

Health

Alliance

Medicare

Health

Alliance

Medicare

POS 10 Rx

(HMO-

POS)

Local

HMO $ 160.00 $ - Enhanced No EA H1463 019 0 4,500$ 3.5 Stars

Illinois Schuyler

Health

Alliance

Medicare

Health

Alliance

Medicare

POS 30 Rx

(HMO-

POS)

Local

HMO $ 100.00 $ - Enhanced No EA H1463 017 0 5,500$ 3.5 Stars

Illinois Schuyler

Health

Alliance

Medicare

Health

Alliance

Medicare

POS Basic

(HMO-

POS)

Local

HMO * $ 23.00 H1463 014 0 6,700$ 3.5 Stars

Illinois Schuyler

Health

Alliance

Medicare

Health

Alliance

Medicare

POS Basic

Rx (HMO-

POS)

Local

HMO $ 51.00 $ - Enhanced No EA H1463 015 0 6,700$ 3.5 Stars

Illinois Schuyler Humana

Humana

Gold

Choice

H8145-

008

(PFFS)

PFFS $ 166.00 $ 380.00 Enhanced No EA H8145 008 0 -$ 3.5 Stars

Page 199: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Schuyler Humana

Humana

Gold

Choice

H8145-

121

(PFFS)

PFFS * $ 75.00 H8145 121 0 -$ 3.5 Stars

Illinois Schuyler Humana

HumanaC

hoice

H5525-

004 (PPO)

Local PPO $ 106.00 $ 250.00 Enhanced No EA H5525 004 0 5,500$ 4 Stars

Illinois Schuyler Humana

HumanaC

hoice

R5361-

001

(Regional

PPO)

Regional

PPO * $ - R5361 001 0 6,700$ 3.5 Stars

Illinois Schuyler Humana

HumanaC

hoice

R5361-

002

(Regional

PPO)

Regional

PPO $ 139.00 $ 420.00 Basic No BA R5361 002 0 6,700$ 3.5 Stars

Illinois Schuyler

Lasso

Healthcar

e

Lasso

Healthcar

e (MSA)

MSA * H1924 003 0 -$

Plan too

new to be

measured

Illinois ScottAetna

Medicare

Aetna

Medicare

Premier

Advantra

(PPO)

Local PPO $ 25.00 $ - Enhanced Yes EA H7301 009 0 5,500$ 4.5 Stars

Illinois ScottAetna

Medicare

Aetna

Medicare

Value

Advantra

(PPO)

Local PPO $ - $ - Enhanced Yes EA H7301 007 0 4,650$ 4.5 Stars

Page 200: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Scott

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO 20

Rx (HMO)

Local

HMO $ 120.00 $ - Enhanced No EA H1463 003 0 4,000$ 3.5 Stars

Illinois Scott

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO 40

Rx (HMO)

Local

HMO $ 71.00 $ - Enhanced No EA H1463 010 0 4,700$ 3.5 Stars

Illinois Scott

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO

Basic

(HMO)

Local

HMO * $ - H1463 008 0 6,700$ 3.5 Stars

Illinois Scott

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO

Basic Rx

(HMO)

Local

HMO $ 32.00 $ - Enhanced No EA H1463 009 0 6,700$ 3.5 Stars

Illinois Scott

Health

Alliance

Medicare

Health

Alliance

Medicare

POS 10 Rx

(HMO-

POS)

Local

HMO $ 160.00 $ - Enhanced No EA H1463 019 0 4,500$ 3.5 Stars

Illinois Scott

Health

Alliance

Medicare

Health

Alliance

Medicare

POS 30 Rx

(HMO-

POS)

Local

HMO $ 100.00 $ - Enhanced No EA H1463 017 0 5,500$ 3.5 Stars

Page 201: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Scott

Health

Alliance

Medicare

Health

Alliance

Medicare

POS Basic

(HMO-

POS)

Local

HMO * $ 23.00 H1463 014 0 6,700$ 3.5 Stars

Illinois Scott

Health

Alliance

Medicare

Health

Alliance

Medicare

POS Basic

Rx (HMO-

POS)

Local

HMO $ 51.00 $ - Enhanced No EA H1463 015 0 6,700$ 3.5 Stars

Illinois Scott Humana

HumanaC

hoice

H5216-

013 (PPO)

Local PPO $ 88.00 $ - Enhanced No EA H5216 013 0 6,700$ 4 Stars

Illinois Scott Humana

HumanaC

hoice

R5361-

001

(Regional

PPO)

Regional

PPO * $ - R5361 001 0 6,700$ 3.5 Stars

Illinois Scott Humana

HumanaC

hoice

R5361-

002

(Regional

PPO)

Regional

PPO $ 139.00 $ 420.00 Basic No BA R5361 002 0 6,700$ 3.5 Stars

Illinois Scott

Lasso

Healthcar

e

Lasso

Healthcar

e (MSA)

MSA * H1924 001 0 -$

Plan too

new to be

measured

Illinois ShelbyAetna

Medicare

Aetna

Medicare

Premier

Advantra

(PPO)

Local PPO $ 25.00 $ - Enhanced Yes EA H7301 009 0 5,500$ 4.5 Stars

Page 202: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois ShelbyAetna

Medicare

Aetna

Medicare

Value

Advantra

(PPO)

Local PPO $ - $ - Enhanced Yes EA H7301 007 0 4,650$ 4.5 Stars

Illinois Shelby

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO 20

Rx (HMO)

Local

HMO $ 120.00 $ - Enhanced No EA H1463 003 0 4,000$ 3.5 Stars

Illinois Shelby

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO 40

Rx (HMO)

Local

HMO $ 71.00 $ - Enhanced No EA H1463 010 0 4,700$ 3.5 Stars

Illinois Shelby

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO

Basic

(HMO)

Local

HMO * $ - H1463 008 0 6,700$ 3.5 Stars

Illinois Shelby

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO

Basic Rx

(HMO)

Local

HMO $ 32.00 $ - Enhanced No EA H1463 009 0 6,700$ 3.5 Stars

Illinois Shelby

Health

Alliance

Medicare

Health

Alliance

Medicare

POS 10 Rx

(HMO-

POS)

Local

HMO $ 160.00 $ - Enhanced No EA H1463 019 0 4,500$ 3.5 Stars

Illinois Shelby

Health

Alliance

Medicare

Health

Alliance

Medicare

POS 30 Rx

(HMO-

POS)

Local

HMO $ 100.00 $ - Enhanced No EA H1463 017 0 5,500$ 3.5 Stars

Page 203: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Shelby

Health

Alliance

Medicare

Health

Alliance

Medicare

POS Basic

(HMO-

POS)

Local

HMO * $ 23.00 H1463 014 0 6,700$ 3.5 Stars

Illinois Shelby

Health

Alliance

Medicare

Health

Alliance

Medicare

POS Basic

Rx (HMO-

POS)

Local

HMO $ 51.00 $ - Enhanced No EA H1463 015 0 6,700$ 3.5 Stars

Illinois Shelby Humana

HumanaC

hoice

R5361-

001

(Regional

PPO)

Regional

PPO * $ - R5361 001 0 6,700$ 3.5 Stars

Illinois Shelby Humana

HumanaC

hoice

R5361-

002

(Regional

PPO)

Regional

PPO $ 139.00 $ 420.00 Basic No BA R5361 002 0 6,700$ 3.5 Stars

Illinois Shelby

Lasso

Healthcar

e

Lasso

Healthcar

e (MSA)

MSA * H1924 001 0 -$

Plan too

new to be

measured

Illinois St. ClairAetna

Medicare

Aetna

Medicare

Advantra

1 (HMO-

POS)

Local

HMO $ 33.00 $ - Enhanced Yes EA H2663 006 0 5,200$ 4 Stars

Illinois St. ClairAetna

Medicare

Aetna

Medicare

Advantra

2 (HMO)

Local

HMO $ 81.00 $ - Enhanced Yes EA H2663 002 0 2,900$ 4 Stars

Page 204: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois St. ClairAetna

Medicare

Aetna

Medicare

Elite

(PPO)

Local PPO $ - $ - Enhanced Yes EA H1608 050 0 3,400$ 3.5 Stars

Illinois St. ClairAetna

Medicare

Aetna

Medicare

Gold

Advantag

e Prime

(HMO)

Local

HMO $ - $ - Enhanced Yes EA H2663 005 0 2,800$ 4 Stars

Illinois St. ClairAetna

Medicare

Aetna

Medicare

Premier

Advantra

(PPO)

Local PPO $ 51.00 $ 200.00 Enhanced Yes EA H1608 013 0 6,000$ 3.5 Stars

Illinois St. Clair

Clear

Spring

Health

Clear

Spring

Health

Essential

(HMO)

Local

HMO $ - $ - Enhanced No EA H5454 001 0 2,900$

Plan too

new to be

measured

Illinois St. Clair

Clear

Spring

Health

Clear

Spring

Health

Essential

Plus

(HMO)

Local

HMO $ 49.00 $ - Enhanced No EA H5454 003 0 2,500$

Plan too

new to be

measured

Illinois St. Clair

Essence

Healthcar

e

Essence

Advantag

e (HMO)

Local

HMO $ - $ - Enhanced No EA H2610 005 0 1,900$ 4 Stars

Illinois St. Clair

Essence

Healthcar

e

Essence

Advantag

e Plus

(HMO)

Local

HMO $ 73.00 $ - Enhanced Yes EA H2610 006 0 1,700$ 4 Stars

Illinois St. Clair

Essence

Healthcar

e

Essence

Advantag

e Select

(HMO)

Local

HMO $ - $ - Enhanced No EA H2610 016 0 2,900$ 4 Stars

Page 205: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois St. Clair Humana

Humana

Gold

Choice

H8145-

008

(PFFS)

PFFS $ 166.00 $ 380.00 Enhanced No EA H8145 008 0 -$ 3.5 Stars

Illinois St. Clair Humana

Humana

Gold

Choice

H8145-

121

(PFFS)

PFFS * $ 75.00 H8145 121 0 -$ 3.5 Stars

Illinois St. Clair Humana

Humana

Gold Plus

H0028-

014

(HMO)

Local

HMO $ - $ - Enhanced No EA H0028 014 0 2,900$ 4.5 Stars

Illinois St. Clair Humana

Humana

Honor

(PPO)

Local PPO

* $ - H5216 140 0 4,900$ 4 Stars

Illinois St. Clair Humana

HumanaC

hoice

H5216-

032 (PPO)

Local PPO $ 82.00 $ 195.00 Enhanced No EA H5216 032 0 6,700$ 4 Stars

Illinois St. Clair Humana

HumanaC

hoice

H5216-

033 (PPO)

Local PPO $ - $ - Enhanced No EA H5216 033 2 3,600$ 4 Stars

Illinois St. Clair Humana

HumanaC

hoice

R5361-

001

(Regional

PPO)

Regional

PPO * $ - R5361 001 0 6,700$ 3.5 Stars

Page 206: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois St. Clair Humana

HumanaC

hoice

R5361-

002

(Regional

PPO)

Regional

PPO $ 139.00 $ 420.00 Basic No BA R5361 002 0 6,700$ 3.5 Stars

Illinois St. Clair

Lasso

Healthcar

e

Lasso

Healthcar

e (MSA)

MSA * H1924 001 0 -$

Plan too

new to be

measured

Illinois St. ClairUnitedHe

althcare

AARP

Medicare

Advantag

e (HMO-

POS)

Local

HMO $ - $ - Enhanced No EA H2802 028 0 2,900$ 4 Stars

Illinois St. ClairUnitedHe

althcare

AARP

Medicare

Advantag

e Choice

Plan 1

(PPO)

Local PPO $ 29.00 $ 150.00 Enhanced No EA H2228 030 0 4,400$ 4 Stars

Illinois St. ClairUnitedHe

althcare

AARP

Medicare

Advantag

e

Walgreen

s (PPO)

Local PPO $ - $ - Enhanced No EA H2228 083 0 3,900$ 4 Stars

Illinois St. Clair WellCare

WellCare

Advance

(HMO-

POS)

Local

HMO * $ - H1416 053 0 3,900$ 3.5 Stars

Illinois St. Clair WellCare

WellCare

Choice

(HMO-

POS)

Local

HMO $ 39.00 $ - Enhanced Yes EA H1416 024 0 3,400$ 3.5 Stars

Illinois St. Clair WellCare

WellCare

Plus

(HMO)

Local

HMO $ 13.20 $ 435.00 Enhanced No EA H1416 048 0 3,400$ 3.5 Stars

Illinois St. Clair WellCareWellCare

Rx (HMO)

Local

HMO $ 12.60 $ 435.00 Enhanced No EA H1416 023 0 3,400$ 3.5 Stars

Page 207: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois St. Clair WellCare

WellCare

Value

(HMO-

POS)

Local

HMO $ - $ - Enhanced No EA H1416 009 0 3,900$ 3.5 Stars

Illinois StarkAetna

Medicare

Aetna

Medicare

Premier

Advantra

(PPO)

Local PPO $ 25.00 $ - Enhanced Yes EA H7301 009 0 5,500$ 4.5 Stars

Illinois StarkAetna

Medicare

Aetna

Medicare

Value

Advantra

(PPO)

Local PPO $ - $ - Enhanced Yes EA H7301 007 0 4,650$ 4.5 Stars

Illinois Stark

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO 20

Rx (HMO)

Local

HMO $ 120.00 $ - Enhanced No EA H1463 003 0 4,000$ 3.5 Stars

Illinois Stark

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO 40

Rx (HMO)

Local

HMO $ 71.00 $ - Enhanced No EA H1463 010 0 4,700$ 3.5 Stars

Illinois Stark

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO

Basic

(HMO)

Local

HMO * $ - H1463 008 0 6,700$ 3.5 Stars

Illinois Stark

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO

Basic Rx

(HMO)

Local

HMO $ 32.00 $ - Enhanced No EA H1463 009 0 6,700$ 3.5 Stars

Page 208: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Stark

Health

Alliance

Medicare

Health

Alliance

Medicare

POS 10 Rx

(HMO-

POS)

Local

HMO $ 160.00 $ - Enhanced No EA H1463 019 0 4,500$ 3.5 Stars

Illinois Stark

Health

Alliance

Medicare

Health

Alliance

Medicare

POS 30 Rx

(HMO-

POS)

Local

HMO $ 100.00 $ - Enhanced No EA H1463 017 0 5,500$ 3.5 Stars

Illinois Stark

Health

Alliance

Medicare

Health

Alliance

Medicare

POS Basic

(HMO-

POS)

Local

HMO * $ 23.00 H1463 014 0 6,700$ 3.5 Stars

Illinois Stark

Health

Alliance

Medicare

Health

Alliance

Medicare

POS Basic

Rx (HMO-

POS)

Local

HMO $ 51.00 $ - Enhanced No EA H1463 015 0 6,700$ 3.5 Stars

Illinois Stark

Health

Alliance

Medicare

OSF

MedAdva

ntage

Core

(HMO)

Local

HMO $ - $ - Enhanced No EA H1463 035 0 4,000$ 3.5 Stars

Illinois Stark

Health

Alliance

Medicare

OSF

MedAdva

ntage

Open

(HMO-

POS)

Local

HMO $ 35.00 $ - Enhanced No EA H1463 036 0 4,500$ 3.5 Stars

Page 209: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Stark

Health

Alliance

Medicare

OSF

MedAdva

ntage Plus

(HMO-

POS)

Local

HMO $ 135.00 $ - Enhanced No EA H1463 037 0 3,400$ 3.5 Stars

Illinois Stark

Health

Alliance

Medicare

OSF

MedAdva

ntage

Select

(HMO)

Local

HMO $ 110.00 $ - Enhanced No EA H1463 038 0 3,400$ 3.5 Stars

Illinois Stark Humana

Humana

Gold Plus

H1468-

007

(HMO)

Local

HMO $ - $ 200.00 Enhanced No EA H1468 007 0 4,500$ 4.5 Stars

Illinois Stark Humana

HumanaC

hoice

H5525-

004 (PPO)

Local PPO $ 106.00 $ 250.00 Enhanced No EA H5525 004 0 5,500$ 4 Stars

Illinois Stark Humana

HumanaC

hoice

R5361-

001

(Regional

PPO)

Regional

PPO * $ - R5361 001 0 6,700$ 3.5 Stars

Illinois Stark Humana

HumanaC

hoice

R5361-

002

(Regional

PPO)

Regional

PPO $ 139.00 $ 420.00 Basic No BA R5361 002 0 6,700$ 3.5 Stars

Illinois Stark

Lasso

Healthcar

e

Lasso

Healthcar

e (MSA)

MSA * H1924 001 0 -$

Plan too

new to be

measured

Illinois StarkUnitedHe

althcare

AARP

Medicare

Advantag

e (HMO-

POS)

Local

HMO $ 34.00 $ - Enhanced No EA H5253 108 1 3,900$ 4.5 Stars

Page 210: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois StarkUnitedHe

althcare

AARP

Medicare

Advantag

e Choice

(PPO)

Local PPO $ 79.00 $ - Enhanced No EA H8768 003 0 3,400$ 4.5 Stars

Illinois StarkUnitedHe

althcare

AARP

Medicare

Advantag

e

Walgreen

s (PPO)

Local PPO $ - $ 250.00 Enhanced No EA H8768 011 0 5,900$ 4.5 Stars

IllinoisStephens

on

Aetna

Medicare

Aetna

Medicare

Explorer

Value

(PPO)

Local PPO $ - $ - Enhanced Yes EA H5521 228 0 5,900$ 4.5 Stars

IllinoisStephens

on

Aetna

Medicare

Aetna

Medicare

Premier

Advantra

(PPO)

Local PPO $ 23.00 $ - Enhanced Yes EA H7301 002 0 5,500$ 4.5 Stars

IllinoisStephens

on

Aetna

Medicare

Aetna

Medicare

Value

Advantra

(PPO)

Local PPO $ - $ - Enhanced Yes EA H7301 006 0 5,900$ 4.5 Stars

IllinoisStephens

on

Clear

Spring

Health

Clear

Spring

Health

Essential

(HMO)

Local

HMO $ - $ - Enhanced No EA H5454 001 0 2,900$

Plan too

new to be

measured

IllinoisStephens

on

Clear

Spring

Health

Clear

Spring

Health

Essential

Plus

(HMO)

Local

HMO $ 49.00 $ - Enhanced No EA H5454 003 0 2,500$

Plan too

new to be

measured

Page 211: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

IllinoisStephens

on

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO 20

Rx (HMO)

Local

HMO $ 120.00 $ - Enhanced No EA H1463 003 0 4,000$ 3.5 Stars

IllinoisStephens

on

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO 40

Rx (HMO)

Local

HMO $ 71.00 $ - Enhanced No EA H1463 010 0 4,700$ 3.5 Stars

IllinoisStephens

on

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO

Basic

(HMO)

Local

HMO * $ - H1463 008 0 6,700$ 3.5 Stars

IllinoisStephens

on

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO

Basic Rx

(HMO)

Local

HMO $ 32.00 $ - Enhanced No EA H1463 009 0 6,700$ 3.5 Stars

IllinoisStephens

on

Health

Alliance

Medicare

Health

Alliance

Medicare

POS 10 Rx

(HMO-

POS)

Local

HMO $ 160.00 $ - Enhanced No EA H1463 019 0 4,500$ 3.5 Stars

IllinoisStephens

on

Health

Alliance

Medicare

Health

Alliance

Medicare

POS 30 Rx

(HMO-

POS)

Local

HMO $ 100.00 $ - Enhanced No EA H1463 017 0 5,500$ 3.5 Stars

Page 212: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

IllinoisStephens

on

Health

Alliance

Medicare

Health

Alliance

Medicare

POS Basic

(HMO-

POS)

Local

HMO * $ 23.00 H1463 014 0 6,700$ 3.5 Stars

IllinoisStephens

on

Health

Alliance

Medicare

Health

Alliance

Medicare

POS Basic

Rx (HMO-

POS)

Local

HMO $ 51.00 $ - Enhanced No EA H1463 015 0 6,700$ 3.5 Stars

IllinoisStephens

onHumana

Humana

Gold

Choice

H8145-

008

(PFFS)

PFFS $ 166.00 $ 380.00 Enhanced No EA H8145 008 0 -$ 3.5 Stars

IllinoisStephens

onHumana

Humana

Gold Plus

H1468-

007

(HMO)

Local

HMO $ - $ 200.00 Enhanced No EA H1468 007 0 4,500$ 4.5 Stars

IllinoisStephens

onHumana

HumanaC

hoice

H5525-

004 (PPO)

Local PPO $ 106.00 $ 250.00 Enhanced No EA H5525 004 0 5,500$ 4 Stars

IllinoisStephens

onHumana

HumanaC

hoice

R5361-

001

(Regional

PPO)

Regional

PPO * $ - R5361 001 0 6,700$ 3.5 Stars

IllinoisStephens

onHumana

HumanaC

hoice

R5361-

002

(Regional

PPO)

Regional

PPO $ 139.00 $ 420.00 Basic No BA R5361 002 0 6,700$ 3.5 Stars

Page 213: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

IllinoisStephens

on

Lasso

Healthcar

e

Lasso

Healthcar

e (MSA)

MSA * H1924 001 0 -$

Plan too

new to be

measured

IllinoisStephens

on

UnitedHe

althcare

AARP

Medicare

Advantag

e (HMO-

POS)

Local

HMO $ 34.00 $ - Enhanced No EA H5253 108 1 3,900$ 4.5 Stars

IllinoisStephens

on

UnitedHe

althcare

AARP

Medicare

Advantag

e Choice

(PPO)

Local PPO $ 79.00 $ - Enhanced No EA H8768 003 0 3,400$ 4.5 Stars

IllinoisStephens

on

UnitedHe

althcare

AARP

Medicare

Advantag

e

Walgreen

s (PPO)

Local PPO $ - $ 250.00 Enhanced No EA H8768 011 0 5,900$ 4.5 Stars

Illinois TazewellAetna

Medicare

Aetna

Medicare

Premier

Advantra

(PPO)

Local PPO $ 25.00 $ - Enhanced Yes EA H7301 009 0 5,500$ 4.5 Stars

Illinois TazewellAetna

Medicare

Aetna

Medicare

UnityPoin

t Health

Prime

(HMO)

Local

HMO $ - $ - Enhanced Yes EA H2663 017 0 3,400$ 4 Stars

Illinois TazewellAetna

Medicare

Aetna

Medicare

Value

Advantra

(PPO)

Local PPO $ - $ - Enhanced Yes EA H7301 007 0 4,650$ 4.5 Stars

Page 214: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Tazewell

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO 20

Rx (HMO)

Local

HMO $ 120.00 $ - Enhanced No EA H1463 003 0 4,000$ 3.5 Stars

Illinois Tazewell

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO 40

Rx (HMO)

Local

HMO $ 71.00 $ - Enhanced No EA H1463 010 0 4,700$ 3.5 Stars

Illinois Tazewell

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO

Basic

(HMO)

Local

HMO * $ - H1463 008 0 6,700$ 3.5 Stars

Illinois Tazewell

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO

Basic Rx

(HMO)

Local

HMO $ 32.00 $ - Enhanced No EA H1463 009 0 6,700$ 3.5 Stars

Illinois Tazewell

Health

Alliance

Medicare

Health

Alliance

Medicare

POS 10 Rx

(HMO-

POS)

Local

HMO $ 160.00 $ - Enhanced No EA H1463 019 0 4,500$ 3.5 Stars

Illinois Tazewell

Health

Alliance

Medicare

Health

Alliance

Medicare

POS 30 Rx

(HMO-

POS)

Local

HMO $ 100.00 $ - Enhanced No EA H1463 017 0 5,500$ 3.5 Stars

Page 215: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Tazewell

Health

Alliance

Medicare

Health

Alliance

Medicare

POS Basic

(HMO-

POS)

Local

HMO * $ 23.00 H1463 014 0 6,700$ 3.5 Stars

Illinois Tazewell

Health

Alliance

Medicare

Health

Alliance

Medicare

POS Basic

Rx (HMO-

POS)

Local

HMO $ 51.00 $ - Enhanced No EA H1463 015 0 6,700$ 3.5 Stars

Illinois Tazewell

Health

Alliance

Medicare

OSF

MedAdva

ntage

Core

(HMO)

Local

HMO $ - $ - Enhanced No EA H1463 035 0 4,000$ 3.5 Stars

Illinois Tazewell

Health

Alliance

Medicare

OSF

MedAdva

ntage

Open

(HMO-

POS)

Local

HMO $ 35.00 $ - Enhanced No EA H1463 036 0 4,500$ 3.5 Stars

Illinois Tazewell

Health

Alliance

Medicare

OSF

MedAdva

ntage Plus

(HMO-

POS)

Local

HMO $ 135.00 $ - Enhanced No EA H1463 037 0 3,400$ 3.5 Stars

Illinois Tazewell

Health

Alliance

Medicare

OSF

MedAdva

ntage

Select

(HMO)

Local

HMO $ 110.00 $ - Enhanced No EA H1463 038 0 3,400$ 3.5 Stars

Illinois Tazewell

HealthPar

tners

UnityPoin

t Health

HealthPar

tners

UnityPoin

t Health

Align

(PPO)

Local PPO $ - $ - Enhanced No EA H3416 001 4 3,700$ 4.5 Stars

Page 216: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Tazewell

HealthPar

tners

UnityPoin

t Health

HealthPar

tners

UnityPoin

t Health

Symmetry

(PPO)

Local PPO $ 39.00 $ - Enhanced Yes EA H3416 002 2 3,300$ 4.5 Stars

Illinois Tazewell Humana

Humana

Gold

Choice

H8145-

008

(PFFS)

PFFS $ 166.00 $ 380.00 Enhanced No EA H8145 008 0 -$ 3.5 Stars

Illinois Tazewell Humana

Humana

Gold Plus

H1468-

007

(HMO)

Local

HMO $ - $ 200.00 Enhanced No EA H1468 007 0 4,500$ 4.5 Stars

Illinois Tazewell Humana

HumanaC

hoice

H5525-

004 (PPO)

Local PPO $ 106.00 $ 250.00 Enhanced No EA H5525 004 0 5,500$ 4 Stars

Illinois Tazewell Humana

HumanaC

hoice

R5361-

001

(Regional

PPO)

Regional

PPO * $ - R5361 001 0 6,700$ 3.5 Stars

Illinois Tazewell Humana

HumanaC

hoice

R5361-

002

(Regional

PPO)

Regional

PPO $ 139.00 $ 420.00 Basic No BA R5361 002 0 6,700$ 3.5 Stars

Illinois Tazewell

Lasso

Healthcar

e

Lasso

Healthcar

e (MSA)

MSA * H1924 001 0 -$

Plan too

new to be

measured

Page 217: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois TazewellUnitedHe

althcare

AARP

Medicare

Advantag

e (HMO-

POS)

Local

HMO $ 34.00 $ - Enhanced No EA H5253 108 1 3,900$ 4.5 Stars

Illinois TazewellUnitedHe

althcare

AARP

Medicare

Advantag

e Choice

(PPO)

Local PPO $ 79.00 $ - Enhanced No EA H8768 003 0 3,400$ 4.5 Stars

Illinois TazewellUnitedHe

althcare

AARP

Medicare

Advantag

e

Walgreen

s (PPO)

Local PPO $ - $ 250.00 Enhanced No EA H8768 011 0 5,900$ 4.5 Stars

Illinois Tazewell WellCare

WellCare

Advance

(HMO-

POS)

Local

HMO * $ - H1416 053 0 3,900$ 3.5 Stars

Illinois Tazewell WellCare

WellCare

Choice

(HMO-

POS)

Local

HMO $ 39.00 $ - Enhanced Yes EA H1416 024 0 3,400$ 3.5 Stars

Illinois Tazewell WellCare

WellCare

Edge

(HMO)

Local

HMO $ 15.30 $ 435.00 Enhanced No EA H5779 006 0 3,400$ 3.5 Stars

Illinois Tazewell WellCare

WellCare

Essential

(HMO)

Local

HMO $ - $ - Enhanced No EA H5779 002 0 4,000$ 3.5 Stars

Illinois Tazewell WellCare

WellCare

Plus

(HMO)

Local

HMO $ 13.20 $ 435.00 Enhanced No EA H1416 048 0 3,400$ 3.5 Stars

Illinois Tazewell WellCareWellCare

Rx (HMO)

Local

HMO $ 12.60 $ 435.00 Enhanced No EA H1416 023 0 3,400$ 3.5 Stars

Illinois Tazewell WellCare

WellCare

Value

(HMO-

POS)

Local

HMO $ - $ - Enhanced No EA H1416 009 0 3,900$ 3.5 Stars

Page 218: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois UnionAetna

Medicare

Aetna

Medicare

Premier

Plus (PPO)

Local PPO $ - $ 150.00 Enhanced Yes EA H1608 056 0 5,900$ 3.5 Stars

Illinois Union Humana

Humana

Gold

Choice

H8145-

008

(PFFS)

PFFS $ 166.00 $ 380.00 Enhanced No EA H8145 008 0 -$ 3.5 Stars

Illinois Union Humana

Humana

Gold

Choice

H8145-

121

(PFFS)

PFFS * $ 75.00 H8145 121 0 -$ 3.5 Stars

Illinois Union Humana

HumanaC

hoice

R5361-

001

(Regional

PPO)

Regional

PPO * $ - R5361 001 0 6,700$ 3.5 Stars

Illinois Union Humana

HumanaC

hoice

R5361-

002

(Regional

PPO)

Regional

PPO $ 139.00 $ 420.00 Basic No BA R5361 002 0 6,700$ 3.5 Stars

Illinois Union

Lasso

Healthcar

e

Lasso

Healthcar

e (MSA)

MSA * H1924 003 0 -$

Plan too

new to be

measured

Illinois VermilionAetna

Medicare

Aetna

Medicare

Premier

Advantra

(PPO)

Local PPO $ 25.00 $ - Enhanced Yes EA H7301 009 0 5,500$ 4.5 Stars

Page 219: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois VermilionAetna

Medicare

Aetna

Medicare

Value

Advantra

(PPO)

Local PPO $ - $ - Enhanced Yes EA H7301 007 0 4,650$ 4.5 Stars

Illinois Vermilion

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO 20

Rx (HMO)

Local

HMO $ 120.00 $ - Enhanced No EA H1463 003 0 4,000$ 3.5 Stars

Illinois Vermilion

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO 40

Rx (HMO)

Local

HMO $ 71.00 $ - Enhanced No EA H1463 010 0 4,700$ 3.5 Stars

Illinois Vermilion

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO

Basic

(HMO)

Local

HMO * $ - H1463 008 0 6,700$ 3.5 Stars

Illinois Vermilion

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO

Basic Rx

(HMO)

Local

HMO $ 32.00 $ - Enhanced No EA H1463 009 0 6,700$ 3.5 Stars

Illinois Vermilion

Health

Alliance

Medicare

Health

Alliance

Medicare

POS 10 Rx

(HMO-

POS)

Local

HMO $ 160.00 $ - Enhanced No EA H1463 019 0 4,500$ 3.5 Stars

Illinois Vermilion

Health

Alliance

Medicare

Health

Alliance

Medicare

POS 30 Rx

(HMO-

POS)

Local

HMO $ 100.00 $ - Enhanced No EA H1463 017 0 5,500$ 3.5 Stars

Page 220: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Vermilion

Health

Alliance

Medicare

Health

Alliance

Medicare

POS Basic

(HMO-

POS)

Local

HMO * $ 23.00 H1463 014 0 6,700$ 3.5 Stars

Illinois Vermilion

Health

Alliance

Medicare

Health

Alliance

Medicare

POS Basic

Rx (HMO-

POS)

Local

HMO $ 51.00 $ - Enhanced No EA H1463 015 0 6,700$ 3.5 Stars

Illinois Vermilion

Health

Alliance

Medicare

Simplete

1 (HMO)

Local

HMO $ - $ - Enhanced No EA H1463 023 0 4,000$ 3.5 Stars

Illinois Vermilion

Health

Alliance

Medicare

Simplete

2 (HMO)

Local

HMO $ 28.00 $ - Enhanced No EA H1463 024 0 4,500$ 3.5 Stars

Illinois Vermilion

Health

Alliance

Medicare

Simplete

3 (HMO-

POS)

Local

HMO $ 48.00 $ - Enhanced No EA H1463 025 0 4,500$ 3.5 Stars

Illinois Vermilion Humana

HumanaC

hoice

H5216-

013 (PPO)

Local PPO $ 88.00 $ - Enhanced No EA H5216 013 0 6,700$ 4 Stars

Illinois Vermilion Humana

HumanaC

hoice

R5361-

001

(Regional

PPO)

Regional

PPO * $ - R5361 001 0 6,700$ 3.5 Stars

Illinois Vermilion Humana

HumanaC

hoice

R5361-

002

(Regional

PPO)

Regional

PPO $ 139.00 $ 420.00 Basic No BA R5361 002 0 6,700$ 3.5 Stars

Page 221: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Vermilion

Lasso

Healthcar

e

Lasso

Healthcar

e (MSA)

MSA * H1924 001 0 -$

Plan too

new to be

measured

Illinois Vermilion WellCare

WellCare

Advance

(HMO-

POS)

Local

HMO * $ - H1416 053 0 3,900$ 3.5 Stars

Illinois Vermilion WellCare

WellCare

Choice

(HMO-

POS)

Local

HMO $ 39.00 $ - Enhanced Yes EA H1416 024 0 3,400$ 3.5 Stars

Illinois Vermilion WellCare

WellCare

Plus

(HMO)

Local

HMO $ 13.20 $ 435.00 Enhanced No EA H1416 048 0 3,400$ 3.5 Stars

Illinois Vermilion WellCareWellCare

Rx (HMO)

Local

HMO $ 12.60 $ 435.00 Enhanced No EA H1416 023 0 3,400$ 3.5 Stars

Illinois Vermilion WellCare

WellCare

Value

(HMO-

POS)

Local

HMO $ - $ - Enhanced No EA H1416 009 0 3,900$ 3.5 Stars

Illinois Wabash

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO 20

Rx (HMO)

Local

HMO $ 120.00 $ - Enhanced No EA H1463 003 0 4,000$ 3.5 Stars

Illinois Wabash

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO 40

Rx (HMO)

Local

HMO $ 71.00 $ - Enhanced No EA H1463 010 0 4,700$ 3.5 Stars

Illinois Wabash

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO

Basic

(HMO)

Local

HMO * $ - H1463 008 0 6,700$ 3.5 Stars

Page 222: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Wabash

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO

Basic Rx

(HMO)

Local

HMO $ 32.00 $ - Enhanced No EA H1463 009 0 6,700$ 3.5 Stars

Illinois Wabash

Health

Alliance

Medicare

Health

Alliance

Medicare

POS 10 Rx

(HMO-

POS)

Local

HMO $ 160.00 $ - Enhanced No EA H1463 019 0 4,500$ 3.5 Stars

Illinois Wabash

Health

Alliance

Medicare

Health

Alliance

Medicare

POS 30 Rx

(HMO-

POS)

Local

HMO $ 100.00 $ - Enhanced No EA H1463 017 0 5,500$ 3.5 Stars

Illinois Wabash

Health

Alliance

Medicare

Health

Alliance

Medicare

POS Basic

(HMO-

POS)

Local

HMO * $ 23.00 H1463 014 0 6,700$ 3.5 Stars

Illinois Wabash

Health

Alliance

Medicare

Health

Alliance

Medicare

POS Basic

Rx (HMO-

POS)

Local

HMO $ 51.00 $ - Enhanced No EA H1463 015 0 6,700$ 3.5 Stars

Illinois Wabash Humana

Humana

Gold

Choice

H8145-

008

(PFFS)

PFFS $ 166.00 $ 380.00 Enhanced No EA H8145 008 0 -$ 3.5 Stars

Page 223: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Wabash Humana

Humana

Gold

Choice

H8145-

121

(PFFS)

PFFS * $ 75.00 H8145 121 0 -$ 3.5 Stars

Illinois Wabash Humana

HumanaC

hoice

R5361-

001

(Regional

PPO)

Regional

PPO * $ - R5361 001 0 6,700$ 3.5 Stars

Illinois Wabash Humana

HumanaC

hoice

R5361-

002

(Regional

PPO)

Regional

PPO $ 139.00 $ 420.00 Basic No BA R5361 002 0 6,700$ 3.5 Stars

Illinois Wabash

Lasso

Healthcar

e

Lasso

Healthcar

e (MSA)

MSA * H1924 002 0 -$

Plan too

new to be

measured

Illinois WarrenAetna

Medicare

Aetna

Medicare

Explorer

Value

(PPO)

Local PPO $ - $ - Enhanced Yes EA H5521 228 0 5,900$ 4.5 Stars

Illinois WarrenAetna

Medicare

Aetna

Medicare

Premier

Advantra

(PPO)

Local PPO $ 23.00 $ - Enhanced Yes EA H7301 002 0 5,500$ 4.5 Stars

Illinois WarrenAetna

Medicare

Aetna

Medicare

Value

Advantra

(PPO)

Local PPO $ - $ - Enhanced Yes EA H7301 006 0 5,900$ 4.5 Stars

Page 224: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Warren

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO 20

Rx (HMO)

Local

HMO $ 120.00 $ - Enhanced No EA H1463 003 0 4,000$ 3.5 Stars

Illinois Warren

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO 40

Rx (HMO)

Local

HMO $ 71.00 $ - Enhanced No EA H1463 010 0 4,700$ 3.5 Stars

Illinois Warren

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO

Basic

(HMO)

Local

HMO * $ - H1463 008 0 6,700$ 3.5 Stars

Illinois Warren

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO

Basic Rx

(HMO)

Local

HMO $ 32.00 $ - Enhanced No EA H1463 009 0 6,700$ 3.5 Stars

Illinois Warren

Health

Alliance

Medicare

Health

Alliance

Medicare

POS 10 Rx

(HMO-

POS)

Local

HMO $ 160.00 $ - Enhanced No EA H1463 019 0 4,500$ 3.5 Stars

Illinois Warren

Health

Alliance

Medicare

Health

Alliance

Medicare

POS 30 Rx

(HMO-

POS)

Local

HMO $ 100.00 $ - Enhanced No EA H1463 017 0 5,500$ 3.5 Stars

Page 225: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Warren

Health

Alliance

Medicare

Health

Alliance

Medicare

POS Basic

(HMO-

POS)

Local

HMO * $ 23.00 H1463 014 0 6,700$ 3.5 Stars

Illinois Warren

Health

Alliance

Medicare

Health

Alliance

Medicare

POS Basic

Rx (HMO-

POS)

Local

HMO $ 51.00 $ - Enhanced No EA H1463 015 0 6,700$ 3.5 Stars

Illinois Warren

Health

Alliance

Medicare

OSF

MedAdva

ntage

Core

(HMO)

Local

HMO $ - $ - Enhanced No EA H1463 035 0 4,000$ 3.5 Stars

Illinois Warren

Health

Alliance

Medicare

OSF

MedAdva

ntage

Open

(HMO-

POS)

Local

HMO $ 35.00 $ - Enhanced No EA H1463 036 0 4,500$ 3.5 Stars

Illinois Warren

Health

Alliance

Medicare

OSF

MedAdva

ntage Plus

(HMO-

POS)

Local

HMO $ 135.00 $ - Enhanced No EA H1463 037 0 3,400$ 3.5 Stars

Illinois Warren

Health

Alliance

Medicare

OSF

MedAdva

ntage

Select

(HMO)

Local

HMO $ 110.00 $ - Enhanced No EA H1463 038 0 3,400$ 3.5 Stars

Illinois Warren Humana

HumanaC

hoice

H5525-

004 (PPO)

Local PPO $ 106.00 $ 250.00 Enhanced No EA H5525 004 0 5,500$ 4 Stars

Page 226: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Warren Humana

HumanaC

hoice

R5361-

001

(Regional

PPO)

Regional

PPO * $ - R5361 001 0 6,700$ 3.5 Stars

Illinois Warren Humana

HumanaC

hoice

R5361-

002

(Regional

PPO)

Regional

PPO $ 139.00 $ 420.00 Basic No BA R5361 002 0 6,700$ 3.5 Stars

Illinois Warren

Lasso

Healthcar

e

Lasso

Healthcar

e (MSA)

MSA * H1924 001 0 -$

Plan too

new to be

measured

Illinois WarrenUnitedHe

althcare

AARP

Medicare

Advantag

e (HMO-

POS)

Local

HMO $ 34.00 $ - Enhanced No EA H5253 108 1 3,900$ 4.5 Stars

Illinois WarrenUnitedHe

althcare

AARP

Medicare

Advantag

e Choice

(PPO)

Local PPO $ 79.00 $ - Enhanced No EA H8768 003 0 3,400$ 4.5 Stars

Illinois WarrenUnitedHe

althcare

AARP

Medicare

Advantag

e

Walgreen

s (PPO)

Local PPO $ - $ 250.00 Enhanced No EA H8768 011 0 5,900$ 4.5 Stars

Illinois Warren WellCare

WellCare

Edge

(HMO)

Local

HMO $ 15.30 $ 435.00 Enhanced No EA H5779 006 0 3,400$ 3.5 Stars

Illinois Warren WellCare

WellCare

Essential

(HMO)

Local

HMO $ - $ - Enhanced No EA H5779 002 0 4,000$ 3.5 Stars

Page 227: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

IllinoisWashingt

on

Aetna

Medicare

Aetna

Medicare

Advantra

1 (HMO-

POS)

Local

HMO $ 33.00 $ - Enhanced Yes EA H2663 006 0 5,200$ 4 Stars

IllinoisWashingt

on

Aetna

Medicare

Aetna

Medicare

Advantra

2 (HMO)

Local

HMO $ 81.00 $ - Enhanced Yes EA H2663 002 0 2,900$ 4 Stars

IllinoisWashingt

on

Aetna

Medicare

Aetna

Medicare

Elite

(PPO)

Local PPO $ - $ - Enhanced Yes EA H1608 050 0 3,400$ 3.5 Stars

IllinoisWashingt

on

Aetna

Medicare

Aetna

Medicare

Gold

Advantag

e Value

Prime

(HMO)

Local

HMO $ - $ - Enhanced Yes EA H2663 032 0 3,400$ 4 Stars

IllinoisWashingt

on

Aetna

Medicare

Aetna

Medicare

Premier

Advantra

(PPO)

Local PPO $ 51.00 $ 200.00 Enhanced Yes EA H1608 013 0 6,000$ 3.5 Stars

IllinoisWashingt

onHumana

Humana

Gold

Choice

H8145-

008

(PFFS)

PFFS $ 166.00 $ 380.00 Enhanced No EA H8145 008 0 -$ 3.5 Stars

IllinoisWashingt

onHumana

Humana

Gold

Choice

H8145-

121

(PFFS)

PFFS * $ 75.00 H8145 121 0 -$ 3.5 Stars

Page 228: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

IllinoisWashingt

onHumana

HumanaC

hoice

R5361-

001

(Regional

PPO)

Regional

PPO * $ - R5361 001 0 6,700$ 3.5 Stars

IllinoisWashingt

onHumana

HumanaC

hoice

R5361-

002

(Regional

PPO)

Regional

PPO $ 139.00 $ 420.00 Basic No BA R5361 002 0 6,700$ 3.5 Stars

IllinoisWashingt

on

Lasso

Healthcar

e

Lasso

Healthcar

e (MSA)

MSA * H1924 001 0 -$

Plan too

new to be

measured

Illinois Wayne

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO 20

Rx (HMO)

Local

HMO $ 120.00 $ - Enhanced No EA H1463 003 0 4,000$ 3.5 Stars

Illinois Wayne

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO 40

Rx (HMO)

Local

HMO $ 71.00 $ - Enhanced No EA H1463 010 0 4,700$ 3.5 Stars

Illinois Wayne

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO

Basic

(HMO)

Local

HMO * $ - H1463 008 0 6,700$ 3.5 Stars

Illinois Wayne

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO

Basic Rx

(HMO)

Local

HMO $ 32.00 $ - Enhanced No EA H1463 009 0 6,700$ 3.5 Stars

Page 229: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Wayne

Health

Alliance

Medicare

Health

Alliance

Medicare

POS 10 Rx

(HMO-

POS)

Local

HMO $ 160.00 $ - Enhanced No EA H1463 019 0 4,500$ 3.5 Stars

Illinois Wayne

Health

Alliance

Medicare

Health

Alliance

Medicare

POS 30 Rx

(HMO-

POS)

Local

HMO $ 100.00 $ - Enhanced No EA H1463 017 0 5,500$ 3.5 Stars

Illinois Wayne

Health

Alliance

Medicare

Health

Alliance

Medicare

POS Basic

(HMO-

POS)

Local

HMO * $ 23.00 H1463 014 0 6,700$ 3.5 Stars

Illinois Wayne

Health

Alliance

Medicare

Health

Alliance

Medicare

POS Basic

Rx (HMO-

POS)

Local

HMO $ 51.00 $ - Enhanced No EA H1463 015 0 6,700$ 3.5 Stars

Illinois Wayne Humana

Humana

Gold

Choice

H8145-

008

(PFFS)

PFFS $ 166.00 $ 380.00 Enhanced No EA H8145 008 0 -$ 3.5 Stars

Illinois Wayne Humana

Humana

Gold

Choice

H8145-

121

(PFFS)

PFFS * $ 75.00 H8145 121 0 -$ 3.5 Stars

Page 230: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Wayne Humana

HumanaC

hoice

R5361-

001

(Regional

PPO)

Regional

PPO * $ - R5361 001 0 6,700$ 3.5 Stars

Illinois Wayne Humana

HumanaC

hoice

R5361-

002

(Regional

PPO)

Regional

PPO $ 139.00 $ 420.00 Basic No BA R5361 002 0 6,700$ 3.5 Stars

Illinois Wayne

Lasso

Healthcar

e

Lasso

Healthcar

e (MSA)

MSA * H1924 002 0 -$

Plan too

new to be

measured

Illinois White Humana

Humana

Gold

Choice

H8145-

008

(PFFS)

PFFS $ 166.00 $ 380.00 Enhanced No EA H8145 008 0 -$ 3.5 Stars

Illinois White Humana

Humana

Gold

Choice

H8145-

121

(PFFS)

PFFS * $ 75.00 H8145 121 0 -$ 3.5 Stars

Illinois White Humana

HumanaC

hoice

R5361-

001

(Regional

PPO)

Regional

PPO * $ - R5361 001 0 6,700$ 3.5 Stars

Illinois White Humana

HumanaC

hoice

R5361-

002

(Regional

PPO)

Regional

PPO $ 139.00 $ 420.00 Basic No BA R5361 002 0 6,700$ 3.5 Stars

Page 231: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois White

Lasso

Healthcar

e

Lasso

Healthcar

e (MSA)

MSA * H1924 003 0 -$

Plan too

new to be

measured

Illinois WhitesideAetna

Medicare

Aetna

Medicare

Explorer

Value

(PPO)

Local PPO $ - $ - Enhanced Yes EA H5521 228 0 5,900$ 4.5 Stars

Illinois WhitesideAetna

Medicare

Aetna

Medicare

Premier

Advantra

(PPO)

Local PPO $ 23.00 $ - Enhanced Yes EA H7301 002 0 5,500$ 4.5 Stars

Illinois WhitesideAetna

Medicare

Aetna

Medicare

Value

Advantra

(PPO)

Local PPO $ - $ - Enhanced Yes EA H7301 006 0 5,900$ 4.5 Stars

Illinois Whiteside

Health

Alliance

Medicare

Health

Alliance

Medicare

Guide

HMO Rx 2

(HMO)

Local

HMO $ - $ - Enhanced No EA H1463 021 0 5,900$ 3.5 Stars

Illinois Whiteside

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO 20

Rx (HMO)

Local

HMO $ 120.00 $ - Enhanced No EA H1463 003 0 4,000$ 3.5 Stars

Illinois Whiteside

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO 40

Rx (HMO)

Local

HMO $ 71.00 $ - Enhanced No EA H1463 010 0 4,700$ 3.5 Stars

Page 232: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Whiteside

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO

Basic

(HMO)

Local

HMO * $ - H1463 008 0 6,700$ 3.5 Stars

Illinois Whiteside

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO

Basic Rx

(HMO)

Local

HMO $ 32.00 $ - Enhanced No EA H1463 009 0 6,700$ 3.5 Stars

Illinois Whiteside

Health

Alliance

Medicare

Health

Alliance

Medicare

POS 10 Rx

(HMO-

POS)

Local

HMO $ 160.00 $ - Enhanced No EA H1463 019 0 4,500$ 3.5 Stars

Illinois Whiteside

Health

Alliance

Medicare

Health

Alliance

Medicare

POS 30 Rx

(HMO-

POS)

Local

HMO $ 100.00 $ - Enhanced No EA H1463 017 0 5,500$ 3.5 Stars

Illinois Whiteside

Health

Alliance

Medicare

Health

Alliance

Medicare

POS Basic

(HMO-

POS)

Local

HMO * $ 23.00 H1463 014 0 6,700$ 3.5 Stars

Illinois Whiteside

Health

Alliance

Medicare

Health

Alliance

Medicare

POS Basic

Rx (HMO-

POS)

Local

HMO $ 51.00 $ - Enhanced No EA H1463 015 0 6,700$ 3.5 Stars

Page 233: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Whiteside Humana

HumanaC

hoice

R5361-

001

(Regional

PPO)

Regional

PPO * $ - R5361 001 0 6,700$ 3.5 Stars

Illinois Whiteside Humana

HumanaC

hoice

R5361-

002

(Regional

PPO)

Regional

PPO $ 139.00 $ 420.00 Basic No BA R5361 002 0 6,700$ 3.5 Stars

Illinois Whiteside

Lasso

Healthcar

e

Lasso

Healthcar

e (MSA)

MSA * H1924 001 0 -$

Plan too

new to be

measured

Illinois WhitesideUnitedHe

althcare

AARP

Medicare

Advantag

e (HMO-

POS)

Local

HMO $ 34.00 $ - Enhanced No EA H5253 108 1 3,900$ 4.5 Stars

Illinois WhitesideUnitedHe

althcare

AARP

Medicare

Advantag

e Choice

(PPO)

Local PPO $ 79.00 $ - Enhanced No EA H8768 003 0 3,400$ 4.5 Stars

Illinois WhitesideUnitedHe

althcare

AARP

Medicare

Advantag

e

Walgreen

s (PPO)

Local PPO $ - $ 250.00 Enhanced No EA H8768 011 0 5,900$ 4.5 Stars

Illinois WillAetna

Medicare

Aetna

Medicare

Premier

Plus (PPO)

Local PPO $ 58.00 $ - Enhanced Yes EA H5521 016 0 3,250$ 4.5 Stars

Illinois WillAetna

Medicare

Aetna

Medicare

Prime

(HMO)

Local

HMO $ - $ - Enhanced Yes EA H3192 001 0 3,450$

Plan too

new to be

measured

Page 234: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois WillAetna

Medicare

Aetna

Medicare

Value

(HMO)

Local

HMO $ 9.00 $ 150.00 Enhanced Yes EA H3931 106 0 4,000$ 3.5 Stars

Illinois WillAetna

Medicare

Aetna

Medicare

Value

(PPO)

Local PPO $ - $ - Enhanced Yes EA H5521 086 0 3,750$ 4.5 Stars

Illinois Will Allwell

Allwell

Medicare

(HMO)

Local

HMO $ - $ - Enhanced No EA H1475 001 0 2,700$

Plan too

new to be

measured

Illinois WillAscension

Complete

Ascension

Complete

Illinois

Reward

(HMO)

Local

HMO $ - $ 430.00 Enhanced No EA H7399 001 0 6,700$

Plan too

new to be

measured

Illinois WillAscension

Complete

Ascension

Complete

Illinois

Secure

(HMO)

Local

HMO $ - $ - Enhanced No EA H7399 002 0 2,900$

Plan too

new to be

measured

Illinois Will

Blue Cross

and Blue

Shield of

IL, NM

Blue Cross

Medicare

Advantag

e Basic

(HMO)

Local

HMO $ - $ - Enhanced Yes EA H3822 001 0 3,400$ 3.5 Stars

Illinois Will

Blue Cross

and Blue

Shield of

IL, NM

Blue Cross

Medicare

Advantag

e Basic

Plus

(HMO-

POS)

Local

HMO $ - $ - Enhanced Yes EA H3822 007 0 4,500$ 3.5 Stars

Illinois Will

Blue Cross

and Blue

Shield of

IL, NM

Blue Cross

Medicare

Advantag

e Choice

Plus (PPO)

Local PPO $ 79.00 $ 435.00 Enhanced Yes EA H8634 003 0 6,700$ 3 Stars

Page 235: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Will

Blue Cross

and Blue

Shield of

IL, NM

Blue Cross

Medicare

Advantag

e Choice

Premier

(PPO)

Local PPO $ 141.00 $ - Enhanced Yes EA H8634 004 0 5,900$ 3 Stars

Illinois Will

Blue Cross

and Blue

Shield of

IL, NM

Blue Cross

Medicare

Advantag

e Premier

Plus

(HMO-

POS)

Local

HMO $ 83.00 $ - Enhanced Yes EA H3822 008 0 4,500$ 3.5 Stars

Illinois Will Cigna

Cigna-

HealthSpr

ing

Advantag

e (HMO)

Local

HMO * $ - H1415 013 0 5,400$ 3.5 Stars

Illinois Will Cigna

Cigna-

HealthSpr

ing

Preferred

(HMO)

Local

HMO $ - $ - Enhanced No EA H1415 024 0 2,600$ 3.5 Stars

Illinois Will Cigna

Cigna-

HealthSpr

ing

Premier

(HMO-

POS)

Local

HMO $ - $ - Enhanced No EA H1415 021 0 3,400$ 3.5 Stars

Illinois Will Cigna

Cigna-

HealthSpr

ing True

Choice

(PPO)

Local PPO $ - $ - Enhanced No EA H7849 002 0 3,400$

Plan too

new to be

measured

Illinois Will

Clear

Spring

Health

Clear

Spring

Health

Essential

(HMO)

Local

HMO $ - $ - Enhanced No EA H5454 002 0 2,900$

Plan too

new to be

measured

Page 236: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Will

Clear

Spring

Health

Clear

Spring

Health

Essential

Plus

(HMO)

Local

HMO $ 49.00 $ - Enhanced No EA H5454 004 0 2,500$

Plan too

new to be

measured

Illinois Will

Communi

ty Care

Alliance

of Illinois

Communi

ty

Advantag

e (HMO)

Local

HMO $ - $ - Enhanced No EA H3071 002 0 3,950$ 2.5 Stars

Illinois Will

Communi

ty Care

Alliance

of Illinois

Communi

ty Flex-

Plan

(HMO-

POS)

Local

HMO $ 26.00 $ 435.00 Basic No DS H3071 003 0 3,950$ 2.5 Stars

Illinois Will Humana

Humana

Gold Plus

H1468-

013

(HMO)

Local

HMO $ - $ - Enhanced No EA H1468 013 0 2,750$ 4.5 Stars

Illinois Will Humana

HumanaC

hoice

H5216-

013 (PPO)

Local PPO $ 88.00 $ - Enhanced No EA H5216 013 0 6,700$ 4 Stars

Illinois Will Humana

HumanaC

hoice

H5216-

178 (PPO)

Local PPO

* $ - H5216 178 1 6,700$ 4 Stars

Illinois Will Humana

HumanaC

hoice

R5361-

001

(Regional

PPO)

Regional

PPO * $ - R5361 001 0 6,700$ 3.5 Stars

Page 237: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Will Humana

HumanaC

hoice

R5361-

002

(Regional

PPO)

Regional

PPO $ 139.00 $ 420.00 Basic No BA R5361 002 0 6,700$ 3.5 Stars

Illinois Will

Lasso

Healthcar

e

Lasso

Healthcar

e (MSA)

MSA * H1924 001 0 -$

Plan too

new to be

measured

Illinois WillUnitedHe

althcare

AARP

Medicare

Advantag

e Access

(HMO)

Local

HMO $ - $ 100.00 Enhanced No EA H2802 024 0 3,600$ 4 Stars

Illinois WillUnitedHe

althcare

AARP

Medicare

Advantag

e Choice

(PPO)

Local PPO $ 38.00 $ 195.00 Enhanced No EA H8768 005 0 3,900$ 4.5 Stars

Illinois WillUnitedHe

althcare

AARP

Medicare

Advantag

e Plan 1

(HMO)

Local

HMO $ 26.00 $ 195.00 Enhanced No EA H2802 025 0 3,900$ 4 Stars

Illinois WillUnitedHe

althcare

AARP

Medicare

Advantag

e Plan 2

(HMO)

Local

HMO $ 76.00 $ 60.00 Enhanced No EA H2802 026 0 3,900$ 4 Stars

Illinois WillUnitedHe

althcare

AARP

Medicare

Advantag

e

Walgreen

s (PPO)

Local PPO $ - $ 250.00 Enhanced No EA H8768 010 0 5,900$ 4.5 Stars

Illinois Will WellCare

WellCare

Advance

(HMO-

POS)

Local

HMO * $ - H1416 053 0 3,900$ 3.5 Stars

Page 238: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Will WellCare

WellCare

Choice

(HMO-

POS)

Local

HMO $ 39.00 $ - Enhanced Yes EA H1416 024 0 3,400$ 3.5 Stars

Illinois Will WellCare

WellCare

Edge

(HMO)

Local

HMO $ 15.30 $ 435.00 Enhanced No EA H5779 006 0 3,400$ 3.5 Stars

Illinois Will WellCare

WellCare

Essential

(HMO)

Local

HMO $ - $ - Enhanced No EA H5779 005 0 3,750$ 3.5 Stars

Illinois Will WellCare

WellCare

Plus

(HMO)

Local

HMO $ 13.20 $ 435.00 Enhanced No EA H1416 048 0 3,400$ 3.5 Stars

Illinois Will WellCareWellCare

Rx (HMO)

Local

HMO $ 12.60 $ 435.00 Enhanced No EA H1416 023 0 3,400$ 3.5 Stars

Illinois Will WellCare

WellCare

Value

(HMO-

POS)

Local

HMO $ - $ - Enhanced No EA H1416 009 0 3,900$ 3.5 Stars

IllinoisWilliamso

n

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO 20

Rx (HMO)

Local

HMO $ 120.00 $ - Enhanced No EA H1463 003 0 4,000$ 3.5 Stars

IllinoisWilliamso

n

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO 40

Rx (HMO)

Local

HMO $ 71.00 $ - Enhanced No EA H1463 010 0 4,700$ 3.5 Stars

IllinoisWilliamso

n

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO

Basic

(HMO)

Local

HMO * $ - H1463 008 0 6,700$ 3.5 Stars

Page 239: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

IllinoisWilliamso

n

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO

Basic Rx

(HMO)

Local

HMO $ 32.00 $ - Enhanced No EA H1463 009 0 6,700$ 3.5 Stars

IllinoisWilliamso

n

Health

Alliance

Medicare

Health

Alliance

Medicare

POS 10 Rx

(HMO-

POS)

Local

HMO $ 160.00 $ - Enhanced No EA H1463 019 0 4,500$ 3.5 Stars

IllinoisWilliamso

n

Health

Alliance

Medicare

Health

Alliance

Medicare

POS 30 Rx

(HMO-

POS)

Local

HMO $ 100.00 $ - Enhanced No EA H1463 017 0 5,500$ 3.5 Stars

IllinoisWilliamso

n

Health

Alliance

Medicare

Health

Alliance

Medicare

POS Basic

(HMO-

POS)

Local

HMO * $ 23.00 H1463 014 0 6,700$ 3.5 Stars

IllinoisWilliamso

n

Health

Alliance

Medicare

Health

Alliance

Medicare

POS Basic

Rx (HMO-

POS)

Local

HMO $ 51.00 $ - Enhanced No EA H1463 015 0 6,700$ 3.5 Stars

IllinoisWilliamso

nHumana

HumanaC

hoice

R5361-

001

(Regional

PPO)

Regional

PPO * $ - R5361 001 0 6,700$ 3.5 Stars

Page 240: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

IllinoisWilliamso

nHumana

HumanaC

hoice

R5361-

002

(Regional

PPO)

Regional

PPO $ 139.00 $ 420.00 Basic No BA R5361 002 0 6,700$ 3.5 Stars

IllinoisWilliamso

n

Lasso

Healthcar

e

Lasso

Healthcar

e (MSA)

MSA * H1924 002 0 -$

Plan too

new to be

measured

IllinoisWinnebag

o

Aetna

Medicare

Aetna

Medicare

Explorer

Value

(PPO)

Local PPO $ - $ - Enhanced Yes EA H5521 228 0 5,900$ 4.5 Stars

IllinoisWinnebag

o

Aetna

Medicare

Aetna

Medicare

Premier

Advantra

(PPO)

Local PPO $ 23.00 $ - Enhanced Yes EA H7301 002 0 5,500$ 4.5 Stars

IllinoisWinnebag

o

Aetna

Medicare

Aetna

Medicare

Value

Advantra

(PPO)

Local PPO $ - $ - Enhanced Yes EA H7301 006 0 5,900$ 4.5 Stars

IllinoisWinnebag

o

Clear

Spring

Health

Clear

Spring

Health

Essential

(HMO)

Local

HMO $ - $ - Enhanced No EA H5454 001 0 2,900$

Plan too

new to be

measured

IllinoisWinnebag

o

Clear

Spring

Health

Clear

Spring

Health

Essential

Plus

(HMO)

Local

HMO $ 49.00 $ - Enhanced No EA H5454 003 0 2,500$

Plan too

new to be

measured

IllinoisWinnebag

o

Communi

ty Care

Alliance

of Illinois

Communi

ty

Advantag

e (HMO)

Local

HMO $ - $ - Enhanced No EA H3071 002 0 3,950$ 2.5 Stars

Page 241: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

IllinoisWinnebag

o

Communi

ty Care

Alliance

of Illinois

Communi

ty Flex-

Plan

(HMO-

POS)

Local

HMO $ 26.00 $ 435.00 Basic No DS H3071 003 0 3,950$ 2.5 Stars

IllinoisWinnebag

o

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO 20

Rx (HMO)

Local

HMO $ 120.00 $ - Enhanced No EA H1463 003 0 4,000$ 3.5 Stars

IllinoisWinnebag

o

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO 40

Rx (HMO)

Local

HMO $ 71.00 $ - Enhanced No EA H1463 010 0 4,700$ 3.5 Stars

IllinoisWinnebag

o

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO

Basic

(HMO)

Local

HMO * $ - H1463 008 0 6,700$ 3.5 Stars

IllinoisWinnebag

o

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO

Basic Rx

(HMO)

Local

HMO $ 32.00 $ - Enhanced No EA H1463 009 0 6,700$ 3.5 Stars

IllinoisWinnebag

o

Health

Alliance

Medicare

Health

Alliance

Medicare

POS 10 Rx

(HMO-

POS)

Local

HMO $ 160.00 $ - Enhanced No EA H1463 019 0 4,500$ 3.5 Stars

IllinoisWinnebag

o

Health

Alliance

Medicare

Health

Alliance

Medicare

POS 30 Rx

(HMO-

POS)

Local

HMO $ 100.00 $ - Enhanced No EA H1463 017 0 5,500$ 3.5 Stars

Page 242: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

IllinoisWinnebag

o

Health

Alliance

Medicare

Health

Alliance

Medicare

POS Basic

(HMO-

POS)

Local

HMO * $ 23.00 H1463 014 0 6,700$ 3.5 Stars

IllinoisWinnebag

o

Health

Alliance

Medicare

Health

Alliance

Medicare

POS Basic

Rx (HMO-

POS)

Local

HMO $ 51.00 $ - Enhanced No EA H1463 015 0 6,700$ 3.5 Stars

IllinoisWinnebag

o

Health

Alliance

Medicare

OSF

MedAdva

ntage

Core

(HMO)

Local

HMO $ - $ - Enhanced No EA H1463 035 0 4,000$ 3.5 Stars

IllinoisWinnebag

o

Health

Alliance

Medicare

OSF

MedAdva

ntage

Open

(HMO-

POS)

Local

HMO $ 35.00 $ - Enhanced No EA H1463 036 0 4,500$ 3.5 Stars

IllinoisWinnebag

o

Health

Alliance

Medicare

OSF

MedAdva

ntage Plus

(HMO-

POS)

Local

HMO $ 135.00 $ - Enhanced No EA H1463 037 0 3,400$ 3.5 Stars

IllinoisWinnebag

o

Health

Alliance

Medicare

OSF

MedAdva

ntage

Select

(HMO)

Local

HMO $ 110.00 $ - Enhanced No EA H1463 038 0 3,400$ 3.5 Stars

IllinoisWinnebag

oHumana

Humana

Gold

Choice

H8145-

008

(PFFS)

PFFS $ 166.00 $ 380.00 Enhanced No EA H8145 008 0 -$ 3.5 Stars

Page 243: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

IllinoisWinnebag

oHumana

Humana

Gold Plus

H1468-

007

(HMO)

Local

HMO $ - $ 200.00 Enhanced No EA H1468 007 0 4,500$ 4.5 Stars

IllinoisWinnebag

oHumana

HumanaC

hoice

H5216-

178 (PPO)

Local PPO

* $ - H5216 178 1 6,700$ 4 Stars

IllinoisWinnebag

oHumana

HumanaC

hoice

H5525-

004 (PPO)

Local PPO $ 106.00 $ 250.00 Enhanced No EA H5525 004 0 5,500$ 4 Stars

IllinoisWinnebag

oHumana

HumanaC

hoice

R5361-

001

(Regional

PPO)

Regional

PPO * $ - R5361 001 0 6,700$ 3.5 Stars

IllinoisWinnebag

oHumana

HumanaC

hoice

R5361-

002

(Regional

PPO)

Regional

PPO $ 139.00 $ 420.00 Basic No BA R5361 002 0 6,700$ 3.5 Stars

IllinoisWinnebag

oiCare

iCare

Medicare

Advantag

e Plan

(HMO)

Local

HMO $ 26.00 $ 435.00 Basic No BA H2237 011 0 6,700$ 3.5 Stars

IllinoisWinnebag

o

Lasso

Healthcar

e

Lasso

Healthcar

e (MSA)

MSA * H1924 001 0 -$

Plan too

new to be

measured

Page 244: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

IllinoisWinnebag

o

Senior

Preferred

SwedishA

merican

Senior

Preferred

Elite (no

Rx)

(HMO)

Local

HMO * $ - H5262 020 0 4,500$ 5 Stars

IllinoisWinnebag

o

Senior

Preferred

SwedishA

merican

Senior

Preferred

Elite

(w/Rx)

(HMO)

Local

HMO $ 27.60 $ - Enhanced No EA H5262 018 0 4,500$ 5 Stars

IllinoisWinnebag

o

Senior

Preferred

SwedishA

merican

Senior

Preferred

Value

(w/Rx)

(HMO)

Local

HMO $ - $ - Enhanced No EA H5262 019 0 5,900$ 5 Stars

IllinoisWinnebag

o

UnitedHe

althcare

AARP

Medicare

Advantag

e (HMO-

POS)

Local

HMO $ 34.00 $ - Enhanced No EA H5253 108 1 3,900$ 4.5 Stars

IllinoisWinnebag

o

UnitedHe

althcare

AARP

Medicare

Advantag

e Choice

(PPO)

Local PPO $ 79.00 $ - Enhanced No EA H8768 003 0 3,400$ 4.5 Stars

IllinoisWinnebag

o

UnitedHe

althcare

AARP

Medicare

Advantag

e

Walgreen

s (PPO)

Local PPO $ - $ 250.00 Enhanced No EA H8768 011 0 5,900$ 4.5 Stars

Page 245: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

IllinoisWinnebag

oWellCare

WellCare

Edge

(HMO)

Local

HMO $ 15.30 $ 435.00 Enhanced No EA H5779 006 0 3,400$ 3.5 Stars

IllinoisWinnebag

oWellCare

WellCare

Essential

(HMO)

Local

HMO $ - $ - Enhanced No EA H5779 005 0 3,750$ 3.5 Stars

Illinois WoodfordAetna

Medicare

Aetna

Medicare

Premier

Advantra

(PPO)

Local PPO $ 25.00 $ - Enhanced Yes EA H7301 009 0 5,500$ 4.5 Stars

Illinois WoodfordAetna

Medicare

Aetna

Medicare

Value

Advantra

(PPO)

Local PPO $ - $ - Enhanced Yes EA H7301 007 0 4,650$ 4.5 Stars

Illinois Woodford

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO 20

Rx (HMO)

Local

HMO $ 120.00 $ - Enhanced No EA H1463 003 0 4,000$ 3.5 Stars

Illinois Woodford

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO 40

Rx (HMO)

Local

HMO $ 71.00 $ - Enhanced No EA H1463 010 0 4,700$ 3.5 Stars

Illinois Woodford

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO

Basic

(HMO)

Local

HMO * $ - H1463 008 0 6,700$ 3.5 Stars

Illinois Woodford

Health

Alliance

Medicare

Health

Alliance

Medicare

HMO

Basic Rx

(HMO)

Local

HMO $ 32.00 $ - Enhanced No EA H1463 009 0 6,700$ 3.5 Stars

Page 246: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Woodford

Health

Alliance

Medicare

Health

Alliance

Medicare

POS 10 Rx

(HMO-

POS)

Local

HMO $ 160.00 $ - Enhanced No EA H1463 019 0 4,500$ 3.5 Stars

Illinois Woodford

Health

Alliance

Medicare

Health

Alliance

Medicare

POS 30 Rx

(HMO-

POS)

Local

HMO $ 100.00 $ - Enhanced No EA H1463 017 0 5,500$ 3.5 Stars

Illinois Woodford

Health

Alliance

Medicare

Health

Alliance

Medicare

POS Basic

(HMO-

POS)

Local

HMO * $ 23.00 H1463 014 0 6,700$ 3.5 Stars

Illinois Woodford

Health

Alliance

Medicare

Health

Alliance

Medicare

POS Basic

Rx (HMO-

POS)

Local

HMO $ 51.00 $ - Enhanced No EA H1463 015 0 6,700$ 3.5 Stars

Illinois Woodford

Health

Alliance

Medicare

OSF

MedAdva

ntage

Core

(HMO)

Local

HMO $ - $ - Enhanced No EA H1463 035 0 4,000$ 3.5 Stars

Illinois Woodford

Health

Alliance

Medicare

OSF

MedAdva

ntage

Open

(HMO-

POS)

Local

HMO $ 35.00 $ - Enhanced No EA H1463 036 0 4,500$ 3.5 Stars

Page 247: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Woodford

Health

Alliance

Medicare

OSF

MedAdva

ntage Plus

(HMO-

POS)

Local

HMO $ 135.00 $ - Enhanced No EA H1463 037 0 3,400$ 3.5 Stars

Illinois Woodford

Health

Alliance

Medicare

OSF

MedAdva

ntage

Select

(HMO)

Local

HMO $ 110.00 $ - Enhanced No EA H1463 038 0 3,400$ 3.5 Stars

Illinois Woodford

Health

Alliance

Medicare

Simplete

1 (HMO)

Local

HMO $ - $ - Enhanced No EA H1463 023 0 4,000$ 3.5 Stars

Illinois Woodford

Health

Alliance

Medicare

Simplete

2 (HMO)

Local

HMO $ 28.00 $ - Enhanced No EA H1463 024 0 4,500$ 3.5 Stars

Illinois Woodford

Health

Alliance

Medicare

Simplete

3 (HMO-

POS)

Local

HMO $ 48.00 $ - Enhanced No EA H1463 025 0 4,500$ 3.5 Stars

Illinois Woodford Humana

Humana

Gold Plus

H1468-

007

(HMO)

Local

HMO $ - $ 200.00 Enhanced No EA H1468 007 0 4,500$ 4.5 Stars

Illinois Woodford Humana

HumanaC

hoice

H5525-

004 (PPO)

Local PPO $ 106.00 $ 250.00 Enhanced No EA H5525 004 0 5,500$ 4 Stars

Illinois Woodford Humana

HumanaC

hoice

R5361-

001

(Regional

PPO)

Regional

PPO * $ - R5361 001 0 6,700$ 3.5 Stars

Page 248: 2020 Illinois Medicare Advantage Plans and Cost Plans · 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020,

Illinois Woodford Humana

HumanaC

hoice

R5361-

002

(Regional

PPO)

Regional

PPO $ 139.00 $ 420.00 Basic No BA R5361 002 0 6,700$ 3.5 Stars

Illinois Woodford

Lasso

Healthcar

e

Lasso

Healthcar

e (MSA)

MSA * H1924 001 0 -$

Plan too

new to be

measured

Illinois WoodfordUnitedHe

althcare

AARP

Medicare

Advantag

e (HMO-

POS)

Local

HMO $ 34.00 $ - Enhanced No EA H5253 108 1 3,900$ 4.5 Stars

Illinois WoodfordUnitedHe

althcare

AARP

Medicare

Advantag

e Choice

(PPO)

Local PPO $ 79.00 $ - Enhanced No EA H8768 003 0 3,400$ 4.5 Stars

Illinois WoodfordUnitedHe

althcare

AARP

Medicare

Advantag

e

Walgreen

s (PPO)

Local PPO $ - $ 250.00 Enhanced No EA H8768 011 0 5,900$ 4.5 Stars