2018 illinois - medicare advantage and cost plans...$156.00 $0.00 enhanced no ea h1463 19 $4,500 4...

106
County Plan Name Organization Name Type of Medicare Health Plan Monthly Consolidated Premium (Includes Part C + D) Annual Drug Deductible Drug Benefit Type Addt'l Coverage Offered in the Gap Drug Benefit Type Detail Contract ID Plan ID In- network MOOP Amount ** Overall Star Rating Adams HumanaChoice H5216-013 (PPO) Humana Insurance Company Local PPO $87.00 $0.00 Enhanced No EA H5216 13 $6,700 4 Stars Adams Advantra (PPO) Coventry Health Care Local PPO $26.00 $0.00 Enhanced Yes EA H7301 2 $5,500 4 Stars Adams Advantra Value (PPO) Coventry Health Care Local PPO $0.00 $150.00 Enhanced Yes EA H7301 7 $4,650 4 Stars Adams HumanaChoice R5361-001 (Regional PPO) Humana Insurance Company Regional PPO * $0.00 R5361 1 $6,700 3.5 Stars Adams HumanaChoice R5361-002 (Regional PPO) Humana Insurance Company Regional PPO $137.00 $405.00 Basic No BA R5361 2 $6,700 3.5 Stars Alexander HumanaChoice R5361-001 (Regional PPO) Humana Insurance Company Regional PPO * $0.00 R5361 1 $6,700 3.5 Stars Alexander HumanaChoice R5361-002 (Regional PPO) Humana Insurance Company Regional PPO $137.00 $405.00 Basic No BA R5361 2 $6,700 3.5 Stars Bond Advantra (PPO) Coventry Health Care Local PPO $56.00 $0.00 Enhanced Yes EA H1608 13 $6,000 4 Stars Bond Advantra Option 2 (HMO) Coventry Health Care Local HMO $86.00 $0.00 Enhanced Yes EA H2663 2 $2,430 4 Stars Bond Advantra Option 1 (HMO- POS) Coventry Health Care Local HMO $41.00 $0.00 Enhanced Yes EA H2663 6 $5,200 4 Stars Bond AARP MedicareComplete (HMO) UnitedHealthcare Local HMO $0.00 $150.00 Enhanced No EA H2802 28 $2,900 4 Stars 2018 Illinois - Medicare Advantage and Cost Plans Data as of September 5, 2017. Includes 2018 approved contracts/plans. PACE, Special Needs Plans, Part B Only Plans, and Employer sponsored plans (800 series) are excluded. Plans under sanction are not shown. Medicare/Medicaid plans are shown in a separate Landscape file. Notes: Data are subject to change as contracts are finalized. For 2018, 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: 2018 Illinois - Medicare Advantage and Cost Plans...$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars Boone Humana Gold Plus H1468-015 (HMO) Humana Benefit Plan of Illinois, Inc

County Plan Name Organization Name

Type of

Medicare

Health

Plan

Monthly

Consolidated

Premium

(Includes

Part C + D)

Annual Drug

Deductible

Drug

Benefit

Type

Addt'l

Coverage

Offered in

the Gap

Drug

Benefit

Type

Detail

Contract

ID

Plan

ID

In-

network

MOOP

Amount

**

Overall

Star

Rating

AdamsHumanaChoice H5216-013

(PPO)

Humana Insurance

CompanyLocal PPO $87.00 $0.00 Enhanced No EA H5216 13 $6,700 4 Stars

Adams Advantra (PPO) Coventry Health Care Local PPO $26.00 $0.00 Enhanced Yes EA H7301 2 $5,500 4 Stars

Adams Advantra Value (PPO) Coventry Health Care Local PPO $0.00 $150.00 Enhanced Yes EA H7301 7 $4,650 4 Stars

AdamsHumanaChoice R5361-001

(Regional PPO)

Humana Insurance

Company

Regional

PPO *$0.00 R5361 1 $6,700 3.5 Stars

AdamsHumanaChoice R5361-002

(Regional PPO)

Humana Insurance

Company

Regional

PPO$137.00 $405.00 Basic No BA R5361 2 $6,700 3.5 Stars

AlexanderHumanaChoice R5361-001

(Regional PPO)

Humana Insurance

Company

Regional

PPO *$0.00 R5361 1 $6,700 3.5 Stars

AlexanderHumanaChoice R5361-002

(Regional PPO)

Humana Insurance

Company

Regional

PPO$137.00 $405.00 Basic No BA R5361 2 $6,700 3.5 Stars

Bond Advantra (PPO) Coventry Health Care Local PPO $56.00 $0.00 Enhanced Yes EA H1608 13 $6,000 4 Stars

Bond Advantra Option 2 (HMO) Coventry Health CareLocal

HMO$86.00 $0.00 Enhanced Yes EA H2663 2 $2,430 4 Stars

BondAdvantra Option 1 (HMO-

POS)Coventry Health Care

Local

HMO$41.00 $0.00 Enhanced Yes EA H2663 6 $5,200 4 Stars

BondAARP MedicareComplete

(HMO)UnitedHealthcare

Local

HMO$0.00 $150.00 Enhanced No EA H2802 28 $2,900 4 Stars

2018 Illinois - Medicare Advantage and Cost PlansData as of September 5, 2017. Includes 2018 approved contracts/plans. PACE, Special Needs Plans, Part B Only Plans, and Employer sponsored plans (800 series) are excluded. Plans under

sanction are not shown. Medicare/Medicaid plans are shown in a separate Landscape file.

Notes: Data are subject to change as contracts are finalized. For 2018, 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: 2018 Illinois - Medicare Advantage and Cost Plans...$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars Boone Humana Gold Plus H1468-015 (HMO) Humana Benefit Plan of Illinois, Inc

BondHumana Gold Choice H8145-

008 (PFFS)

Humana Insurance

CompanyPFFS $177.00 $380.00 Enhanced No EA H8145 8 N/A 3.5 Stars

BondHumana Gold Choice H8145-

121 (PFFS)

Humana Insurance

CompanyPFFS * $59.00 H8145 121 N/A 3.5 Stars

BondHumanaChoice R5361-001

(Regional PPO)

Humana Insurance

Company

Regional

PPO *$0.00 R5361 1 $6,700 3.5 Stars

BondHumanaChoice R5361-002

(Regional PPO)

Humana Insurance

Company

Regional

PPO$137.00 $405.00 Basic No BA R5361 2 $6,700 3.5 Stars

BooneHealth Alliance Medicare

HMO 20 (HMO)

Health Alliance

Medicare

Local

HMO *$85.00 H1463 1 $4,000 4 Stars

BooneHealth Alliance Medicare

HMO 20 Rx (HMO)

Health Alliance

Medicare

Local

HMO$116.00 $0.00 Enhanced No EA H1463 3 $4,000 4 Stars

BooneHealth Alliance Medicare

HMO Basic (HMO)

Health Alliance

Medicare

Local

HMO *$0.00 H1463 8 $6,700 4 Stars

BooneHealth Alliance Medicare

HMO Basic Rx (HMO)

Health Alliance

Medicare

Local

HMO$33.00 $0.00 Enhanced No EA H1463 9 $6,700 4 Stars

BooneHealth Alliance Medicare

HMO 40 Rx (HMO)

Health Alliance

Medicare

Local

HMO$72.00 $0.00 Enhanced No EA H1463 10 $4,700 4 Stars

BooneHealth Alliance Medicare

HMO 40 (HMO)

Health Alliance

Medicare

Local

HMO *$39.00 H1463 11 $4,700 4 Stars

BooneHealth Alliance Medicare

POS Basic (HMO-POS)

Health Alliance

Medicare

Local

HMO *$23.00 H1463 14 $6,700 4 Stars

BooneHealth Alliance Medicare

POS Basic Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$52.00 $0.00 Enhanced No EA H1463 15 $6,700 4 Stars

BooneHealth Alliance Medicare

POS 30 (HMO-POS)

Health Alliance

Medicare

Local

HMO *$59.00 H1463 16 $5,500 4 Stars

BooneHealth Alliance Medicare

POS 30 Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$96.00 $0.00 Enhanced No EA H1463 17 $5,500 4 Stars

Page 3: 2018 Illinois - Medicare Advantage and Cost Plans...$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars Boone Humana Gold Plus H1468-015 (HMO) Humana Benefit Plan of Illinois, Inc

BooneHealth Alliance Medicare

POS 10 (HMO-POS)

Health Alliance

Medicare

Local

HMO *$124.00 H1463 18 $4,500 4 Stars

BooneHealth Alliance Medicare

POS 10 Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars

BooneHumana Gold Plus H1468-

015 (HMO)

Humana Benefit Plan

of Illinois, Inc.

Local

HMO$19.00 $200.00 Enhanced No EA H1468 15 $5,500 4.5 Stars

Boone Coventry Total Care (HMO) Coventry Health CareLocal

HMO$0.00 $0.00 Enhanced Yes EA H2663 16 $5,000 4 Stars

BooneAARP MedicareComplete

(HMO)UnitedHealthcare

Local

HMO$39.00 $250.00 Enhanced No EA H2802 45 $3,900 4 Stars

BooneCommunity Advantage

(HMO)

Community Care

Alliance of Illinois, NFP

Local

HMO$0.00 $0.00 Enhanced No EA H3071 2 $3,950 2.5 Stars

BooneCommunity Flex-Plan (HMO-

POS)

Community Care

Alliance of Illinois, NFP

Local

HMO$27.50 $405.00 Basic No DS H3071 3 $3,950 2.5 Stars

BooneHumanaChoice H5525-004

(PPO)

Humana Benefit Plan

of Illinois, Inc.Local PPO $103.00 $250.00 Enhanced No EA H5525 4 $6,700 4 Stars

Boone MeridianCare Elite (HMO) MeridianCareLocal

HMO$47.00 $0.00 Enhanced No EA H5779 3 $3,400

Not enough

data available

BooneMeridianCare Essential

(HMO)MeridianCare

Local

HMO$0.00 $0.00 Enhanced No EA H5779 5 $3,750

Not enough

data available

Boone MeridianCare Edge (HMO) MeridianCareLocal

HMO$27.50 $405.00 Enhanced No EA H5779 6 $6,700

Not enough

data available

Boone Advantra (PPO) Coventry Health Care Local PPO $26.00 $0.00 Enhanced Yes EA H7301 2 $5,500 4 Stars

Boone Advantra Value (PPO) Coventry Health Care Local PPO $0.00 $0.00 Enhanced Yes EA H7301 6 $5,900 4 Stars

BooneHumana Gold Choice H8145-

008 (PFFS)

Humana Insurance

CompanyPFFS $177.00 $380.00 Enhanced No EA H8145 8 N/A 3.5 Stars

BooneHumanaChoice R5361-001

(Regional PPO)

Humana Insurance

Company

Regional

PPO *$0.00 R5361 1 $6,700 3.5 Stars

BooneHumanaChoice R5361-002

(Regional PPO)

Humana Insurance

Company

Regional

PPO$137.00 $405.00 Basic No BA R5361 2 $6,700 3.5 Stars

Page 4: 2018 Illinois - Medicare Advantage and Cost Plans...$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars Boone Humana Gold Plus H1468-015 (HMO) Humana Benefit Plan of Illinois, Inc

BrownHealth Alliance Medicare

HMO 20 (HMO)

Health Alliance

Medicare

Local

HMO *$85.00 H1463 1 $4,000 4 Stars

BrownHealth Alliance Medicare

HMO 20 Rx (HMO)

Health Alliance

Medicare

Local

HMO$116.00 $0.00 Enhanced No EA H1463 3 $4,000 4 Stars

BrownHealth Alliance Medicare

HMO Basic (HMO)

Health Alliance

Medicare

Local

HMO *$0.00 H1463 8 $6,700 4 Stars

BrownHealth Alliance Medicare

HMO Basic Rx (HMO)

Health Alliance

Medicare

Local

HMO$33.00 $0.00 Enhanced No EA H1463 9 $6,700 4 Stars

BrownHealth Alliance Medicare

HMO 40 Rx (HMO)

Health Alliance

Medicare

Local

HMO$72.00 $0.00 Enhanced No EA H1463 10 $4,700 4 Stars

BrownHealth Alliance Medicare

HMO 40 (HMO)

Health Alliance

Medicare

Local

HMO *$39.00 H1463 11 $4,700 4 Stars

BrownHealth Alliance Medicare

POS Basic (HMO-POS)

Health Alliance

Medicare

Local

HMO *$23.00 H1463 14 $6,700 4 Stars

BrownHealth Alliance Medicare

POS Basic Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$52.00 $0.00 Enhanced No EA H1463 15 $6,700 4 Stars

BrownHealth Alliance Medicare

POS 30 (HMO-POS)

Health Alliance

Medicare

Local

HMO *$59.00 H1463 16 $5,500 4 Stars

BrownHealth Alliance Medicare

POS 30 Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$96.00 $0.00 Enhanced No EA H1463 17 $5,500 4 Stars

BrownHealth Alliance Medicare

POS 10 (HMO-POS)

Health Alliance

Medicare

Local

HMO *$124.00 H1463 18 $4,500 4 Stars

BrownHealth Alliance Medicare

POS 10 Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars

BrownHumanaChoice H5525-004

(PPO)

Humana Benefit Plan

of Illinois, Inc.Local PPO $103.00 $250.00 Enhanced No EA H5525 4 $6,700 4 Stars

Brown Advantra (PPO) Coventry Health Care Local PPO $26.00 $0.00 Enhanced Yes EA H7301 2 $5,500 4 Stars

Page 5: 2018 Illinois - Medicare Advantage and Cost Plans...$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars Boone Humana Gold Plus H1468-015 (HMO) Humana Benefit Plan of Illinois, Inc

Brown Advantra Value (PPO) Coventry Health Care Local PPO $0.00 $150.00 Enhanced Yes EA H7301 7 $4,650 4 Stars

BrownHumana Gold Choice H8145-

008 (PFFS)

Humana Insurance

CompanyPFFS $177.00 $380.00 Enhanced No EA H8145 8 N/A 3.5 Stars

BrownHumana Gold Choice H8145-

121 (PFFS)

Humana Insurance

CompanyPFFS * $59.00 H8145 121 N/A 3.5 Stars

BrownHumanaChoice R5361-001

(Regional PPO)

Humana Insurance

Company

Regional

PPO *$0.00 R5361 1 $6,700 3.5 Stars

BrownHumanaChoice R5361-002

(Regional PPO)

Humana Insurance

Company

Regional

PPO$137.00 $405.00 Basic No BA R5361 2 $6,700 3.5 Stars

BureauHealth Alliance Medicare

HMO 20 (HMO)

Health Alliance

Medicare

Local

HMO *$85.00 H1463 1 $4,000 4 Stars

BureauHealth Alliance Medicare

HMO 20 Rx (HMO)

Health Alliance

Medicare

Local

HMO$116.00 $0.00 Enhanced No EA H1463 3 $4,000 4 Stars

BureauHealth Alliance Medicare

HMO Basic (HMO)

Health Alliance

Medicare

Local

HMO *$0.00 H1463 8 $6,700 4 Stars

BureauHealth Alliance Medicare

HMO Basic Rx (HMO)

Health Alliance

Medicare

Local

HMO$33.00 $0.00 Enhanced No EA H1463 9 $6,700 4 Stars

BureauHealth Alliance Medicare

HMO 40 Rx (HMO)

Health Alliance

Medicare

Local

HMO$72.00 $0.00 Enhanced No EA H1463 10 $4,700 4 Stars

BureauHealth Alliance Medicare

HMO 40 (HMO)

Health Alliance

Medicare

Local

HMO *$39.00 H1463 11 $4,700 4 Stars

BureauHealth Alliance Medicare

POS Basic (HMO-POS)

Health Alliance

Medicare

Local

HMO *$23.00 H1463 14 $6,700 4 Stars

BureauHealth Alliance Medicare

POS Basic Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$52.00 $0.00 Enhanced No EA H1463 15 $6,700 4 Stars

BureauHealth Alliance Medicare

POS 30 (HMO-POS)

Health Alliance

Medicare

Local

HMO *$59.00 H1463 16 $5,500 4 Stars

Page 6: 2018 Illinois - Medicare Advantage and Cost Plans...$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars Boone Humana Gold Plus H1468-015 (HMO) Humana Benefit Plan of Illinois, Inc

BureauHealth Alliance Medicare

POS 30 Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$96.00 $0.00 Enhanced No EA H1463 17 $5,500 4 Stars

BureauHealth Alliance Medicare

POS 10 (HMO-POS)

Health Alliance

Medicare

Local

HMO *$124.00 H1463 18 $4,500 4 Stars

BureauHealth Alliance Medicare

POS 10 Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars

BureauAARP MedicareComplete

(HMO)UnitedHealthcare

Local

HMO$39.00 $250.00 Enhanced No EA H5253 46 $3,900 4 Stars

Bureau Advantra (PPO) Coventry Health Care Local PPO $26.00 $0.00 Enhanced Yes EA H7301 2 $5,500 4 Stars

Bureau Advantra Value (PPO) Coventry Health Care Local PPO $0.00 $0.00 Enhanced Yes EA H7301 6 $5,900 4 Stars

BureauHumana Gold Choice H8145-

008 (PFFS)

Humana Insurance

CompanyPFFS $177.00 $380.00 Enhanced No EA H8145 8 N/A 3.5 Stars

BureauHumana Gold Choice H8145-

121 (PFFS)

Humana Insurance

CompanyPFFS * $59.00 H8145 121 N/A 3.5 Stars

BureauAARP MedicareComplete

Choice (PPO)UnitedHealthcare Local PPO $77.00 $0.00 Enhanced No EA H8768 3 $2,900

Plan too new

to be

measured

BureauHumanaChoice R5361-001

(Regional PPO)

Humana Insurance

Company

Regional

PPO *$0.00 R5361 1 $6,700 3.5 Stars

BureauHumanaChoice R5361-002

(Regional PPO)

Humana Insurance

Company

Regional

PPO$137.00 $405.00 Basic No BA R5361 2 $6,700 3.5 Stars

Calhoun Advantra (PPO) Coventry Health Care Local PPO $56.00 $0.00 Enhanced Yes EA H1608 13 $6,000 4 Stars

Calhoun Advantra Option 2 (HMO) Coventry Health CareLocal

HMO$86.00 $0.00 Enhanced Yes EA H2663 2 $2,430 4 Stars

CalhounAdvantra Option 1 (HMO-

POS)Coventry Health Care

Local

HMO$41.00 $0.00 Enhanced Yes EA H2663 6 $5,200 4 Stars

CalhounHumanaChoice R5361-001

(Regional PPO)

Humana Insurance

Company

Regional

PPO *$0.00 R5361 1 $6,700 3.5 Stars

CalhounHumanaChoice R5361-002

(Regional PPO)

Humana Insurance

Company

Regional

PPO$137.00 $405.00 Basic No BA R5361 2 $6,700 3.5 Stars

Page 7: 2018 Illinois - Medicare Advantage and Cost Plans...$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars Boone Humana Gold Plus H1468-015 (HMO) Humana Benefit Plan of Illinois, Inc

CarrollAARP MedicareComplete

(HMO)UnitedHealthcare

Local

HMO$39.00 $250.00 Enhanced No EA H5253 46 $3,900 4 Stars

Carroll Advantra (PPO) Coventry Health Care Local PPO $26.00 $0.00 Enhanced Yes EA H7301 2 $5,500 4 Stars

Carroll Advantra Value (PPO) Coventry Health Care Local PPO $0.00 $0.00 Enhanced Yes EA H7301 6 $5,900 4 Stars

CarrollUnitedHealthcare

MedicareComplete (HMO)UnitedHealthcare

Local

HMO$21.00 $405.00 Basic No DS H7445 4 $6,700

Plan too

new to be

measured

CarrollHumana Gold Choice H8145-

008 (PFFS)

Humana Insurance

CompanyPFFS $177.00 $380.00 Enhanced No EA H8145 8 N/A 3.5 Stars

CarrollHumana Gold Choice H8145-

121 (PFFS)

Humana Insurance

CompanyPFFS * $59.00 H8145 121 N/A 3.5 Stars

CarrollAARP MedicareComplete

Choice (PPO)UnitedHealthcare Local PPO $77.00 $0.00 Enhanced No EA H8768 3 $2,900

Plan too new

to be

measured

CarrollHumanaChoice R5361-001

(Regional PPO)

Humana Insurance

Company

Regional

PPO *$0.00 R5361 1 $6,700 3.5 Stars

CarrollHumanaChoice R5361-002

(Regional PPO)

Humana Insurance

Company

Regional

PPO$137.00 $405.00 Basic No BA R5361 2 $6,700 3.5 Stars

CassHealth Alliance Medicare

HMO 20 (HMO)

Health Alliance

Medicare

Local

HMO *$85.00 H1463 1 $4,000 4 Stars

CassHealth Alliance Medicare

HMO 20 Rx (HMO)

Health Alliance

Medicare

Local

HMO$116.00 $0.00 Enhanced No EA H1463 3 $4,000 4 Stars

CassHealth Alliance Medicare

HMO Basic (HMO)

Health Alliance

Medicare

Local

HMO *$0.00 H1463 8 $6,700 4 Stars

CassHealth Alliance Medicare

HMO Basic Rx (HMO)

Health Alliance

Medicare

Local

HMO$33.00 $0.00 Enhanced No EA H1463 9 $6,700 4 Stars

CassHealth Alliance Medicare

HMO 40 Rx (HMO)

Health Alliance

Medicare

Local

HMO$72.00 $0.00 Enhanced No EA H1463 10 $4,700 4 Stars

Page 8: 2018 Illinois - Medicare Advantage and Cost Plans...$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars Boone Humana Gold Plus H1468-015 (HMO) Humana Benefit Plan of Illinois, Inc

CassHealth Alliance Medicare

HMO 40 (HMO)

Health Alliance

Medicare

Local

HMO *$39.00 H1463 11 $4,700 4 Stars

CassHealth Alliance Medicare

POS Basic (HMO-POS)

Health Alliance

Medicare

Local

HMO *$23.00 H1463 14 $6,700 4 Stars

CassHealth Alliance Medicare

POS Basic Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$52.00 $0.00 Enhanced No EA H1463 15 $6,700 4 Stars

CassHealth Alliance Medicare

POS 30 (HMO-POS)

Health Alliance

Medicare

Local

HMO *$59.00 H1463 16 $5,500 4 Stars

CassHealth Alliance Medicare

POS 30 Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$96.00 $0.00 Enhanced No EA H1463 17 $5,500 4 Stars

CassHealth Alliance Medicare

POS 10 (HMO-POS)

Health Alliance

Medicare

Local

HMO *$124.00 H1463 18 $4,500 4 Stars

CassHealth Alliance Medicare

POS 10 Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars

CassHumanaChoice H5525-004

(PPO)

Humana Benefit Plan

of Illinois, Inc.Local PPO $103.00 $250.00 Enhanced No EA H5525 4 $6,700 4 Stars

Cass Advantra (PPO) Coventry Health Care Local PPO $26.00 $0.00 Enhanced Yes EA H7301 2 $5,500 4 Stars

Cass Advantra Value (PPO) Coventry Health Care Local PPO $0.00 $150.00 Enhanced Yes EA H7301 7 $4,650 4 Stars

CassHumana Gold Choice H8145-

008 (PFFS)

Humana Insurance

CompanyPFFS $177.00 $380.00 Enhanced No EA H8145 8 N/A 3.5 Stars

CassHumana Gold Choice H8145-

121 (PFFS)

Humana Insurance

CompanyPFFS * $59.00 H8145 121 N/A 3.5 Stars

CassHumanaChoice R5361-001

(Regional PPO)

Humana Insurance

Company

Regional

PPO *$0.00 R5361 1 $6,700 3.5 Stars

CassHumanaChoice R5361-002

(Regional PPO)

Humana Insurance

Company

Regional

PPO$137.00 $405.00 Basic No BA R5361 2 $6,700 3.5 Stars

Champaign WellCare Value (HMO-POS) WellCareLocal

HMO$0.00 $0.00 Enhanced No EA H1416 9 $3,900 3 Stars

Champaign WellCare Rx (HMO) WellCareLocal

HMO$7.70 $405.00 Enhanced No EA H1416 23 $3,400 3 Stars

Page 9: 2018 Illinois - Medicare Advantage and Cost Plans...$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars Boone Humana Gold Plus H1468-015 (HMO) Humana Benefit Plan of Illinois, Inc

ChampaignWellCare Choice (HMO-

POS)WellCare

Local

HMO$64.00 $0.00 Enhanced No EA H1416 24 $3,400 3 Stars

Champaign WellCare Plus (HMO) WellCareLocal

HMO$15.50 $405.00 Enhanced No EA H1416 48 $6,700 3 Stars

ChampaignHealth Alliance Medicare

HMO 20 (HMO)

Health Alliance

Medicare

Local

HMO *$85.00 H1463 1 $4,000 4 Stars

ChampaignHealth Alliance Medicare

HMO 20 Rx (HMO)

Health Alliance

Medicare

Local

HMO$116.00 $0.00 Enhanced No EA H1463 3 $4,000 4 Stars

ChampaignHealth Alliance Medicare

HMO Basic (HMO)

Health Alliance

Medicare

Local

HMO *$0.00 H1463 8 $6,700 4 Stars

ChampaignHealth Alliance Medicare

HMO Basic Rx (HMO)

Health Alliance

Medicare

Local

HMO$33.00 $0.00 Enhanced No EA H1463 9 $6,700 4 Stars

ChampaignHealth Alliance Medicare

HMO 40 Rx (HMO)

Health Alliance

Medicare

Local

HMO$72.00 $0.00 Enhanced No EA H1463 10 $4,700 4 Stars

ChampaignHealth Alliance Medicare

HMO 40 (HMO)

Health Alliance

Medicare

Local

HMO *$39.00 H1463 11 $4,700 4 Stars

ChampaignHealth Alliance Medicare

POS Basic (HMO-POS)

Health Alliance

Medicare

Local

HMO *$23.00 H1463 14 $6,700 4 Stars

ChampaignHealth Alliance Medicare

POS Basic Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$52.00 $0.00 Enhanced No EA H1463 15 $6,700 4 Stars

ChampaignHealth Alliance Medicare

POS 30 (HMO-POS)

Health Alliance

Medicare

Local

HMO *$59.00 H1463 16 $5,500 4 Stars

ChampaignHealth Alliance Medicare

POS 30 Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$96.00 $0.00 Enhanced No EA H1463 17 $5,500 4 Stars

ChampaignHealth Alliance Medicare

POS 10 (HMO-POS)

Health Alliance

Medicare

Local

HMO *$124.00 H1463 18 $4,500 4 Stars

ChampaignHealth Alliance Medicare

POS 10 Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars

Page 10: 2018 Illinois - Medicare Advantage and Cost Plans...$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars Boone Humana Gold Plus H1468-015 (HMO) Humana Benefit Plan of Illinois, Inc

ChampaignHumanaChoice R5361-001

(Regional PPO)

Humana Insurance

Company

Regional

PPO *$0.00 R5361 1 $6,700 3.5 Stars

ChampaignHumanaChoice R5361-002

(Regional PPO)

Humana Insurance

Company

Regional

PPO$137.00 $405.00 Basic No BA R5361 2 $6,700 3.5 Stars

ChristianHealth Alliance Medicare

HMO 20 (HMO)

Health Alliance

Medicare

Local

HMO *$85.00 H1463 1 $4,000 4 Stars

ChristianHealth Alliance Medicare

HMO 20 Rx (HMO)

Health Alliance

Medicare

Local

HMO$116.00 $0.00 Enhanced No EA H1463 3 $4,000 4 Stars

ChristianHealth Alliance Medicare

HMO Basic (HMO)

Health Alliance

Medicare

Local

HMO *$0.00 H1463 8 $6,700 4 Stars

ChristianHealth Alliance Medicare

HMO Basic Rx (HMO)

Health Alliance

Medicare

Local

HMO$33.00 $0.00 Enhanced No EA H1463 9 $6,700 4 Stars

ChristianHealth Alliance Medicare

HMO 40 Rx (HMO)

Health Alliance

Medicare

Local

HMO$72.00 $0.00 Enhanced No EA H1463 10 $4,700 4 Stars

ChristianHealth Alliance Medicare

HMO 40 (HMO)

Health Alliance

Medicare

Local

HMO *$39.00 H1463 11 $4,700 4 Stars

ChristianHealth Alliance Medicare

POS Basic (HMO-POS)

Health Alliance

Medicare

Local

HMO *$23.00 H1463 14 $6,700 4 Stars

ChristianHealth Alliance Medicare

POS Basic Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$52.00 $0.00 Enhanced No EA H1463 15 $6,700 4 Stars

ChristianHealth Alliance Medicare

POS 30 (HMO-POS)

Health Alliance

Medicare

Local

HMO *$59.00 H1463 16 $5,500 4 Stars

ChristianHealth Alliance Medicare

POS 30 Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$96.00 $0.00 Enhanced No EA H1463 17 $5,500 4 Stars

ChristianHealth Alliance Medicare

POS 10 (HMO-POS)

Health Alliance

Medicare

Local

HMO *$124.00 H1463 18 $4,500 4 Stars

Page 11: 2018 Illinois - Medicare Advantage and Cost Plans...$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars Boone Humana Gold Plus H1468-015 (HMO) Humana Benefit Plan of Illinois, Inc

ChristianHealth Alliance Medicare

POS 10 Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars

ChristianHumanaChoice H5216-013

(PPO)

Humana Insurance

CompanyLocal PPO $87.00 $0.00 Enhanced No EA H5216 13 $6,700 4 Stars

Christian Advantra (PPO) Coventry Health Care Local PPO $26.00 $0.00 Enhanced Yes EA H7301 2 $5,500 4 Stars

Christian Advantra Value (PPO) Coventry Health Care Local PPO $0.00 $150.00 Enhanced Yes EA H7301 7 $4,650 4 Stars

ChristianHumanaChoice R5361-001

(Regional PPO)

Humana Insurance

Company

Regional

PPO *$0.00 R5361 1 $6,700 3.5 Stars

ChristianHumanaChoice R5361-002

(Regional PPO)

Humana Insurance

Company

Regional

PPO$137.00 $405.00 Basic No BA R5361 2 $6,700 3.5 Stars

ClarkHealth Alliance Medicare

HMO 20 (HMO)

Health Alliance

Medicare

Local

HMO *$85.00 H1463 1 $4,000 4 Stars

ClarkHealth Alliance Medicare

HMO 20 Rx (HMO)

Health Alliance

Medicare

Local

HMO$116.00 $0.00 Enhanced No EA H1463 3 $4,000 4 Stars

ClarkHealth Alliance Medicare

HMO Basic (HMO)

Health Alliance

Medicare

Local

HMO *$0.00 H1463 8 $6,700 4 Stars

ClarkHealth Alliance Medicare

HMO Basic Rx (HMO)

Health Alliance

Medicare

Local

HMO$33.00 $0.00 Enhanced No EA H1463 9 $6,700 4 Stars

ClarkHealth Alliance Medicare

HMO 40 Rx (HMO)

Health Alliance

Medicare

Local

HMO$72.00 $0.00 Enhanced No EA H1463 10 $4,700 4 Stars

ClarkHealth Alliance Medicare

HMO 40 (HMO)

Health Alliance

Medicare

Local

HMO *$39.00 H1463 11 $4,700 4 Stars

ClarkHealth Alliance Medicare

POS Basic (HMO-POS)

Health Alliance

Medicare

Local

HMO *$23.00 H1463 14 $6,700 4 Stars

ClarkHealth Alliance Medicare

POS Basic Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$52.00 $0.00 Enhanced No EA H1463 15 $6,700 4 Stars

ClarkHealth Alliance Medicare

POS 30 (HMO-POS)

Health Alliance

Medicare

Local

HMO *$59.00 H1463 16 $5,500 4 Stars

Page 12: 2018 Illinois - Medicare Advantage and Cost Plans...$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars Boone Humana Gold Plus H1468-015 (HMO) Humana Benefit Plan of Illinois, Inc

ClarkHealth Alliance Medicare

POS 30 Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$96.00 $0.00 Enhanced No EA H1463 17 $5,500 4 Stars

ClarkHealth Alliance Medicare

POS 10 (HMO-POS)

Health Alliance

Medicare

Local

HMO *$124.00 H1463 18 $4,500 4 Stars

ClarkHealth Alliance Medicare

POS 10 Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars

ClarkHumanaChoice H5216-013

(PPO)

Humana Insurance

CompanyLocal PPO $87.00 $0.00 Enhanced No EA H5216 13 $6,700 4 Stars

Clark Advantra (PPO) Coventry Health Care Local PPO $26.00 $0.00 Enhanced Yes EA H7301 2 $5,500 4 Stars

Clark Advantra Value (PPO) Coventry Health Care Local PPO $0.00 $150.00 Enhanced Yes EA H7301 7 $4,650 4 Stars

ClarkHumana Gold Choice H8145-

008 (PFFS)

Humana Insurance

CompanyPFFS $177.00 $380.00 Enhanced No EA H8145 8 N/A 3.5 Stars

ClarkHumana Gold Choice H8145-

121 (PFFS)

Humana Insurance

CompanyPFFS * $59.00 H8145 121 N/A 3.5 Stars

ClarkHumanaChoice R5361-001

(Regional PPO)

Humana Insurance

Company

Regional

PPO *$0.00 R5361 1 $6,700 3.5 Stars

ClarkHumanaChoice R5361-002

(Regional PPO)

Humana Insurance

Company

Regional

PPO$137.00 $405.00 Basic No BA R5361 2 $6,700 3.5 Stars

ClayHealth Alliance Medicare

HMO 20 (HMO)

Health Alliance

Medicare

Local

HMO *$85.00 H1463 1 $4,000 4 Stars

ClayHealth Alliance Medicare

HMO 20 Rx (HMO)

Health Alliance

Medicare

Local

HMO$116.00 $0.00 Enhanced No EA H1463 3 $4,000 4 Stars

ClayHealth Alliance Medicare

HMO Basic (HMO)

Health Alliance

Medicare

Local

HMO *$0.00 H1463 8 $6,700 4 Stars

ClayHealth Alliance Medicare

HMO Basic Rx (HMO)

Health Alliance

Medicare

Local

HMO$33.00 $0.00 Enhanced No EA H1463 9 $6,700 4 Stars

ClayHealth Alliance Medicare

HMO 40 Rx (HMO)

Health Alliance

Medicare

Local

HMO$72.00 $0.00 Enhanced No EA H1463 10 $4,700 4 Stars

Page 13: 2018 Illinois - Medicare Advantage and Cost Plans...$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars Boone Humana Gold Plus H1468-015 (HMO) Humana Benefit Plan of Illinois, Inc

ClayHealth Alliance Medicare

HMO 40 (HMO)

Health Alliance

Medicare

Local

HMO *$39.00 H1463 11 $4,700 4 Stars

ClayHealth Alliance Medicare

POS Basic (HMO-POS)

Health Alliance

Medicare

Local

HMO *$23.00 H1463 14 $6,700 4 Stars

ClayHealth Alliance Medicare

POS Basic Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$52.00 $0.00 Enhanced No EA H1463 15 $6,700 4 Stars

ClayHealth Alliance Medicare

POS 30 (HMO-POS)

Health Alliance

Medicare

Local

HMO *$59.00 H1463 16 $5,500 4 Stars

ClayHealth Alliance Medicare

POS 30 Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$96.00 $0.00 Enhanced No EA H1463 17 $5,500 4 Stars

ClayHealth Alliance Medicare

POS 10 (HMO-POS)

Health Alliance

Medicare

Local

HMO *$124.00 H1463 18 $4,500 4 Stars

ClayHealth Alliance Medicare

POS 10 Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars

ClayHumanaChoice R5361-001

(Regional PPO)

Humana Insurance

Company

Regional

PPO *$0.00 R5361 1 $6,700 3.5 Stars

ClayHumanaChoice R5361-002

(Regional PPO)

Humana Insurance

Company

Regional

PPO$137.00 $405.00 Basic No BA R5361 2 $6,700 3.5 Stars

Clinton Advantra (PPO) Coventry Health Care Local PPO $56.00 $0.00 Enhanced Yes EA H1608 13 $6,000 4 Stars

Clinton Advantra Option 2 (HMO) Coventry Health CareLocal

HMO$86.00 $0.00 Enhanced Yes EA H2663 2 $2,430 4 Stars

ClintonAdvantra Option 1 (HMO-

POS)Coventry Health Care

Local

HMO$41.00 $0.00 Enhanced Yes EA H2663 6 $5,200 4 Stars

ClintonGold Advantage Value

(HMO)Coventry Health Care

Local

HMO$0.00 $0.00 Enhanced Yes EA H2663 32 $3,400 4 Stars

ClintonAARP MedicareComplete

(HMO)UnitedHealthcare

Local

HMO$0.00 $150.00 Enhanced No EA H2802 28 $2,900 4 Stars

ClintonHumana Gold Choice H8145-

008 (PFFS)

Humana Insurance

CompanyPFFS $177.00 $380.00 Enhanced No EA H8145 8 N/A 3.5 Stars

Page 14: 2018 Illinois - Medicare Advantage and Cost Plans...$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars Boone Humana Gold Plus H1468-015 (HMO) Humana Benefit Plan of Illinois, Inc

ClintonHumana Gold Choice H8145-

121 (PFFS)

Humana Insurance

CompanyPFFS * $59.00 H8145 121 N/A 3.5 Stars

ClintonHumanaChoice R5361-001

(Regional PPO)

Humana Insurance

Company

Regional

PPO *$0.00 R5361 1 $6,700 3.5 Stars

ClintonHumanaChoice R5361-002

(Regional PPO)

Humana Insurance

Company

Regional

PPO$137.00 $405.00 Basic No BA R5361 2 $6,700 3.5 Stars

ColesHealth Alliance Medicare

HMO 20 (HMO)

Health Alliance

Medicare

Local

HMO *$85.00 H1463 1 $4,000 4 Stars

ColesHealth Alliance Medicare

HMO 20 Rx (HMO)

Health Alliance

Medicare

Local

HMO$116.00 $0.00 Enhanced No EA H1463 3 $4,000 4 Stars

ColesHealth Alliance Medicare

HMO Basic (HMO)

Health Alliance

Medicare

Local

HMO *$0.00 H1463 8 $6,700 4 Stars

ColesHealth Alliance Medicare

HMO Basic Rx (HMO)

Health Alliance

Medicare

Local

HMO$33.00 $0.00 Enhanced No EA H1463 9 $6,700 4 Stars

ColesHealth Alliance Medicare

HMO 40 Rx (HMO)

Health Alliance

Medicare

Local

HMO$72.00 $0.00 Enhanced No EA H1463 10 $4,700 4 Stars

ColesHealth Alliance Medicare

HMO 40 (HMO)

Health Alliance

Medicare

Local

HMO *$39.00 H1463 11 $4,700 4 Stars

ColesHealth Alliance Medicare

POS Basic (HMO-POS)

Health Alliance

Medicare

Local

HMO *$23.00 H1463 14 $6,700 4 Stars

ColesHealth Alliance Medicare

POS Basic Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$52.00 $0.00 Enhanced No EA H1463 15 $6,700 4 Stars

ColesHealth Alliance Medicare

POS 30 (HMO-POS)

Health Alliance

Medicare

Local

HMO *$59.00 H1463 16 $5,500 4 Stars

ColesHealth Alliance Medicare

POS 30 Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$96.00 $0.00 Enhanced No EA H1463 17 $5,500 4 Stars

ColesHealth Alliance Medicare

POS 10 (HMO-POS)

Health Alliance

Medicare

Local

HMO *$124.00 H1463 18 $4,500 4 Stars

Page 15: 2018 Illinois - Medicare Advantage and Cost Plans...$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars Boone Humana Gold Plus H1468-015 (HMO) Humana Benefit Plan of Illinois, Inc

ColesHealth Alliance Medicare

POS 10 Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars

ColesHumanaChoice R5361-001

(Regional PPO)

Humana Insurance

Company

Regional

PPO *$0.00 R5361 1 $6,700 3.5 Stars

ColesHumanaChoice R5361-002

(Regional PPO)

Humana Insurance

Company

Regional

PPO$137.00 $405.00 Basic No BA R5361 2 $6,700 3.5 Stars

CookCigna-HealthSpring

Advantage (HMO)Cigna-HealthSpring

Local

HMO *$0.00 H1415 13 $4,500 3 Stars

CookCigna-HealthSpring Premier

(HMO-POS)Cigna-HealthSpring

Local

HMO$0.00 $0.00 Enhanced No EA H1415 21 $6,500 3 Stars

CookCigna-HealthSpring Primary

(HMO)Cigna-HealthSpring

Local

HMO$11.10 $405.00 Basic No DS H1415 24 $6,000 3 Stars

Cook WellCare Value (HMO-POS) WellCareLocal

HMO$0.00 $0.00 Enhanced No EA H1416 9 $3,900 3 Stars

Cook WellCare Rx (HMO) WellCareLocal

HMO$7.70 $405.00 Enhanced No EA H1416 23 $3,400 3 Stars

CookWellCare Choice (HMO-

POS)WellCare

Local

HMO$64.00 $0.00 Enhanced No EA H1416 24 $3,400 3 Stars

Cook WellCare Plus (HMO) WellCareLocal

HMO$15.50 $405.00 Enhanced No EA H1416 48 $6,700 3 Stars

CookHumana Gold Plus H1468-

013 (HMO)

Humana Benefit Plan

of Illinois, Inc.

Local

HMO$0.00 $0.00 Enhanced No EA H1468 13 $3,200 4.5 Stars

CookAARP MedicareComplete

Access (HMO)UnitedHealthcare

Local

HMO$0.00 $0.00 Enhanced No EA H2802 24 $3,400 4 Stars

CookAARP MedicareComplete

Plan 1 (HMO)UnitedHealthcare

Local

HMO$27.00 $230.00 Enhanced No EA H2802 25 $3,950 4 Stars

CookAARP MedicareComplete

Plan 2 (HMO)UnitedHealthcare

Local

HMO$77.00 $0.00 Enhanced No EA H2802 26 $2,900 4 Stars

CookCommunity Advantage

(HMO)

Community Care

Alliance of Illinois, NFP

Local

HMO$0.00 $0.00 Enhanced No EA H3071 2 $3,950 2.5 Stars

CookCommunity Flex-Plan (HMO-

POS)

Community Care

Alliance of Illinois, NFP

Local

HMO$27.50 $405.00 Basic No DS H3071 3 $3,950 2.5 Stars

CookBlue Cross Medicare

Advantage Basic (HMO)

Blue Cross Blue Shield

of IL, MT, NM

Local

HMO$0.00 $0.00 Enhanced Yes EA H3822 1 $2,800 3.5 Stars

Page 16: 2018 Illinois - Medicare Advantage and Cost Plans...$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars Boone Humana Gold Plus H1468-015 (HMO) Humana Benefit Plan of Illinois, Inc

Cook

Blue Cross Medicare

Advantage Basic Plus (HMO-

POS)

Blue Cross Blue Shield

of IL, MT, NM

Local

HMO$0.00 $0.00 Enhanced Yes EA H3822 7 $3,600 3.5 Stars

Cook

Blue Cross Medicare

Advantage Premier Plus

(HMO-POS)

Blue Cross Blue Shield

of IL, MT, NM

Local

HMO$83.00 $0.00 Enhanced Yes EA H3822 8 $3,600 3.5 Stars

CookAetna Medicare Value Plan

(HMO)Aetna Medicare

Local

HMO$0.00 $0.00 Enhanced Yes EA H3931 106 $3,400 3.5 Stars

Cook Spartan Plan IL (HMO)Sunrise Advantage

Plan

Local

HMO$69.00 $0.00 Enhanced No EA H4778 3 $3,400

Plan too new

to be

measured

CookHumanaChoice H5216-012

(PPO)

Humana Insurance

Company

Local PPO

*$0.00 H5216 12 $6,700 4 Stars

CookHumanaChoice H5216-013

(PPO)

Humana Insurance

CompanyLocal PPO $87.00 $0.00 Enhanced No EA H5216 13 $6,700 4 Stars

CookAetna Medicare Standard

Plan (PPO)Aetna Medicare Local PPO $72.00 $0.00 Enhanced Yes EA H5521 16 $3,400 4 Stars

CookAetna Medicare Value Plan

(PPO)Aetna Medicare Local PPO $0.00 $0.00 Enhanced Yes EA H5521 86 $3,900 4 Stars

Cook MeridianCare Elite (HMO) MeridianCareLocal

HMO$47.00 $0.00 Enhanced No EA H5779 3 $3,400

Not enough

data available

CookMeridianCare Essential

(HMO)MeridianCare

Local

HMO$0.00 $0.00 Enhanced No EA H5779 5 $3,750

Not enough

data available

Cook MeridianCare Edge (HMO) MeridianCareLocal

HMO$27.50 $405.00 Enhanced No EA H5779 6 $6,700

Not enough

data available

CookHumana Gold Choice H8145-

008 (PFFS)

Humana Insurance

CompanyPFFS $177.00 $380.00 Enhanced No EA H8145 8 N/A 3.5 Stars

Cook

Blue Cross Medicare

Advantage Choice Plus

(PPO)

Blue Cross and Blue

Shield of IL, NM, OKLocal PPO $88.00 $0.00 Enhanced Yes EA H8634 3 $6,700 3 Stars

Cook

Blue Cross Medicare

Advantage Choice Premier

(PPO)

Blue Cross and Blue

Shield of IL, NM, OKLocal PPO $141.00 $0.00 Enhanced Yes EA H8634 4 $5,900 3 Stars

CookHumanaChoice R5361-001

(Regional PPO)

Humana Insurance

Company

Regional

PPO *$0.00 R5361 1 $6,700 3.5 Stars

Page 17: 2018 Illinois - Medicare Advantage and Cost Plans...$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars Boone Humana Gold Plus H1468-015 (HMO) Humana Benefit Plan of Illinois, Inc

CookHumanaChoice R5361-002

(Regional PPO)

Humana Insurance

Company

Regional

PPO$137.00 $405.00 Basic No BA R5361 2 $6,700 3.5 Stars

CrawfordHealth Alliance Medicare

HMO 20 (HMO)

Health Alliance

Medicare

Local

HMO *$85.00 H1463 1 $4,000 4 Stars

CrawfordHealth Alliance Medicare

HMO 20 Rx (HMO)

Health Alliance

Medicare

Local

HMO$116.00 $0.00 Enhanced No EA H1463 3 $4,000 4 Stars

CrawfordHealth Alliance Medicare

HMO Basic (HMO)

Health Alliance

Medicare

Local

HMO *$0.00 H1463 8 $6,700 4 Stars

CrawfordHealth Alliance Medicare

HMO Basic Rx (HMO)

Health Alliance

Medicare

Local

HMO$33.00 $0.00 Enhanced No EA H1463 9 $6,700 4 Stars

CrawfordHealth Alliance Medicare

HMO 40 Rx (HMO)

Health Alliance

Medicare

Local

HMO$72.00 $0.00 Enhanced No EA H1463 10 $4,700 4 Stars

CrawfordHealth Alliance Medicare

HMO 40 (HMO)

Health Alliance

Medicare

Local

HMO *$39.00 H1463 11 $4,700 4 Stars

CrawfordHealth Alliance Medicare

POS Basic (HMO-POS)

Health Alliance

Medicare

Local

HMO *$23.00 H1463 14 $6,700 4 Stars

CrawfordHealth Alliance Medicare

POS Basic Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$52.00 $0.00 Enhanced No EA H1463 15 $6,700 4 Stars

CrawfordHealth Alliance Medicare

POS 30 (HMO-POS)

Health Alliance

Medicare

Local

HMO *$59.00 H1463 16 $5,500 4 Stars

CrawfordHealth Alliance Medicare

POS 30 Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$96.00 $0.00 Enhanced No EA H1463 17 $5,500 4 Stars

CrawfordHealth Alliance Medicare

POS 10 (HMO-POS)

Health Alliance

Medicare

Local

HMO *$124.00 H1463 18 $4,500 4 Stars

CrawfordHealth Alliance Medicare

POS 10 Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars

Page 18: 2018 Illinois - Medicare Advantage and Cost Plans...$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars Boone Humana Gold Plus H1468-015 (HMO) Humana Benefit Plan of Illinois, Inc

CrawfordHumana Gold Choice H8145-

008 (PFFS)

Humana Insurance

CompanyPFFS $177.00 $380.00 Enhanced No EA H8145 8 N/A 3.5 Stars

CrawfordHumana Gold Choice H8145-

121 (PFFS)

Humana Insurance

CompanyPFFS * $59.00 H8145 121 N/A 3.5 Stars

CrawfordHumanaChoice R5361-001

(Regional PPO)

Humana Insurance

Company

Regional

PPO *$0.00 R5361 1 $6,700 3.5 Stars

CrawfordHumanaChoice R5361-002

(Regional PPO)

Humana Insurance

Company

Regional

PPO$137.00 $405.00 Basic No BA R5361 2 $6,700 3.5 Stars

CumberlandHealth Alliance Medicare

HMO 20 (HMO)

Health Alliance

Medicare

Local

HMO *$85.00 H1463 1 $4,000 4 Stars

CumberlandHealth Alliance Medicare

HMO 20 Rx (HMO)

Health Alliance

Medicare

Local

HMO$116.00 $0.00 Enhanced No EA H1463 3 $4,000 4 Stars

CumberlandHealth Alliance Medicare

HMO Basic (HMO)

Health Alliance

Medicare

Local

HMO *$0.00 H1463 8 $6,700 4 Stars

CumberlandHealth Alliance Medicare

HMO Basic Rx (HMO)

Health Alliance

Medicare

Local

HMO$33.00 $0.00 Enhanced No EA H1463 9 $6,700 4 Stars

CumberlandHealth Alliance Medicare

HMO 40 Rx (HMO)

Health Alliance

Medicare

Local

HMO$72.00 $0.00 Enhanced No EA H1463 10 $4,700 4 Stars

CumberlandHealth Alliance Medicare

HMO 40 (HMO)

Health Alliance

Medicare

Local

HMO *$39.00 H1463 11 $4,700 4 Stars

CumberlandHealth Alliance Medicare

POS Basic (HMO-POS)

Health Alliance

Medicare

Local

HMO *$23.00 H1463 14 $6,700 4 Stars

CumberlandHealth Alliance Medicare

POS Basic Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$52.00 $0.00 Enhanced No EA H1463 15 $6,700 4 Stars

CumberlandHealth Alliance Medicare

POS 30 (HMO-POS)

Health Alliance

Medicare

Local

HMO *$59.00 H1463 16 $5,500 4 Stars

CumberlandHealth Alliance Medicare

POS 30 Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$96.00 $0.00 Enhanced No EA H1463 17 $5,500 4 Stars

Page 19: 2018 Illinois - Medicare Advantage and Cost Plans...$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars Boone Humana Gold Plus H1468-015 (HMO) Humana Benefit Plan of Illinois, Inc

CumberlandHealth Alliance Medicare

POS 10 (HMO-POS)

Health Alliance

Medicare

Local

HMO *$124.00 H1463 18 $4,500 4 Stars

CumberlandHealth Alliance Medicare

POS 10 Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars

Cumberland Advantra (PPO) Coventry Health Care Local PPO $26.00 $0.00 Enhanced Yes EA H7301 2 $5,500 4 Stars

Cumberland Advantra Value (PPO) Coventry Health Care Local PPO $0.00 $150.00 Enhanced Yes EA H7301 7 $4,650 4 Stars

CumberlandHumanaChoice R5361-001

(Regional PPO)

Humana Insurance

Company

Regional

PPO *$0.00 R5361 1 $6,700 3.5 Stars

CumberlandHumanaChoice R5361-002

(Regional PPO)

Humana Insurance

Company

Regional

PPO$137.00 $405.00 Basic No BA R5361 2 $6,700 3.5 Stars

De WittHealth Alliance Medicare

HMO 20 (HMO)

Health Alliance

Medicare

Local

HMO *$85.00 H1463 1 $4,000 4 Stars

De WittHealth Alliance Medicare

HMO 20 Rx (HMO)

Health Alliance

Medicare

Local

HMO$116.00 $0.00 Enhanced No EA H1463 3 $4,000 4 Stars

De WittHealth Alliance Medicare

HMO Basic (HMO)

Health Alliance

Medicare

Local

HMO *$0.00 H1463 8 $6,700 4 Stars

De WittHealth Alliance Medicare

HMO Basic Rx (HMO)

Health Alliance

Medicare

Local

HMO$33.00 $0.00 Enhanced No EA H1463 9 $6,700 4 Stars

De WittHealth Alliance Medicare

HMO 40 Rx (HMO)

Health Alliance

Medicare

Local

HMO$72.00 $0.00 Enhanced No EA H1463 10 $4,700 4 Stars

De WittHealth Alliance Medicare

HMO 40 (HMO)

Health Alliance

Medicare

Local

HMO *$39.00 H1463 11 $4,700 4 Stars

De WittHealth Alliance Medicare

POS Basic (HMO-POS)

Health Alliance

Medicare

Local

HMO *$23.00 H1463 14 $6,700 4 Stars

De WittHealth Alliance Medicare

POS Basic Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$52.00 $0.00 Enhanced No EA H1463 15 $6,700 4 Stars

Page 20: 2018 Illinois - Medicare Advantage and Cost Plans...$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars Boone Humana Gold Plus H1468-015 (HMO) Humana Benefit Plan of Illinois, Inc

De WittHealth Alliance Medicare

POS 30 (HMO-POS)

Health Alliance

Medicare

Local

HMO *$59.00 H1463 16 $5,500 4 Stars

De WittHealth Alliance Medicare

POS 30 Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$96.00 $0.00 Enhanced No EA H1463 17 $5,500 4 Stars

De WittHealth Alliance Medicare

POS 10 (HMO-POS)

Health Alliance

Medicare

Local

HMO *$124.00 H1463 18 $4,500 4 Stars

De WittHealth Alliance Medicare

POS 10 Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars

De Witt Advantra (PPO) Coventry Health Care Local PPO $26.00 $0.00 Enhanced Yes EA H7301 2 $5,500 4 Stars

De Witt Advantra Value (PPO) Coventry Health Care Local PPO $0.00 $150.00 Enhanced Yes EA H7301 7 $4,650 4 Stars

De WittHumana Gold Choice H8145-

008 (PFFS)

Humana Insurance

CompanyPFFS $177.00 $380.00 Enhanced No EA H8145 8 N/A 3.5 Stars

De WittHumana Gold Choice H8145-

121 (PFFS)

Humana Insurance

CompanyPFFS * $59.00 H8145 121 N/A 3.5 Stars

De WittHumanaChoice R5361-001

(Regional PPO)

Humana Insurance

Company

Regional

PPO *$0.00 R5361 1 $6,700 3.5 Stars

De WittHumanaChoice R5361-002

(Regional PPO)

Humana Insurance

Company

Regional

PPO$137.00 $405.00 Basic No BA R5361 2 $6,700 3.5 Stars

DeKalbHealth Alliance Medicare

HMO 20 (HMO)

Health Alliance

Medicare

Local

HMO *$85.00 H1463 1 $4,000 4 Stars

DeKalbHealth Alliance Medicare

HMO 20 Rx (HMO)

Health Alliance

Medicare

Local

HMO$116.00 $0.00 Enhanced No EA H1463 3 $4,000 4 Stars

DeKalbHealth Alliance Medicare

HMO Basic (HMO)

Health Alliance

Medicare

Local

HMO *$0.00 H1463 8 $6,700 4 Stars

DeKalbHealth Alliance Medicare

HMO Basic Rx (HMO)

Health Alliance

Medicare

Local

HMO$33.00 $0.00 Enhanced No EA H1463 9 $6,700 4 Stars

DeKalbHealth Alliance Medicare

HMO 40 Rx (HMO)

Health Alliance

Medicare

Local

HMO$72.00 $0.00 Enhanced No EA H1463 10 $4,700 4 Stars

Page 21: 2018 Illinois - Medicare Advantage and Cost Plans...$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars Boone Humana Gold Plus H1468-015 (HMO) Humana Benefit Plan of Illinois, Inc

DeKalbHealth Alliance Medicare

HMO 40 (HMO)

Health Alliance

Medicare

Local

HMO *$39.00 H1463 11 $4,700 4 Stars

DeKalbHealth Alliance Medicare

POS Basic (HMO-POS)

Health Alliance

Medicare

Local

HMO *$23.00 H1463 14 $6,700 4 Stars

DeKalbHealth Alliance Medicare

POS Basic Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$52.00 $0.00 Enhanced No EA H1463 15 $6,700 4 Stars

DeKalbHealth Alliance Medicare

POS 30 (HMO-POS)

Health Alliance

Medicare

Local

HMO *$59.00 H1463 16 $5,500 4 Stars

DeKalbHealth Alliance Medicare

POS 30 Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$96.00 $0.00 Enhanced No EA H1463 17 $5,500 4 Stars

DeKalbHealth Alliance Medicare

POS 10 (HMO-POS)

Health Alliance

Medicare

Local

HMO *$124.00 H1463 18 $4,500 4 Stars

DeKalbHealth Alliance Medicare

POS 10 Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars

DeKalbHumanaChoice H5216-013

(PPO)

Humana Insurance

CompanyLocal PPO $87.00 $0.00 Enhanced No EA H5216 13 $6,700 4 Stars

DeKalb Advantra (PPO) Coventry Health Care Local PPO $26.00 $0.00 Enhanced Yes EA H7301 2 $5,500 4 Stars

DeKalb Advantra Value (PPO) Coventry Health Care Local PPO $0.00 $0.00 Enhanced Yes EA H7301 6 $5,900 4 Stars

DeKalbHumanaChoice R5361-001

(Regional PPO)

Humana Insurance

Company

Regional

PPO *$0.00 R5361 1 $6,700 3.5 Stars

DeKalbHumanaChoice R5361-002

(Regional PPO)

Humana Insurance

Company

Regional

PPO$137.00 $405.00 Basic No BA R5361 2 $6,700 3.5 Stars

Douglas WellCare Value (HMO-POS) WellCareLocal

HMO$0.00 $0.00 Enhanced No EA H1416 9 $3,900 3 Stars

Douglas WellCare Rx (HMO) WellCareLocal

HMO$7.70 $405.00 Enhanced No EA H1416 23 $3,400 3 Stars

DouglasWellCare Choice (HMO-

POS)WellCare

Local

HMO$64.00 $0.00 Enhanced No EA H1416 24 $3,400 3 Stars

Douglas WellCare Plus (HMO) WellCareLocal

HMO$15.50 $405.00 Enhanced No EA H1416 48 $6,700 3 Stars

Page 22: 2018 Illinois - Medicare Advantage and Cost Plans...$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars Boone Humana Gold Plus H1468-015 (HMO) Humana Benefit Plan of Illinois, Inc

DouglasHealth Alliance Medicare

HMO 20 (HMO)

Health Alliance

Medicare

Local

HMO *$85.00 H1463 1 $4,000 4 Stars

DouglasHealth Alliance Medicare

HMO 20 Rx (HMO)

Health Alliance

Medicare

Local

HMO$116.00 $0.00 Enhanced No EA H1463 3 $4,000 4 Stars

DouglasHealth Alliance Medicare

HMO Basic (HMO)

Health Alliance

Medicare

Local

HMO *$0.00 H1463 8 $6,700 4 Stars

DouglasHealth Alliance Medicare

HMO Basic Rx (HMO)

Health Alliance

Medicare

Local

HMO$33.00 $0.00 Enhanced No EA H1463 9 $6,700 4 Stars

DouglasHealth Alliance Medicare

HMO 40 Rx (HMO)

Health Alliance

Medicare

Local

HMO$72.00 $0.00 Enhanced No EA H1463 10 $4,700 4 Stars

DouglasHealth Alliance Medicare

HMO 40 (HMO)

Health Alliance

Medicare

Local

HMO *$39.00 H1463 11 $4,700 4 Stars

DouglasHealth Alliance Medicare

POS Basic (HMO-POS)

Health Alliance

Medicare

Local

HMO *$23.00 H1463 14 $6,700 4 Stars

DouglasHealth Alliance Medicare

POS Basic Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$52.00 $0.00 Enhanced No EA H1463 15 $6,700 4 Stars

DouglasHealth Alliance Medicare

POS 30 (HMO-POS)

Health Alliance

Medicare

Local

HMO *$59.00 H1463 16 $5,500 4 Stars

DouglasHealth Alliance Medicare

POS 30 Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$96.00 $0.00 Enhanced No EA H1463 17 $5,500 4 Stars

DouglasHealth Alliance Medicare

POS 10 (HMO-POS)

Health Alliance

Medicare

Local

HMO *$124.00 H1463 18 $4,500 4 Stars

DouglasHealth Alliance Medicare

POS 10 Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars

Douglas Advantra (PPO) Coventry Health Care Local PPO $26.00 $0.00 Enhanced Yes EA H7301 2 $5,500 4 Stars

Douglas Advantra Value (PPO) Coventry Health Care Local PPO $0.00 $150.00 Enhanced Yes EA H7301 7 $4,650 4 Stars

Page 23: 2018 Illinois - Medicare Advantage and Cost Plans...$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars Boone Humana Gold Plus H1468-015 (HMO) Humana Benefit Plan of Illinois, Inc

DouglasHumana Gold Choice H8145-

008 (PFFS)

Humana Insurance

CompanyPFFS $177.00 $380.00 Enhanced No EA H8145 8 N/A 3.5 Stars

DouglasHumana Gold Choice H8145-

121 (PFFS)

Humana Insurance

CompanyPFFS * $59.00 H8145 121 N/A 3.5 Stars

DouglasHumanaChoice R5361-001

(Regional PPO)

Humana Insurance

Company

Regional

PPO *$0.00 R5361 1 $6,700 3.5 Stars

DouglasHumanaChoice R5361-002

(Regional PPO)

Humana Insurance

Company

Regional

PPO$137.00 $405.00 Basic No BA R5361 2 $6,700 3.5 Stars

DuPageCigna-HealthSpring

Advantage (HMO)Cigna-HealthSpring

Local

HMO *$0.00 H1415 13 $4,500 3 Stars

DuPageCigna-HealthSpring Premier

(HMO-POS)Cigna-HealthSpring

Local

HMO$0.00 $0.00 Enhanced No EA H1415 21 $6,500 3 Stars

DuPageCigna-HealthSpring Primary

(HMO)Cigna-HealthSpring

Local

HMO$11.10 $405.00 Basic No DS H1415 24 $6,000 3 Stars

DuPageHumana Gold Plus H1468-

016 (HMO)

Humana Benefit Plan

of Illinois, Inc.

Local

HMO$0.00 $0.00 Enhanced No EA H1468 16 $2,950 4.5 Stars

DuPageAARP MedicareComplete

Access (HMO)UnitedHealthcare

Local

HMO$0.00 $0.00 Enhanced No EA H2802 24 $3,400 4 Stars

DuPageAARP MedicareComplete

Plan 1 (HMO)UnitedHealthcare

Local

HMO$27.00 $230.00 Enhanced No EA H2802 25 $3,950 4 Stars

DuPageAARP MedicareComplete

Plan 2 (HMO)UnitedHealthcare

Local

HMO$77.00 $0.00 Enhanced No EA H2802 26 $2,900 4 Stars

DuPageCommunity Advantage

(HMO)

Community Care

Alliance of Illinois, NFP

Local

HMO$0.00 $0.00 Enhanced No EA H3071 2 $3,950 2.5 Stars

DuPageCommunity Flex-Plan (HMO-

POS)

Community Care

Alliance of Illinois, NFP

Local

HMO$27.50 $405.00 Basic No DS H3071 3 $3,950 2.5 Stars

DuPageBlue Cross Medicare

Advantage Basic (HMO)

Blue Cross Blue Shield

of IL, MT, NM

Local

HMO$0.00 $0.00 Enhanced Yes EA H3822 1 $2,800 3.5 Stars

DuPage

Blue Cross Medicare

Advantage Basic Plus (HMO-

POS)

Blue Cross Blue Shield

of IL, MT, NM

Local

HMO$0.00 $0.00 Enhanced Yes EA H3822 7 $3,600 3.5 Stars

DuPage

Blue Cross Medicare

Advantage Premier Plus

(HMO-POS)

Blue Cross Blue Shield

of IL, MT, NM

Local

HMO$83.00 $0.00 Enhanced Yes EA H3822 8 $3,600 3.5 Stars

Page 24: 2018 Illinois - Medicare Advantage and Cost Plans...$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars Boone Humana Gold Plus H1468-015 (HMO) Humana Benefit Plan of Illinois, Inc

DuPageBlue Cross Medicare

Advantage Elite (HMO-POS)

Blue Cross Blue Shield

of IL, MT, NM

Local

HMO$118.00 $0.00 Enhanced Yes EA H3822 10 $2,000 3.5 Stars

DuPageAetna Medicare Value Plan

(HMO)Aetna Medicare

Local

HMO$0.00 $0.00 Enhanced Yes EA H3931 106 $3,400 3.5 Stars

DuPage Spartan Plan IL (HMO)Sunrise Advantage

Plan

Local

HMO$69.00 $0.00 Enhanced No EA H4778 3 $3,400

Plan too new

to be

measured

DuPageHumanaChoice H5216-012

(PPO)

Humana Insurance

Company

Local PPO

*$0.00 H5216 12 $6,700 4 Stars

DuPageHumanaChoice H5216-013

(PPO)

Humana Insurance

CompanyLocal PPO $87.00 $0.00 Enhanced No EA H5216 13 $6,700 4 Stars

DuPageMeridianCare Essential

(HMO)MeridianCare

Local

HMO$0.00 $0.00 Enhanced No EA H5475 6 $4,250 3 Stars

DuPageAetna Medicare Value Plan

(PPO)Aetna Medicare Local PPO $0.00 $0.00 Enhanced Yes EA H5521 86 $3,900 4 Stars

DuPage

Blue Cross Medicare

Advantage Choice Plus

(PPO)

Blue Cross and Blue

Shield of IL, NM, OKLocal PPO $88.00 $0.00 Enhanced Yes EA H8634 3 $6,700 3 Stars

DuPage

Blue Cross Medicare

Advantage Choice Premier

(PPO)

Blue Cross and Blue

Shield of IL, NM, OKLocal PPO $141.00 $0.00 Enhanced Yes EA H8634 4 $5,900 3 Stars

DuPageHumanaChoice R5361-001

(Regional PPO)

Humana Insurance

Company

Regional

PPO *$0.00 R5361 1 $6,700 3.5 Stars

DuPageHumanaChoice R5361-002

(Regional PPO)

Humana Insurance

Company

Regional

PPO$137.00 $405.00 Basic No BA R5361 2 $6,700 3.5 Stars

EdgarHealth Alliance Medicare

HMO 20 (HMO)

Health Alliance

Medicare

Local

HMO *$85.00 H1463 1 $4,000 4 Stars

EdgarHealth Alliance Medicare

HMO 20 Rx (HMO)

Health Alliance

Medicare

Local

HMO$116.00 $0.00 Enhanced No EA H1463 3 $4,000 4 Stars

EdgarHealth Alliance Medicare

HMO Basic (HMO)

Health Alliance

Medicare

Local

HMO *$0.00 H1463 8 $6,700 4 Stars

EdgarHealth Alliance Medicare

HMO Basic Rx (HMO)

Health Alliance

Medicare

Local

HMO$33.00 $0.00 Enhanced No EA H1463 9 $6,700 4 Stars

Page 25: 2018 Illinois - Medicare Advantage and Cost Plans...$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars Boone Humana Gold Plus H1468-015 (HMO) Humana Benefit Plan of Illinois, Inc

EdgarHealth Alliance Medicare

HMO 40 Rx (HMO)

Health Alliance

Medicare

Local

HMO$72.00 $0.00 Enhanced No EA H1463 10 $4,700 4 Stars

EdgarHealth Alliance Medicare

HMO 40 (HMO)

Health Alliance

Medicare

Local

HMO *$39.00 H1463 11 $4,700 4 Stars

EdgarHealth Alliance Medicare

POS Basic (HMO-POS)

Health Alliance

Medicare

Local

HMO *$23.00 H1463 14 $6,700 4 Stars

EdgarHealth Alliance Medicare

POS Basic Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$52.00 $0.00 Enhanced No EA H1463 15 $6,700 4 Stars

EdgarHealth Alliance Medicare

POS 30 (HMO-POS)

Health Alliance

Medicare

Local

HMO *$59.00 H1463 16 $5,500 4 Stars

EdgarHealth Alliance Medicare

POS 30 Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$96.00 $0.00 Enhanced No EA H1463 17 $5,500 4 Stars

EdgarHealth Alliance Medicare

POS 10 (HMO-POS)

Health Alliance

Medicare

Local

HMO *$124.00 H1463 18 $4,500 4 Stars

EdgarHealth Alliance Medicare

POS 10 Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars

EdgarHumanaChoice H5216-013

(PPO)

Humana Insurance

CompanyLocal PPO $87.00 $0.00 Enhanced No EA H5216 13 $6,700 4 Stars

Edgar Advantra (PPO) Coventry Health Care Local PPO $26.00 $0.00 Enhanced Yes EA H7301 2 $5,500 4 Stars

Edgar Advantra Value (PPO) Coventry Health Care Local PPO $0.00 $150.00 Enhanced Yes EA H7301 7 $4,650 4 Stars

EdgarHumana Gold Choice H8145-

008 (PFFS)

Humana Insurance

CompanyPFFS $177.00 $380.00 Enhanced No EA H8145 8 N/A 3.5 Stars

EdgarHumana Gold Choice H8145-

121 (PFFS)

Humana Insurance

CompanyPFFS * $59.00 H8145 121 N/A 3.5 Stars

EdgarHumanaChoice R5361-001

(Regional PPO)

Humana Insurance

Company

Regional

PPO *$0.00 R5361 1 $6,700 3.5 Stars

EdgarHumanaChoice R5361-002

(Regional PPO)

Humana Insurance

Company

Regional

PPO$137.00 $405.00 Basic No BA R5361 2 $6,700 3.5 Stars

Page 26: 2018 Illinois - Medicare Advantage and Cost Plans...$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars Boone Humana Gold Plus H1468-015 (HMO) Humana Benefit Plan of Illinois, Inc

EdwardsHealth Alliance Medicare

HMO 20 (HMO)

Health Alliance

Medicare

Local

HMO *$85.00 H1463 1 $4,000 4 Stars

EdwardsHealth Alliance Medicare

HMO 20 Rx (HMO)

Health Alliance

Medicare

Local

HMO$116.00 $0.00 Enhanced No EA H1463 3 $4,000 4 Stars

EdwardsHealth Alliance Medicare

HMO Basic (HMO)

Health Alliance

Medicare

Local

HMO *$0.00 H1463 8 $6,700 4 Stars

EdwardsHealth Alliance Medicare

HMO Basic Rx (HMO)

Health Alliance

Medicare

Local

HMO$33.00 $0.00 Enhanced No EA H1463 9 $6,700 4 Stars

EdwardsHealth Alliance Medicare

HMO 40 Rx (HMO)

Health Alliance

Medicare

Local

HMO$72.00 $0.00 Enhanced No EA H1463 10 $4,700 4 Stars

EdwardsHealth Alliance Medicare

HMO 40 (HMO)

Health Alliance

Medicare

Local

HMO *$39.00 H1463 11 $4,700 4 Stars

EdwardsHealth Alliance Medicare

POS Basic (HMO-POS)

Health Alliance

Medicare

Local

HMO *$23.00 H1463 14 $6,700 4 Stars

EdwardsHealth Alliance Medicare

POS Basic Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$52.00 $0.00 Enhanced No EA H1463 15 $6,700 4 Stars

EdwardsHealth Alliance Medicare

POS 30 (HMO-POS)

Health Alliance

Medicare

Local

HMO *$59.00 H1463 16 $5,500 4 Stars

EdwardsHealth Alliance Medicare

POS 30 Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$96.00 $0.00 Enhanced No EA H1463 17 $5,500 4 Stars

EdwardsHealth Alliance Medicare

POS 10 (HMO-POS)

Health Alliance

Medicare

Local

HMO *$124.00 H1463 18 $4,500 4 Stars

EdwardsHealth Alliance Medicare

POS 10 Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars

EdwardsHumana Gold Choice H8145-

008 (PFFS)

Humana Insurance

CompanyPFFS $177.00 $380.00 Enhanced No EA H8145 8 N/A 3.5 Stars

Page 27: 2018 Illinois - Medicare Advantage and Cost Plans...$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars Boone Humana Gold Plus H1468-015 (HMO) Humana Benefit Plan of Illinois, Inc

EdwardsHumana Gold Choice H8145-

121 (PFFS)

Humana Insurance

CompanyPFFS * $59.00 H8145 121 N/A 3.5 Stars

EdwardsHumanaChoice R5361-001

(Regional PPO)

Humana Insurance

Company

Regional

PPO *$0.00 R5361 1 $6,700 3.5 Stars

EdwardsHumanaChoice R5361-002

(Regional PPO)

Humana Insurance

Company

Regional

PPO$137.00 $405.00 Basic No BA R5361 2 $6,700 3.5 Stars

EffinghamHealth Alliance Medicare

HMO 20 (HMO)

Health Alliance

Medicare

Local

HMO *$85.00 H1463 1 $4,000 4 Stars

EffinghamHealth Alliance Medicare

HMO 20 Rx (HMO)

Health Alliance

Medicare

Local

HMO$116.00 $0.00 Enhanced No EA H1463 3 $4,000 4 Stars

EffinghamHealth Alliance Medicare

HMO Basic (HMO)

Health Alliance

Medicare

Local

HMO *$0.00 H1463 8 $6,700 4 Stars

EffinghamHealth Alliance Medicare

HMO Basic Rx (HMO)

Health Alliance

Medicare

Local

HMO$33.00 $0.00 Enhanced No EA H1463 9 $6,700 4 Stars

EffinghamHealth Alliance Medicare

HMO 40 Rx (HMO)

Health Alliance

Medicare

Local

HMO$72.00 $0.00 Enhanced No EA H1463 10 $4,700 4 Stars

EffinghamHealth Alliance Medicare

HMO 40 (HMO)

Health Alliance

Medicare

Local

HMO *$39.00 H1463 11 $4,700 4 Stars

EffinghamHealth Alliance Medicare

POS Basic (HMO-POS)

Health Alliance

Medicare

Local

HMO *$23.00 H1463 14 $6,700 4 Stars

EffinghamHealth Alliance Medicare

POS Basic Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$52.00 $0.00 Enhanced No EA H1463 15 $6,700 4 Stars

EffinghamHealth Alliance Medicare

POS 30 (HMO-POS)

Health Alliance

Medicare

Local

HMO *$59.00 H1463 16 $5,500 4 Stars

EffinghamHealth Alliance Medicare

POS 30 Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$96.00 $0.00 Enhanced No EA H1463 17 $5,500 4 Stars

EffinghamHealth Alliance Medicare

POS 10 (HMO-POS)

Health Alliance

Medicare

Local

HMO *$124.00 H1463 18 $4,500 4 Stars

Page 28: 2018 Illinois - Medicare Advantage and Cost Plans...$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars Boone Humana Gold Plus H1468-015 (HMO) Humana Benefit Plan of Illinois, Inc

EffinghamHealth Alliance Medicare

POS 10 Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars

Effingham Advantra (PPO) Coventry Health Care Local PPO $26.00 $0.00 Enhanced Yes EA H7301 2 $5,500 4 Stars

Effingham Advantra Value (PPO) Coventry Health Care Local PPO $0.00 $150.00 Enhanced Yes EA H7301 7 $4,650 4 Stars

EffinghamHumanaChoice R5361-001

(Regional PPO)

Humana Insurance

Company

Regional

PPO *$0.00 R5361 1 $6,700 3.5 Stars

EffinghamHumanaChoice R5361-002

(Regional PPO)

Humana Insurance

Company

Regional

PPO$137.00 $405.00 Basic No BA R5361 2 $6,700 3.5 Stars

Fayette Advantra (PPO) Coventry Health Care Local PPO $26.00 $0.00 Enhanced Yes EA H7301 2 $5,500 4 Stars

Fayette Advantra Value (PPO) Coventry Health Care Local PPO $0.00 $150.00 Enhanced Yes EA H7301 7 $4,650 4 Stars

FayetteHumanaChoice R5361-001

(Regional PPO)

Humana Insurance

Company

Regional

PPO *$0.00 R5361 1 $6,700 3.5 Stars

FayetteHumanaChoice R5361-002

(Regional PPO)

Humana Insurance

Company

Regional

PPO$137.00 $405.00 Basic No BA R5361 2 $6,700 3.5 Stars

FordHealth Alliance Medicare

HMO 20 (HMO)

Health Alliance

Medicare

Local

HMO *$85.00 H1463 1 $4,000 4 Stars

FordHealth Alliance Medicare

HMO 20 Rx (HMO)

Health Alliance

Medicare

Local

HMO$116.00 $0.00 Enhanced No EA H1463 3 $4,000 4 Stars

FordHealth Alliance Medicare

HMO Basic (HMO)

Health Alliance

Medicare

Local

HMO *$0.00 H1463 8 $6,700 4 Stars

FordHealth Alliance Medicare

HMO Basic Rx (HMO)

Health Alliance

Medicare

Local

HMO$33.00 $0.00 Enhanced No EA H1463 9 $6,700 4 Stars

FordHealth Alliance Medicare

HMO 40 Rx (HMO)

Health Alliance

Medicare

Local

HMO$72.00 $0.00 Enhanced No EA H1463 10 $4,700 4 Stars

FordHealth Alliance Medicare

HMO 40 (HMO)

Health Alliance

Medicare

Local

HMO *$39.00 H1463 11 $4,700 4 Stars

FordHealth Alliance Medicare

POS Basic (HMO-POS)

Health Alliance

Medicare

Local

HMO *$23.00 H1463 14 $6,700 4 Stars

Page 29: 2018 Illinois - Medicare Advantage and Cost Plans...$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars Boone Humana Gold Plus H1468-015 (HMO) Humana Benefit Plan of Illinois, Inc

FordHealth Alliance Medicare

POS Basic Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$52.00 $0.00 Enhanced No EA H1463 15 $6,700 4 Stars

FordHealth Alliance Medicare

POS 30 (HMO-POS)

Health Alliance

Medicare

Local

HMO *$59.00 H1463 16 $5,500 4 Stars

FordHealth Alliance Medicare

POS 30 Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$96.00 $0.00 Enhanced No EA H1463 17 $5,500 4 Stars

FordHealth Alliance Medicare

POS 10 (HMO-POS)

Health Alliance

Medicare

Local

HMO *$124.00 H1463 18 $4,500 4 Stars

FordHealth Alliance Medicare

POS 10 Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars

Ford Advantra (PPO) Coventry Health Care Local PPO $26.00 $0.00 Enhanced Yes EA H7301 2 $5,500 4 Stars

Ford Advantra Value (PPO) Coventry Health Care Local PPO $0.00 $150.00 Enhanced Yes EA H7301 7 $4,650 4 Stars

FordHumanaChoice R5361-001

(Regional PPO)

Humana Insurance

Company

Regional

PPO *$0.00 R5361 1 $6,700 3.5 Stars

FordHumanaChoice R5361-002

(Regional PPO)

Humana Insurance

Company

Regional

PPO$137.00 $405.00 Basic No BA R5361 2 $6,700 3.5 Stars

FranklinHealth Alliance Medicare

HMO 20 (HMO)

Health Alliance

Medicare

Local

HMO *$85.00 H1463 1 $4,000 4 Stars

FranklinHealth Alliance Medicare

HMO 20 Rx (HMO)

Health Alliance

Medicare

Local

HMO$116.00 $0.00 Enhanced No EA H1463 3 $4,000 4 Stars

FranklinHealth Alliance Medicare

HMO Basic (HMO)

Health Alliance

Medicare

Local

HMO *$0.00 H1463 8 $6,700 4 Stars

FranklinHealth Alliance Medicare

HMO Basic Rx (HMO)

Health Alliance

Medicare

Local

HMO$33.00 $0.00 Enhanced No EA H1463 9 $6,700 4 Stars

FranklinHealth Alliance Medicare

HMO 40 Rx (HMO)

Health Alliance

Medicare

Local

HMO$72.00 $0.00 Enhanced No EA H1463 10 $4,700 4 Stars

Page 30: 2018 Illinois - Medicare Advantage and Cost Plans...$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars Boone Humana Gold Plus H1468-015 (HMO) Humana Benefit Plan of Illinois, Inc

FranklinHealth Alliance Medicare

HMO 40 (HMO)

Health Alliance

Medicare

Local

HMO *$39.00 H1463 11 $4,700 4 Stars

FranklinHealth Alliance Medicare

POS Basic (HMO-POS)

Health Alliance

Medicare

Local

HMO *$23.00 H1463 14 $6,700 4 Stars

FranklinHealth Alliance Medicare

POS Basic Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$52.00 $0.00 Enhanced No EA H1463 15 $6,700 4 Stars

FranklinHealth Alliance Medicare

POS 30 (HMO-POS)

Health Alliance

Medicare

Local

HMO *$59.00 H1463 16 $5,500 4 Stars

FranklinHealth Alliance Medicare

POS 30 Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$96.00 $0.00 Enhanced No EA H1463 17 $5,500 4 Stars

FranklinHealth Alliance Medicare

POS 10 (HMO-POS)

Health Alliance

Medicare

Local

HMO *$124.00 H1463 18 $4,500 4 Stars

FranklinHealth Alliance Medicare

POS 10 Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars

FranklinHumanaChoice R5361-001

(Regional PPO)

Humana Insurance

Company

Regional

PPO *$0.00 R5361 1 $6,700 3.5 Stars

FranklinHumanaChoice R5361-002

(Regional PPO)

Humana Insurance

Company

Regional

PPO$137.00 $405.00 Basic No BA R5361 2 $6,700 3.5 Stars

FultonHealth Alliance Medicare

HMO 20 (HMO)

Health Alliance

Medicare

Local

HMO *$85.00 H1463 1 $4,000 4 Stars

FultonHealth Alliance Medicare

HMO 20 Rx (HMO)

Health Alliance

Medicare

Local

HMO$116.00 $0.00 Enhanced No EA H1463 3 $4,000 4 Stars

FultonHealth Alliance Medicare

HMO Basic (HMO)

Health Alliance

Medicare

Local

HMO *$0.00 H1463 8 $6,700 4 Stars

FultonHealth Alliance Medicare

HMO Basic Rx (HMO)

Health Alliance

Medicare

Local

HMO$33.00 $0.00 Enhanced No EA H1463 9 $6,700 4 Stars

Page 31: 2018 Illinois - Medicare Advantage and Cost Plans...$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars Boone Humana Gold Plus H1468-015 (HMO) Humana Benefit Plan of Illinois, Inc

FultonHealth Alliance Medicare

HMO 40 Rx (HMO)

Health Alliance

Medicare

Local

HMO$72.00 $0.00 Enhanced No EA H1463 10 $4,700 4 Stars

FultonHealth Alliance Medicare

HMO 40 (HMO)

Health Alliance

Medicare

Local

HMO *$39.00 H1463 11 $4,700 4 Stars

FultonHealth Alliance Medicare

POS Basic (HMO-POS)

Health Alliance

Medicare

Local

HMO *$23.00 H1463 14 $6,700 4 Stars

FultonHealth Alliance Medicare

POS Basic Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$52.00 $0.00 Enhanced No EA H1463 15 $6,700 4 Stars

FultonHealth Alliance Medicare

POS 30 (HMO-POS)

Health Alliance

Medicare

Local

HMO *$59.00 H1463 16 $5,500 4 Stars

FultonHealth Alliance Medicare

POS 30 Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$96.00 $0.00 Enhanced No EA H1463 17 $5,500 4 Stars

FultonHealth Alliance Medicare

POS 10 (HMO-POS)

Health Alliance

Medicare

Local

HMO *$124.00 H1463 18 $4,500 4 Stars

FultonHealth Alliance Medicare

POS 10 Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars

FultonHealthPartners UnityPoint

Health Align (PPO)

HealthPartners

UnityPoint HealthLocal PPO $0.00 $100.00 Enhanced No EA H3416 1 $3,950

Plan too new

to be

measured

FultonHealthPartners UnityPoint

Health Symmetry (PPO)

HealthPartners

UnityPoint HealthLocal PPO $39.00 $100.00 Enhanced Yes EA H3416 2 $3,500

Plan too new

to be

measured

FultonHumanaChoice H5525-004

(PPO)

Humana Benefit Plan

of Illinois, Inc.Local PPO $103.00 $250.00 Enhanced No EA H5525 4 $6,700 4 Stars

Fulton Advantra (PPO) Coventry Health Care Local PPO $26.00 $0.00 Enhanced Yes EA H7301 2 $5,500 4 Stars

Fulton Advantra Value (PPO) Coventry Health Care Local PPO $0.00 $150.00 Enhanced Yes EA H7301 7 $4,650 4 Stars

FultonHumanaChoice R5361-001

(Regional PPO)

Humana Insurance

Company

Regional

PPO *$0.00 R5361 1 $6,700 3.5 Stars

FultonHumanaChoice R5361-002

(Regional PPO)

Humana Insurance

Company

Regional

PPO$137.00 $405.00 Basic No BA R5361 2 $6,700 3.5 Stars

Page 32: 2018 Illinois - Medicare Advantage and Cost Plans...$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars Boone Humana Gold Plus H1468-015 (HMO) Humana Benefit Plan of Illinois, Inc

GallatinHumana Gold Choice H8145-

008 (PFFS)

Humana Insurance

CompanyPFFS $177.00 $380.00 Enhanced No EA H8145 8 N/A 3.5 Stars

GallatinHumana Gold Choice H8145-

121 (PFFS)

Humana Insurance

CompanyPFFS * $59.00 H8145 121 N/A 3.5 Stars

GallatinHumanaChoice R5361-001

(Regional PPO)

Humana Insurance

Company

Regional

PPO *$0.00 R5361 1 $6,700 3.5 Stars

GallatinHumanaChoice R5361-002

(Regional PPO)

Humana Insurance

Company

Regional

PPO$137.00 $405.00 Basic No BA R5361 2 $6,700 3.5 Stars

Greene Advantra (PPO) Coventry Health Care Local PPO $56.00 $0.00 Enhanced Yes EA H1608 13 $6,000 4 Stars

Greene Advantra Option 2 (HMO) Coventry Health CareLocal

HMO$86.00 $0.00 Enhanced Yes EA H2663 2 $2,430 4 Stars

GreeneAdvantra Option 1 (HMO-

POS)Coventry Health Care

Local

HMO$41.00 $0.00 Enhanced Yes EA H2663 6 $5,200 4 Stars

GreeneGold Advantage Value

(HMO)Coventry Health Care

Local

HMO$0.00 $0.00 Enhanced Yes EA H2663 32 $3,400 4 Stars

GreeneHumana Gold Choice H8145-

008 (PFFS)

Humana Insurance

CompanyPFFS $177.00 $380.00 Enhanced No EA H8145 8 N/A 3.5 Stars

GreeneHumana Gold Choice H8145-

121 (PFFS)

Humana Insurance

CompanyPFFS * $59.00 H8145 121 N/A 3.5 Stars

GreeneHumanaChoice R5361-001

(Regional PPO)

Humana Insurance

Company

Regional

PPO *$0.00 R5361 1 $6,700 3.5 Stars

GreeneHumanaChoice R5361-002

(Regional PPO)

Humana Insurance

Company

Regional

PPO$137.00 $405.00 Basic No BA R5361 2 $6,700 3.5 Stars

GrundyAARP MedicareComplete

Plan 1 (HMO)UnitedHealthcare

Local

HMO$27.00 $230.00 Enhanced No EA H2802 25 $3,950 4 Stars

GrundyAARP MedicareComplete

Plan 2 (HMO)UnitedHealthcare

Local

HMO$77.00 $0.00 Enhanced No EA H2802 26 $2,900 4 Stars

GrundyHumana Gold Choice H8145-

008 (PFFS)

Humana Insurance

CompanyPFFS $177.00 $380.00 Enhanced No EA H8145 8 N/A 3.5 Stars

GrundyHumana Gold Choice H8145-

121 (PFFS)

Humana Insurance

CompanyPFFS * $59.00 H8145 121 N/A 3.5 Stars

GrundyHumanaChoice R5361-001

(Regional PPO)

Humana Insurance

Company

Regional

PPO *$0.00 R5361 1 $6,700 3.5 Stars

Page 33: 2018 Illinois - Medicare Advantage and Cost Plans...$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars Boone Humana Gold Plus H1468-015 (HMO) Humana Benefit Plan of Illinois, Inc

GrundyHumanaChoice R5361-002

(Regional PPO)

Humana Insurance

Company

Regional

PPO$137.00 $405.00 Basic No BA R5361 2 $6,700 3.5 Stars

HamiltonHumanaChoice R5361-001

(Regional PPO)

Humana Insurance

Company

Regional

PPO *$0.00 R5361 1 $6,700 3.5 Stars

HamiltonHumanaChoice R5361-002

(Regional PPO)

Humana Insurance

Company

Regional

PPO$137.00 $405.00 Basic No BA R5361 2 $6,700 3.5 Stars

HancockHealth Alliance Medicare

HMO 20 (HMO)

Health Alliance

Medicare

Local

HMO *$85.00 H1463 1 $4,000 4 Stars

HancockHealth Alliance Medicare

HMO 20 Rx (HMO)

Health Alliance

Medicare

Local

HMO$116.00 $0.00 Enhanced No EA H1463 3 $4,000 4 Stars

HancockHealth Alliance Medicare

HMO Basic (HMO)

Health Alliance

Medicare

Local

HMO *$0.00 H1463 8 $6,700 4 Stars

HancockHealth Alliance Medicare

HMO Basic Rx (HMO)

Health Alliance

Medicare

Local

HMO$33.00 $0.00 Enhanced No EA H1463 9 $6,700 4 Stars

HancockHealth Alliance Medicare

HMO 40 Rx (HMO)

Health Alliance

Medicare

Local

HMO$72.00 $0.00 Enhanced No EA H1463 10 $4,700 4 Stars

HancockHealth Alliance Medicare

HMO 40 (HMO)

Health Alliance

Medicare

Local

HMO *$39.00 H1463 11 $4,700 4 Stars

HancockHealth Alliance Medicare

POS Basic (HMO-POS)

Health Alliance

Medicare

Local

HMO *$23.00 H1463 14 $6,700 4 Stars

HancockHealth Alliance Medicare

POS Basic Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$52.00 $0.00 Enhanced No EA H1463 15 $6,700 4 Stars

HancockHealth Alliance Medicare

POS 30 (HMO-POS)

Health Alliance

Medicare

Local

HMO *$59.00 H1463 16 $5,500 4 Stars

HancockHealth Alliance Medicare

POS 30 Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$96.00 $0.00 Enhanced No EA H1463 17 $5,500 4 Stars

HancockHealth Alliance Medicare

POS 10 (HMO-POS)

Health Alliance

Medicare

Local

HMO *$124.00 H1463 18 $4,500 4 Stars

Page 34: 2018 Illinois - Medicare Advantage and Cost Plans...$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars Boone Humana Gold Plus H1468-015 (HMO) Humana Benefit Plan of Illinois, Inc

HancockHealth Alliance Medicare

POS 10 Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars

HancockHumanaChoice H5525-004

(PPO)

Humana Benefit Plan

of Illinois, Inc.Local PPO $103.00 $250.00 Enhanced No EA H5525 4 $6,700 4 Stars

Hancock Advantra (PPO) Coventry Health Care Local PPO $26.00 $0.00 Enhanced Yes EA H7301 2 $5,500 4 Stars

Hancock Advantra Value (PPO) Coventry Health Care Local PPO $0.00 $0.00 Enhanced Yes EA H7301 6 $5,900 4 Stars

HancockHumanaChoice R5361-001

(Regional PPO)

Humana Insurance

Company

Regional

PPO *$0.00 R5361 1 $6,700 3.5 Stars

HancockHumanaChoice R5361-002

(Regional PPO)

Humana Insurance

Company

Regional

PPO$137.00 $405.00 Basic No BA R5361 2 $6,700 3.5 Stars

HardinHumana Gold Choice H8145-

008 (PFFS)

Humana Insurance

CompanyPFFS $177.00 $380.00 Enhanced No EA H8145 8 N/A 3.5 Stars

HardinHumana Gold Choice H8145-

121 (PFFS)

Humana Insurance

CompanyPFFS * $59.00 H8145 121 N/A 3.5 Stars

HardinHumanaChoice R5361-001

(Regional PPO)

Humana Insurance

Company

Regional

PPO *$0.00 R5361 1 $6,700 3.5 Stars

HardinHumanaChoice R5361-002

(Regional PPO)

Humana Insurance

Company

Regional

PPO$137.00 $405.00 Basic No BA R5361 2 $6,700 3.5 Stars

HendersonAARP MedicareComplete

(HMO)UnitedHealthcare

Local

HMO$39.00 $250.00 Enhanced No EA H5253 46 $3,900 4 Stars

HendersonHumanaChoice H5525-004

(PPO)

Humana Benefit Plan

of Illinois, Inc.Local PPO $103.00 $250.00 Enhanced No EA H5525 4 $6,700 4 Stars

Henderson Advantra (PPO) Coventry Health Care Local PPO $26.00 $0.00 Enhanced Yes EA H7301 2 $5,500 4 Stars

Henderson Advantra Value (PPO) Coventry Health Care Local PPO $0.00 $0.00 Enhanced Yes EA H7301 6 $5,900 4 Stars

HendersonAARP MedicareComplete

Choice (PPO)UnitedHealthcare Local PPO $77.00 $0.00 Enhanced No EA H8768 3 $2,900

Plan too new

to be

measured

HendersonHumanaChoice R5361-001

(Regional PPO)

Humana Insurance

Company

Regional

PPO *$0.00 R5361 1 $6,700 3.5 Stars

HendersonHumanaChoice R5361-002

(Regional PPO)

Humana Insurance

Company

Regional

PPO$137.00 $405.00 Basic No BA R5361 2 $6,700 3.5 Stars

Page 35: 2018 Illinois - Medicare Advantage and Cost Plans...$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars Boone Humana Gold Plus H1468-015 (HMO) Humana Benefit Plan of Illinois, Inc

HenryHealth Alliance Medicare

HMO 20 (HMO)

Health Alliance

Medicare

Local

HMO *$85.00 H1463 1 $4,000 4 Stars

HenryHealth Alliance Medicare

HMO 20 Rx (HMO)

Health Alliance

Medicare

Local

HMO$116.00 $0.00 Enhanced No EA H1463 3 $4,000 4 Stars

HenryHealth Alliance Medicare

HMO Basic (HMO)

Health Alliance

Medicare

Local

HMO *$0.00 H1463 8 $6,700 4 Stars

HenryHealth Alliance Medicare

HMO Basic Rx (HMO)

Health Alliance

Medicare

Local

HMO$33.00 $0.00 Enhanced No EA H1463 9 $6,700 4 Stars

HenryHealth Alliance Medicare

HMO 40 Rx (HMO)

Health Alliance

Medicare

Local

HMO$72.00 $0.00 Enhanced No EA H1463 10 $4,700 4 Stars

HenryHealth Alliance Medicare

HMO 40 (HMO)

Health Alliance

Medicare

Local

HMO *$39.00 H1463 11 $4,700 4 Stars

HenryHealth Alliance Medicare

POS Basic (HMO-POS)

Health Alliance

Medicare

Local

HMO *$23.00 H1463 14 $6,700 4 Stars

HenryHealth Alliance Medicare

POS Basic Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$52.00 $0.00 Enhanced No EA H1463 15 $6,700 4 Stars

HenryHealth Alliance Medicare

POS 30 (HMO-POS)

Health Alliance

Medicare

Local

HMO *$59.00 H1463 16 $5,500 4 Stars

HenryHealth Alliance Medicare

POS 30 Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$96.00 $0.00 Enhanced No EA H1463 17 $5,500 4 Stars

HenryHealth Alliance Medicare

POS 10 (HMO-POS)

Health Alliance

Medicare

Local

HMO *$124.00 H1463 18 $4,500 4 Stars

HenryHealth Alliance Medicare

POS 10 Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars

HenryHumanaChoice H5216-013

(PPO)

Humana Insurance

CompanyLocal PPO $87.00 $0.00 Enhanced No EA H5216 13 $6,700 4 Stars

Page 36: 2018 Illinois - Medicare Advantage and Cost Plans...$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars Boone Humana Gold Plus H1468-015 (HMO) Humana Benefit Plan of Illinois, Inc

HenryAARP MedicareComplete

(HMO)UnitedHealthcare

Local

HMO$39.00 $250.00 Enhanced No EA H5253 46 $3,900 4 Stars

Henry Advantra (PPO) Coventry Health Care Local PPO $26.00 $0.00 Enhanced Yes EA H7301 2 $5,500 4 Stars

Henry Advantra Value (PPO) Coventry Health Care Local PPO $0.00 $0.00 Enhanced Yes EA H7301 6 $5,900 4 Stars

HenryAARP MedicareComplete

Choice (PPO)UnitedHealthcare Local PPO $0.00 $0.00 Enhanced No EA H8768 1 $4,900

Plan too new

to be

measured

HenryHumanaChoice R5361-001

(Regional PPO)

Humana Insurance

Company

Regional

PPO *$0.00 R5361 1 $6,700 3.5 Stars

HenryHumanaChoice R5361-002

(Regional PPO)

Humana Insurance

Company

Regional

PPO$137.00 $405.00 Basic No BA R5361 2 $6,700 3.5 Stars

IroquoisHealth Alliance Medicare

HMO 20 (HMO)

Health Alliance

Medicare

Local

HMO *$85.00 H1463 1 $4,000 4 Stars

IroquoisHealth Alliance Medicare

HMO 20 Rx (HMO)

Health Alliance

Medicare

Local

HMO$116.00 $0.00 Enhanced No EA H1463 3 $4,000 4 Stars

IroquoisHealth Alliance Medicare

HMO Basic (HMO)

Health Alliance

Medicare

Local

HMO *$0.00 H1463 8 $6,700 4 Stars

IroquoisHealth Alliance Medicare

HMO Basic Rx (HMO)

Health Alliance

Medicare

Local

HMO$33.00 $0.00 Enhanced No EA H1463 9 $6,700 4 Stars

IroquoisHealth Alliance Medicare

HMO 40 Rx (HMO)

Health Alliance

Medicare

Local

HMO$72.00 $0.00 Enhanced No EA H1463 10 $4,700 4 Stars

IroquoisHealth Alliance Medicare

HMO 40 (HMO)

Health Alliance

Medicare

Local

HMO *$39.00 H1463 11 $4,700 4 Stars

IroquoisHealth Alliance Medicare

POS Basic (HMO-POS)

Health Alliance

Medicare

Local

HMO *$23.00 H1463 14 $6,700 4 Stars

IroquoisHealth Alliance Medicare

POS Basic Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$52.00 $0.00 Enhanced No EA H1463 15 $6,700 4 Stars

Page 37: 2018 Illinois - Medicare Advantage and Cost Plans...$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars Boone Humana Gold Plus H1468-015 (HMO) Humana Benefit Plan of Illinois, Inc

IroquoisHealth Alliance Medicare

POS 30 (HMO-POS)

Health Alliance

Medicare

Local

HMO *$59.00 H1463 16 $5,500 4 Stars

IroquoisHealth Alliance Medicare

POS 30 Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$96.00 $0.00 Enhanced No EA H1463 17 $5,500 4 Stars

IroquoisHealth Alliance Medicare

POS 10 (HMO-POS)

Health Alliance

Medicare

Local

HMO *$124.00 H1463 18 $4,500 4 Stars

IroquoisHealth Alliance Medicare

POS 10 Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars

IroquoisHumana Gold Choice H8145-

008 (PFFS)

Humana Insurance

CompanyPFFS $177.00 $380.00 Enhanced No EA H8145 8 N/A 3.5 Stars

IroquoisHumana Gold Choice H8145-

121 (PFFS)

Humana Insurance

CompanyPFFS * $59.00 H8145 121 N/A 3.5 Stars

IroquoisHumanaChoice R5361-001

(Regional PPO)

Humana Insurance

Company

Regional

PPO *$0.00 R5361 1 $6,700 3.5 Stars

IroquoisHumanaChoice R5361-002

(Regional PPO)

Humana Insurance

Company

Regional

PPO$137.00 $405.00 Basic No BA R5361 2 $6,700 3.5 Stars

JacksonHealth Alliance Medicare

HMO 20 (HMO)

Health Alliance

Medicare

Local

HMO *$85.00 H1463 1 $4,000 4 Stars

JacksonHealth Alliance Medicare

HMO 20 Rx (HMO)

Health Alliance

Medicare

Local

HMO$116.00 $0.00 Enhanced No EA H1463 3 $4,000 4 Stars

JacksonHealth Alliance Medicare

HMO Basic (HMO)

Health Alliance

Medicare

Local

HMO *$0.00 H1463 8 $6,700 4 Stars

JacksonHealth Alliance Medicare

HMO Basic Rx (HMO)

Health Alliance

Medicare

Local

HMO$33.00 $0.00 Enhanced No EA H1463 9 $6,700 4 Stars

JacksonHealth Alliance Medicare

HMO 40 Rx (HMO)

Health Alliance

Medicare

Local

HMO$72.00 $0.00 Enhanced No EA H1463 10 $4,700 4 Stars

JacksonHealth Alliance Medicare

HMO 40 (HMO)

Health Alliance

Medicare

Local

HMO *$39.00 H1463 11 $4,700 4 Stars

Page 38: 2018 Illinois - Medicare Advantage and Cost Plans...$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars Boone Humana Gold Plus H1468-015 (HMO) Humana Benefit Plan of Illinois, Inc

JacksonHealth Alliance Medicare

POS Basic (HMO-POS)

Health Alliance

Medicare

Local

HMO *$23.00 H1463 14 $6,700 4 Stars

JacksonHealth Alliance Medicare

POS Basic Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$52.00 $0.00 Enhanced No EA H1463 15 $6,700 4 Stars

JacksonHealth Alliance Medicare

POS 30 (HMO-POS)

Health Alliance

Medicare

Local

HMO *$59.00 H1463 16 $5,500 4 Stars

JacksonHealth Alliance Medicare

POS 30 Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$96.00 $0.00 Enhanced No EA H1463 17 $5,500 4 Stars

JacksonHealth Alliance Medicare

POS 10 (HMO-POS)

Health Alliance

Medicare

Local

HMO *$124.00 H1463 18 $4,500 4 Stars

JacksonHealth Alliance Medicare

POS 10 Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars

JacksonHumanaChoice R5361-001

(Regional PPO)

Humana Insurance

Company

Regional

PPO *$0.00 R5361 1 $6,700 3.5 Stars

JacksonHumanaChoice R5361-002

(Regional PPO)

Humana Insurance

Company

Regional

PPO$137.00 $405.00 Basic No BA R5361 2 $6,700 3.5 Stars

JasperHealth Alliance Medicare

HMO 20 (HMO)

Health Alliance

Medicare

Local

HMO *$85.00 H1463 1 $4,000 4 Stars

JasperHealth Alliance Medicare

HMO 20 Rx (HMO)

Health Alliance

Medicare

Local

HMO$116.00 $0.00 Enhanced No EA H1463 3 $4,000 4 Stars

JasperHealth Alliance Medicare

HMO Basic (HMO)

Health Alliance

Medicare

Local

HMO *$0.00 H1463 8 $6,700 4 Stars

JasperHealth Alliance Medicare

HMO Basic Rx (HMO)

Health Alliance

Medicare

Local

HMO$33.00 $0.00 Enhanced No EA H1463 9 $6,700 4 Stars

JasperHealth Alliance Medicare

HMO 40 Rx (HMO)

Health Alliance

Medicare

Local

HMO$72.00 $0.00 Enhanced No EA H1463 10 $4,700 4 Stars

Page 39: 2018 Illinois - Medicare Advantage and Cost Plans...$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars Boone Humana Gold Plus H1468-015 (HMO) Humana Benefit Plan of Illinois, Inc

JasperHealth Alliance Medicare

HMO 40 (HMO)

Health Alliance

Medicare

Local

HMO *$39.00 H1463 11 $4,700 4 Stars

JasperHealth Alliance Medicare

POS Basic (HMO-POS)

Health Alliance

Medicare

Local

HMO *$23.00 H1463 14 $6,700 4 Stars

JasperHealth Alliance Medicare

POS Basic Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$52.00 $0.00 Enhanced No EA H1463 15 $6,700 4 Stars

JasperHealth Alliance Medicare

POS 30 (HMO-POS)

Health Alliance

Medicare

Local

HMO *$59.00 H1463 16 $5,500 4 Stars

JasperHealth Alliance Medicare

POS 30 Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$96.00 $0.00 Enhanced No EA H1463 17 $5,500 4 Stars

JasperHealth Alliance Medicare

POS 10 (HMO-POS)

Health Alliance

Medicare

Local

HMO *$124.00 H1463 18 $4,500 4 Stars

JasperHealth Alliance Medicare

POS 10 Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars

JasperHumanaChoice H5216-013

(PPO)

Humana Insurance

CompanyLocal PPO $87.00 $0.00 Enhanced No EA H5216 13 $6,700 4 Stars

Jasper Advantra (PPO) Coventry Health Care Local PPO $26.00 $0.00 Enhanced Yes EA H7301 2 $5,500 4 Stars

Jasper Advantra Value (PPO) Coventry Health Care Local PPO $0.00 $150.00 Enhanced Yes EA H7301 7 $4,650 4 Stars

JasperHumana Gold Choice H8145-

008 (PFFS)

Humana Insurance

CompanyPFFS $177.00 $380.00 Enhanced No EA H8145 8 N/A 3.5 Stars

JasperHumana Gold Choice H8145-

121 (PFFS)

Humana Insurance

CompanyPFFS * $59.00 H8145 121 N/A 3.5 Stars

JasperHumanaChoice R5361-001

(Regional PPO)

Humana Insurance

Company

Regional

PPO *$0.00 R5361 1 $6,700 3.5 Stars

JasperHumanaChoice R5361-002

(Regional PPO)

Humana Insurance

Company

Regional

PPO$137.00 $405.00 Basic No BA R5361 2 $6,700 3.5 Stars

JeffersonHealth Alliance Medicare

HMO 20 (HMO)

Health Alliance

Medicare

Local

HMO *$85.00 H1463 1 $4,000 4 Stars

Page 40: 2018 Illinois - Medicare Advantage and Cost Plans...$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars Boone Humana Gold Plus H1468-015 (HMO) Humana Benefit Plan of Illinois, Inc

JeffersonHealth Alliance Medicare

HMO 20 Rx (HMO)

Health Alliance

Medicare

Local

HMO$116.00 $0.00 Enhanced No EA H1463 3 $4,000 4 Stars

JeffersonHealth Alliance Medicare

HMO Basic (HMO)

Health Alliance

Medicare

Local

HMO *$0.00 H1463 8 $6,700 4 Stars

JeffersonHealth Alliance Medicare

HMO Basic Rx (HMO)

Health Alliance

Medicare

Local

HMO$33.00 $0.00 Enhanced No EA H1463 9 $6,700 4 Stars

JeffersonHealth Alliance Medicare

HMO 40 Rx (HMO)

Health Alliance

Medicare

Local

HMO$72.00 $0.00 Enhanced No EA H1463 10 $4,700 4 Stars

JeffersonHealth Alliance Medicare

HMO 40 (HMO)

Health Alliance

Medicare

Local

HMO *$39.00 H1463 11 $4,700 4 Stars

JeffersonHealth Alliance Medicare

POS Basic (HMO-POS)

Health Alliance

Medicare

Local

HMO *$23.00 H1463 14 $6,700 4 Stars

JeffersonHealth Alliance Medicare

POS Basic Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$52.00 $0.00 Enhanced No EA H1463 15 $6,700 4 Stars

JeffersonHealth Alliance Medicare

POS 30 (HMO-POS)

Health Alliance

Medicare

Local

HMO *$59.00 H1463 16 $5,500 4 Stars

JeffersonHealth Alliance Medicare

POS 30 Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$96.00 $0.00 Enhanced No EA H1463 17 $5,500 4 Stars

JeffersonHealth Alliance Medicare

POS 10 (HMO-POS)

Health Alliance

Medicare

Local

HMO *$124.00 H1463 18 $4,500 4 Stars

JeffersonHealth Alliance Medicare

POS 10 Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars

JeffersonHumanaChoice R5361-001

(Regional PPO)

Humana Insurance

Company

Regional

PPO *$0.00 R5361 1 $6,700 3.5 Stars

JeffersonHumanaChoice R5361-002

(Regional PPO)

Humana Insurance

Company

Regional

PPO$137.00 $405.00 Basic No BA R5361 2 $6,700 3.5 Stars

Jersey Advantra (PPO) Coventry Health Care Local PPO $56.00 $0.00 Enhanced Yes EA H1608 13 $6,000 4 Stars

Page 41: 2018 Illinois - Medicare Advantage and Cost Plans...$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars Boone Humana Gold Plus H1468-015 (HMO) Humana Benefit Plan of Illinois, Inc

Jersey Advantra Option 2 (HMO) Coventry Health CareLocal

HMO$86.00 $0.00 Enhanced Yes EA H2663 2 $2,430 4 Stars

JerseyAdvantra Option 1 (HMO-

POS)Coventry Health Care

Local

HMO$41.00 $0.00 Enhanced Yes EA H2663 6 $5,200 4 Stars

JerseyGold Advantage Value

(HMO)Coventry Health Care

Local

HMO$0.00 $0.00 Enhanced Yes EA H2663 32 $3,400 4 Stars

JerseyAARP MedicareComplete

(HMO)UnitedHealthcare

Local

HMO$0.00 $150.00 Enhanced No EA H2802 28 $2,900 4 Stars

JerseyHumanaChoice R5361-001

(Regional PPO)

Humana Insurance

Company

Regional

PPO *$0.00 R5361 1 $6,700 3.5 Stars

JerseyHumanaChoice R5361-002

(Regional PPO)

Humana Insurance

Company

Regional

PPO$137.00 $405.00 Basic No BA R5361 2 $6,700 3.5 Stars

Jo DaviessMedical Associates

SmartPlan (Cost)

Medical Associates

Health Plan, Inc.Cost * $112.00 H1651 3 N/A 4.5 Stars

Jo DaviessMedical Associates

Community Plan (Cost)

Medical Associates

Health Plan, Inc.Cost * $142.00 H1651 5 N/A 4.5 Stars

Jo DaviessMedical Associates

Freedom Plan (Cost)

Medical Associates

Health Plan, Inc.Cost * $142.00 H1651 9 N/A 4.5 Stars

Jo DaviessHealthPartners UnityPoint

Health Align (PPO)

HealthPartners

UnityPoint HealthLocal PPO $0.00 $100.00 Enhanced No EA H3416 1 $3,950

Plan too new

to be

measured

Jo DaviessHealthPartners UnityPoint

Health Symmetry (PPO)

HealthPartners

UnityPoint HealthLocal PPO $39.00 $100.00 Enhanced Yes EA H3416 2 $3,500

Plan too new

to be

measured

Jo DaviessAARP MedicareComplete

(HMO)UnitedHealthcare

Local

HMO$39.00 $250.00 Enhanced No EA H5253 46 $3,900 4 Stars

Jo Daviess Advantra (PPO) Coventry Health Care Local PPO $26.00 $0.00 Enhanced Yes EA H7301 2 $5,500 4 Stars

Jo Daviess Advantra Value (PPO) Coventry Health Care Local PPO $0.00 $0.00 Enhanced Yes EA H7301 6 $5,900 4 Stars

Jo DaviessHumana Gold Choice H8145-

008 (PFFS)

Humana Insurance

CompanyPFFS $177.00 $380.00 Enhanced No EA H8145 8 N/A 3.5 Stars

Jo DaviessHumana Gold Choice H8145-

121 (PFFS)

Humana Insurance

CompanyPFFS * $59.00 H8145 121 N/A 3.5 Stars

Page 42: 2018 Illinois - Medicare Advantage and Cost Plans...$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars Boone Humana Gold Plus H1468-015 (HMO) Humana Benefit Plan of Illinois, Inc

Jo DaviessAARP MedicareComplete

Choice (PPO)UnitedHealthcare Local PPO $77.00 $0.00 Enhanced No EA H8768 3 $2,900

Plan too new

to be

measured

Jo DaviessHumanaChoice R5361-001

(Regional PPO)

Humana Insurance

Company

Regional

PPO *$0.00 R5361 1 $6,700 3.5 Stars

Jo DaviessHumanaChoice R5361-002

(Regional PPO)

Humana Insurance

Company

Regional

PPO$137.00 $405.00 Basic No BA R5361 2 $6,700 3.5 Stars

JohnsonHealth Alliance Medicare

HMO 20 (HMO)

Health Alliance

Medicare

Local

HMO *$85.00 H1463 1 $4,000 4 Stars

JohnsonHealth Alliance Medicare

HMO 20 Rx (HMO)

Health Alliance

Medicare

Local

HMO$116.00 $0.00 Enhanced No EA H1463 3 $4,000 4 Stars

JohnsonHealth Alliance Medicare

HMO Basic (HMO)

Health Alliance

Medicare

Local

HMO *$0.00 H1463 8 $6,700 4 Stars

JohnsonHealth Alliance Medicare

HMO Basic Rx (HMO)

Health Alliance

Medicare

Local

HMO$33.00 $0.00 Enhanced No EA H1463 9 $6,700 4 Stars

JohnsonHealth Alliance Medicare

HMO 40 Rx (HMO)

Health Alliance

Medicare

Local

HMO$72.00 $0.00 Enhanced No EA H1463 10 $4,700 4 Stars

JohnsonHealth Alliance Medicare

HMO 40 (HMO)

Health Alliance

Medicare

Local

HMO *$39.00 H1463 11 $4,700 4 Stars

JohnsonHealth Alliance Medicare

POS Basic (HMO-POS)

Health Alliance

Medicare

Local

HMO *$23.00 H1463 14 $6,700 4 Stars

JohnsonHealth Alliance Medicare

POS Basic Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$52.00 $0.00 Enhanced No EA H1463 15 $6,700 4 Stars

JohnsonHealth Alliance Medicare

POS 30 (HMO-POS)

Health Alliance

Medicare

Local

HMO *$59.00 H1463 16 $5,500 4 Stars

JohnsonHealth Alliance Medicare

POS 30 Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$96.00 $0.00 Enhanced No EA H1463 17 $5,500 4 Stars

Page 43: 2018 Illinois - Medicare Advantage and Cost Plans...$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars Boone Humana Gold Plus H1468-015 (HMO) Humana Benefit Plan of Illinois, Inc

JohnsonHealth Alliance Medicare

POS 10 (HMO-POS)

Health Alliance

Medicare

Local

HMO *$124.00 H1463 18 $4,500 4 Stars

JohnsonHealth Alliance Medicare

POS 10 Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars

JohnsonHumana Gold Choice H8145-

008 (PFFS)

Humana Insurance

CompanyPFFS $177.00 $380.00 Enhanced No EA H8145 8 N/A 3.5 Stars

JohnsonHumana Gold Choice H8145-

121 (PFFS)

Humana Insurance

CompanyPFFS * $59.00 H8145 121 N/A 3.5 Stars

JohnsonHumanaChoice R5361-001

(Regional PPO)

Humana Insurance

Company

Regional

PPO *$0.00 R5361 1 $6,700 3.5 Stars

JohnsonHumanaChoice R5361-002

(Regional PPO)

Humana Insurance

Company

Regional

PPO$137.00 $405.00 Basic No BA R5361 2 $6,700 3.5 Stars

KaneCigna-HealthSpring

Advantage (HMO)Cigna-HealthSpring

Local

HMO *$0.00 H1415 13 $4,500 3 Stars

KaneCigna-HealthSpring Premier

(HMO-POS)Cigna-HealthSpring

Local

HMO$0.00 $0.00 Enhanced No EA H1415 21 $6,500 3 Stars

KaneCigna-HealthSpring Primary

(HMO)Cigna-HealthSpring

Local

HMO$11.10 $405.00 Basic No DS H1415 24 $6,000 3 Stars

Kane WellCare Value (HMO-POS) WellCareLocal

HMO$0.00 $0.00 Enhanced No EA H1416 9 $3,900 3 Stars

Kane WellCare Rx (HMO) WellCareLocal

HMO$7.70 $405.00 Enhanced No EA H1416 23 $3,400 3 Stars

KaneWellCare Choice (HMO-

POS)WellCare

Local

HMO$64.00 $0.00 Enhanced No EA H1416 24 $3,400 3 Stars

Kane WellCare Plus (HMO) WellCareLocal

HMO$15.50 $405.00 Enhanced No EA H1416 48 $6,700 3 Stars

KaneHumana Gold Plus H1468-

014 (HMO)

Humana Benefit Plan

of Illinois, Inc.

Local

HMO$19.00 $0.00 Enhanced No EA H1468 14 $6,700 4.5 Stars

KaneAARP MedicareComplete

Access (HMO)UnitedHealthcare

Local

HMO$0.00 $0.00 Enhanced No EA H2802 24 $3,400 4 Stars

KaneAARP MedicareComplete

Plan 1 (HMO)UnitedHealthcare

Local

HMO$27.00 $230.00 Enhanced No EA H2802 25 $3,950 4 Stars

KaneAARP MedicareComplete

Plan 2 (HMO)UnitedHealthcare

Local

HMO$77.00 $0.00 Enhanced No EA H2802 26 $2,900 4 Stars

Page 44: 2018 Illinois - Medicare Advantage and Cost Plans...$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars Boone Humana Gold Plus H1468-015 (HMO) Humana Benefit Plan of Illinois, Inc

KaneCommunity Advantage

(HMO)

Community Care

Alliance of Illinois, NFP

Local

HMO$0.00 $0.00 Enhanced No EA H3071 2 $3,950 2.5 Stars

KaneCommunity Flex-Plan (HMO-

POS)

Community Care

Alliance of Illinois, NFP

Local

HMO$27.50 $405.00 Basic No DS H3071 3 $3,950 2.5 Stars

KaneBlue Cross Medicare

Advantage Basic (HMO)

Blue Cross Blue Shield

of IL, MT, NM

Local

HMO$0.00 $0.00 Enhanced Yes EA H3822 1 $2,800 3.5 Stars

Kane

Blue Cross Medicare

Advantage Basic Plus (HMO-

POS)

Blue Cross Blue Shield

of IL, MT, NM

Local

HMO$0.00 $0.00 Enhanced Yes EA H3822 7 $3,600 3.5 Stars

Kane

Blue Cross Medicare

Advantage Premier Plus

(HMO-POS)

Blue Cross Blue Shield

of IL, MT, NM

Local

HMO$83.00 $0.00 Enhanced Yes EA H3822 8 $3,600 3.5 Stars

Kane Spartan Plan IL (HMO)Sunrise Advantage

Plan

Local

HMO$69.00 $0.00 Enhanced No EA H4778 3 $3,400

Plan too new

to be

measured

KaneHumanaChoice H5216-012

(PPO)

Humana Insurance

Company

Local PPO

*$0.00 H5216 12 $6,700 4 Stars

KaneHumanaChoice H5216-013

(PPO)

Humana Insurance

CompanyLocal PPO $87.00 $0.00 Enhanced No EA H5216 13 $6,700 4 Stars

KaneAetna Medicare Value Plan

(PPO)Aetna Medicare Local PPO $0.00 $0.00 Enhanced Yes EA H5521 86 $3,900 4 Stars

Kane MeridianCare Elite (HMO) MeridianCareLocal

HMO$47.00 $0.00 Enhanced No EA H5779 3 $3,400

Not enough

data available

KaneMeridianCare Essential

(HMO)MeridianCare

Local

HMO$0.00 $0.00 Enhanced No EA H5779 5 $3,750

Not enough

data available

Kane MeridianCare Edge (HMO) MeridianCareLocal

HMO$27.50 $405.00 Enhanced No EA H5779 6 $6,700

Not enough

data available

KaneHumana Gold Choice H8145-

008 (PFFS)

Humana Insurance

CompanyPFFS $177.00 $380.00 Enhanced No EA H8145 8 N/A 3.5 Stars

Kane

Blue Cross Medicare

Advantage Choice Plus

(PPO)

Blue Cross and Blue

Shield of IL, NM, OKLocal PPO $88.00 $0.00 Enhanced Yes EA H8634 3 $6,700 3 Stars

Kane

Blue Cross Medicare

Advantage Choice Premier

(PPO)

Blue Cross and Blue

Shield of IL, NM, OKLocal PPO $141.00 $0.00 Enhanced Yes EA H8634 4 $5,900 3 Stars

Page 45: 2018 Illinois - Medicare Advantage and Cost Plans...$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars Boone Humana Gold Plus H1468-015 (HMO) Humana Benefit Plan of Illinois, Inc

KaneHumanaChoice R5361-001

(Regional PPO)

Humana Insurance

Company

Regional

PPO *$0.00 R5361 1 $6,700 3.5 Stars

KaneHumanaChoice R5361-002

(Regional PPO)

Humana Insurance

Company

Regional

PPO$137.00 $405.00 Basic No BA R5361 2 $6,700 3.5 Stars

Kankakee WellCare Value (HMO-POS) WellCareLocal

HMO$0.00 $0.00 Enhanced No EA H1416 9 $3,900 3 Stars

Kankakee WellCare Rx (HMO) WellCareLocal

HMO$7.70 $405.00 Enhanced No EA H1416 23 $3,400 3 Stars

KankakeeWellCare Choice (HMO-

POS)WellCare

Local

HMO$64.00 $0.00 Enhanced No EA H1416 24 $3,400 3 Stars

Kankakee WellCare Plus (HMO) WellCareLocal

HMO$15.50 $405.00 Enhanced No EA H1416 48 $6,700 3 Stars

KankakeeHealth Alliance Medicare

HMO 20 (HMO)

Health Alliance

Medicare

Local

HMO *$85.00 H1463 1 $4,000 4 Stars

KankakeeHealth Alliance Medicare

HMO 20 Rx (HMO)

Health Alliance

Medicare

Local

HMO$116.00 $0.00 Enhanced No EA H1463 3 $4,000 4 Stars

KankakeeHealth Alliance Medicare

HMO Basic (HMO)

Health Alliance

Medicare

Local

HMO *$0.00 H1463 8 $6,700 4 Stars

KankakeeHealth Alliance Medicare

HMO Basic Rx (HMO)

Health Alliance

Medicare

Local

HMO$33.00 $0.00 Enhanced No EA H1463 9 $6,700 4 Stars

KankakeeHealth Alliance Medicare

HMO 40 Rx (HMO)

Health Alliance

Medicare

Local

HMO$72.00 $0.00 Enhanced No EA H1463 10 $4,700 4 Stars

KankakeeHealth Alliance Medicare

HMO 40 (HMO)

Health Alliance

Medicare

Local

HMO *$39.00 H1463 11 $4,700 4 Stars

KankakeeHealth Alliance Medicare

POS Basic (HMO-POS)

Health Alliance

Medicare

Local

HMO *$23.00 H1463 14 $6,700 4 Stars

KankakeeHealth Alliance Medicare

POS Basic Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$52.00 $0.00 Enhanced No EA H1463 15 $6,700 4 Stars

KankakeeHealth Alliance Medicare

POS 30 (HMO-POS)

Health Alliance

Medicare

Local

HMO *$59.00 H1463 16 $5,500 4 Stars

Page 46: 2018 Illinois - Medicare Advantage and Cost Plans...$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars Boone Humana Gold Plus H1468-015 (HMO) Humana Benefit Plan of Illinois, Inc

KankakeeHealth Alliance Medicare

POS 30 Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$96.00 $0.00 Enhanced No EA H1463 17 $5,500 4 Stars

KankakeeHealth Alliance Medicare

POS 10 (HMO-POS)

Health Alliance

Medicare

Local

HMO *$124.00 H1463 18 $4,500 4 Stars

KankakeeHealth Alliance Medicare

POS 10 Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars

KankakeeAARP MedicareComplete

Plan 1 (HMO)UnitedHealthcare

Local

HMO$27.00 $230.00 Enhanced No EA H2802 25 $3,950 4 Stars

KankakeeAARP MedicareComplete

Plan 2 (HMO)UnitedHealthcare

Local

HMO$77.00 $0.00 Enhanced No EA H2802 26 $2,900 4 Stars

KankakeeHumanaChoice H5216-013

(PPO)

Humana Insurance

CompanyLocal PPO $87.00 $0.00 Enhanced No EA H5216 13 $6,700 4 Stars

KankakeeAetna Medicare Standard

Plan (PPO)Aetna Medicare Local PPO $56.00 $0.00 Enhanced Yes EA H5521 153 $3,500 4 Stars

KankakeeHumana Gold Choice H8145-

008 (PFFS)

Humana Insurance

CompanyPFFS $177.00 $380.00 Enhanced No EA H8145 8 N/A 3.5 Stars

KankakeeHumana Gold Choice H8145-

121 (PFFS)

Humana Insurance

CompanyPFFS * $59.00 H8145 121 N/A 3.5 Stars

KankakeeHumanaChoice R5361-001

(Regional PPO)

Humana Insurance

Company

Regional

PPO *$0.00 R5361 1 $6,700 3.5 Stars

KankakeeHumanaChoice R5361-002

(Regional PPO)

Humana Insurance

Company

Regional

PPO$137.00 $405.00 Basic No BA R5361 2 $6,700 3.5 Stars

KendallHumana Gold Plus H1468-

014 (HMO)

Humana Benefit Plan

of Illinois, Inc.

Local

HMO$19.00 $0.00 Enhanced No EA H1468 14 $6,700 4.5 Stars

KendallAARP MedicareComplete

Access (HMO)UnitedHealthcare

Local

HMO$0.00 $0.00 Enhanced No EA H2802 24 $3,400 4 Stars

KendallAARP MedicareComplete

Plan 1 (HMO)UnitedHealthcare

Local

HMO$27.00 $230.00 Enhanced No EA H2802 25 $3,950 4 Stars

KendallAARP MedicareComplete

Plan 2 (HMO)UnitedHealthcare

Local

HMO$77.00 $0.00 Enhanced No EA H2802 26 $2,900 4 Stars

Page 47: 2018 Illinois - Medicare Advantage and Cost Plans...$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars Boone Humana Gold Plus H1468-015 (HMO) Humana Benefit Plan of Illinois, Inc

KendallHumanaChoice H5216-013

(PPO)

Humana Insurance

CompanyLocal PPO $87.00 $0.00 Enhanced No EA H5216 13 $6,700 4 Stars

Kendall Advantra (PPO) Coventry Health Care Local PPO $26.00 $0.00 Enhanced Yes EA H7301 2 $5,500 4 Stars

Kendall Advantra Value (PPO) Coventry Health Care Local PPO $0.00 $0.00 Enhanced Yes EA H7301 6 $5,900 4 Stars

KendallHumana Gold Choice H8145-

008 (PFFS)

Humana Insurance

CompanyPFFS $177.00 $380.00 Enhanced No EA H8145 8 N/A 3.5 Stars

KendallHumanaChoice R5361-001

(Regional PPO)

Humana Insurance

Company

Regional

PPO *$0.00 R5361 1 $6,700 3.5 Stars

KendallHumanaChoice R5361-002

(Regional PPO)

Humana Insurance

Company

Regional

PPO$137.00 $405.00 Basic No BA R5361 2 $6,700 3.5 Stars

Knox WellCare Value (HMO-POS) WellCareLocal

HMO$0.00 $0.00 Enhanced No EA H1416 9 $3,900 3 Stars

Knox WellCare Rx (HMO) WellCareLocal

HMO$7.70 $405.00 Enhanced No EA H1416 23 $3,400 3 Stars

KnoxWellCare Choice (HMO-

POS)WellCare

Local

HMO$64.00 $0.00 Enhanced No EA H1416 24 $3,400 3 Stars

Knox WellCare Plus (HMO) WellCareLocal

HMO$15.50 $405.00 Enhanced No EA H1416 48 $6,700 3 Stars

KnoxHealth Alliance Medicare

HMO 20 (HMO)

Health Alliance

Medicare

Local

HMO *$85.00 H1463 1 $4,000 4 Stars

KnoxHealth Alliance Medicare

HMO 20 Rx (HMO)

Health Alliance

Medicare

Local

HMO$116.00 $0.00 Enhanced No EA H1463 3 $4,000 4 Stars

KnoxHealth Alliance Medicare

HMO Basic (HMO)

Health Alliance

Medicare

Local

HMO *$0.00 H1463 8 $6,700 4 Stars

KnoxHealth Alliance Medicare

HMO Basic Rx (HMO)

Health Alliance

Medicare

Local

HMO$33.00 $0.00 Enhanced No EA H1463 9 $6,700 4 Stars

KnoxHealth Alliance Medicare

HMO 40 Rx (HMO)

Health Alliance

Medicare

Local

HMO$72.00 $0.00 Enhanced No EA H1463 10 $4,700 4 Stars

KnoxHealth Alliance Medicare

HMO 40 (HMO)

Health Alliance

Medicare

Local

HMO *$39.00 H1463 11 $4,700 4 Stars

Page 48: 2018 Illinois - Medicare Advantage and Cost Plans...$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars Boone Humana Gold Plus H1468-015 (HMO) Humana Benefit Plan of Illinois, Inc

KnoxHealth Alliance Medicare

POS Basic (HMO-POS)

Health Alliance

Medicare

Local

HMO *$23.00 H1463 14 $6,700 4 Stars

KnoxHealth Alliance Medicare

POS Basic Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$52.00 $0.00 Enhanced No EA H1463 15 $6,700 4 Stars

KnoxHealth Alliance Medicare

POS 30 (HMO-POS)

Health Alliance

Medicare

Local

HMO *$59.00 H1463 16 $5,500 4 Stars

KnoxHealth Alliance Medicare

POS 30 Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$96.00 $0.00 Enhanced No EA H1463 17 $5,500 4 Stars

KnoxHealth Alliance Medicare

POS 10 (HMO-POS)

Health Alliance

Medicare

Local

HMO *$124.00 H1463 18 $4,500 4 Stars

KnoxHealth Alliance Medicare

POS 10 Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars

KnoxHumana Gold Plus H1468-

007 (HMO)

Humana Benefit Plan

of Illinois, Inc.

Local

HMO$30.00 $200.00 Enhanced No EA H1468 7 $5,500 4.5 Stars

KnoxAARP MedicareComplete

(HMO)UnitedHealthcare

Local

HMO$39.00 $250.00 Enhanced No EA H5253 46 $3,900 4 Stars

KnoxHumanaChoice H5525-004

(PPO)

Humana Benefit Plan

of Illinois, Inc.Local PPO $103.00 $250.00 Enhanced No EA H5525 4 $6,700 4 Stars

KnoxMeridianCare Essential

(HMO)MeridianCare

Local

HMO$0.00 $0.00 Enhanced No EA H5779 2 $4,000

Not enough

data available

KnoxHumana Gold Choice H8145-

008 (PFFS)

Humana Insurance

CompanyPFFS $177.00 $380.00 Enhanced No EA H8145 8 N/A 3.5 Stars

KnoxAARP MedicareComplete

Choice (PPO)UnitedHealthcare Local PPO $77.00 $0.00 Enhanced No EA H8768 3 $2,900

Plan too new

to be

measured

KnoxHumanaChoice R5361-001

(Regional PPO)

Humana Insurance

Company

Regional

PPO *$0.00 R5361 1 $6,700 3.5 Stars

KnoxHumanaChoice R5361-002

(Regional PPO)

Humana Insurance

Company

Regional

PPO$137.00 $405.00 Basic No BA R5361 2 $6,700 3.5 Stars

Page 49: 2018 Illinois - Medicare Advantage and Cost Plans...$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars Boone Humana Gold Plus H1468-015 (HMO) Humana Benefit Plan of Illinois, Inc

La SalleHealth Alliance Medicare

HMO 20 (HMO)

Health Alliance

Medicare

Local

HMO *$85.00 H1463 1 $4,000 4 Stars

La SalleHealth Alliance Medicare

HMO 20 Rx (HMO)

Health Alliance

Medicare

Local

HMO$116.00 $0.00 Enhanced No EA H1463 3 $4,000 4 Stars

La SalleHealth Alliance Medicare

HMO Basic (HMO)

Health Alliance

Medicare

Local

HMO *$0.00 H1463 8 $6,700 4 Stars

La SalleHealth Alliance Medicare

HMO Basic Rx (HMO)

Health Alliance

Medicare

Local

HMO$33.00 $0.00 Enhanced No EA H1463 9 $6,700 4 Stars

La SalleHealth Alliance Medicare

HMO 40 Rx (HMO)

Health Alliance

Medicare

Local

HMO$72.00 $0.00 Enhanced No EA H1463 10 $4,700 4 Stars

La SalleHealth Alliance Medicare

HMO 40 (HMO)

Health Alliance

Medicare

Local

HMO *$39.00 H1463 11 $4,700 4 Stars

La SalleHealth Alliance Medicare

POS Basic (HMO-POS)

Health Alliance

Medicare

Local

HMO *$23.00 H1463 14 $6,700 4 Stars

La SalleHealth Alliance Medicare

POS Basic Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$52.00 $0.00 Enhanced No EA H1463 15 $6,700 4 Stars

La SalleHealth Alliance Medicare

POS 30 (HMO-POS)

Health Alliance

Medicare

Local

HMO *$59.00 H1463 16 $5,500 4 Stars

La SalleHealth Alliance Medicare

POS 30 Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$96.00 $0.00 Enhanced No EA H1463 17 $5,500 4 Stars

La SalleHealth Alliance Medicare

POS 10 (HMO-POS)

Health Alliance

Medicare

Local

HMO *$124.00 H1463 18 $4,500 4 Stars

La SalleHealth Alliance Medicare

POS 10 Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars

La SalleHumanaChoice H5525-004

(PPO)

Humana Benefit Plan

of Illinois, Inc.Local PPO $103.00 $250.00 Enhanced No EA H5525 4 $6,700 4 Stars

Page 50: 2018 Illinois - Medicare Advantage and Cost Plans...$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars Boone Humana Gold Plus H1468-015 (HMO) Humana Benefit Plan of Illinois, Inc

La SalleHumana Gold Choice H8145-

008 (PFFS)

Humana Insurance

CompanyPFFS $177.00 $380.00 Enhanced No EA H8145 8 N/A 3.5 Stars

La SalleHumana Gold Choice H8145-

121 (PFFS)

Humana Insurance

CompanyPFFS * $59.00 H8145 121 N/A 3.5 Stars

La SalleHumanaChoice R5361-001

(Regional PPO)

Humana Insurance

Company

Regional

PPO *$0.00 R5361 1 $6,700 3.5 Stars

La SalleHumanaChoice R5361-002

(Regional PPO)

Humana Insurance

Company

Regional

PPO$137.00 $405.00 Basic No BA R5361 2 $6,700 3.5 Stars

LakeHumana Gold Plus H1468-

013 (HMO)

Humana Benefit Plan

of Illinois, Inc.

Local

HMO$0.00 $0.00 Enhanced No EA H1468 13 $3,200 4.5 Stars

LakeAARP MedicareComplete

Plan 1 (HMO)UnitedHealthcare

Local

HMO$27.00 $230.00 Enhanced No EA H2802 25 $3,950 4 Stars

LakeAARP MedicareComplete

Plan 2 (HMO)UnitedHealthcare

Local

HMO$77.00 $0.00 Enhanced No EA H2802 26 $2,900 4 Stars

Lake Spartan Plan IL (HMO)Sunrise Advantage

Plan

Local

HMO$69.00 $0.00 Enhanced No EA H4778 3 $3,400

Plan too new

to be

measured

LakeHumanaChoice H5216-012

(PPO)

Humana Insurance

Company

Local PPO

*$0.00 H5216 12 $6,700 4 Stars

LakeHumanaChoice H5216-013

(PPO)

Humana Insurance

CompanyLocal PPO $87.00 $0.00 Enhanced No EA H5216 13 $6,700 4 Stars

LakeHumanaChoice R5361-001

(Regional PPO)

Humana Insurance

Company

Regional

PPO *$0.00 R5361 1 $6,700 3.5 Stars

LakeHumanaChoice R5361-002

(Regional PPO)

Humana Insurance

Company

Regional

PPO$137.00 $405.00 Basic No BA R5361 2 $6,700 3.5 Stars

LawrenceHealth Alliance Medicare

HMO 20 (HMO)

Health Alliance

Medicare

Local

HMO *$85.00 H1463 1 $4,000 4 Stars

LawrenceHealth Alliance Medicare

HMO 20 Rx (HMO)

Health Alliance

Medicare

Local

HMO$116.00 $0.00 Enhanced No EA H1463 3 $4,000 4 Stars

LawrenceHealth Alliance Medicare

HMO Basic (HMO)

Health Alliance

Medicare

Local

HMO *$0.00 H1463 8 $6,700 4 Stars

Page 51: 2018 Illinois - Medicare Advantage and Cost Plans...$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars Boone Humana Gold Plus H1468-015 (HMO) Humana Benefit Plan of Illinois, Inc

LawrenceHealth Alliance Medicare

HMO Basic Rx (HMO)

Health Alliance

Medicare

Local

HMO$33.00 $0.00 Enhanced No EA H1463 9 $6,700 4 Stars

LawrenceHealth Alliance Medicare

HMO 40 Rx (HMO)

Health Alliance

Medicare

Local

HMO$72.00 $0.00 Enhanced No EA H1463 10 $4,700 4 Stars

LawrenceHealth Alliance Medicare

HMO 40 (HMO)

Health Alliance

Medicare

Local

HMO *$39.00 H1463 11 $4,700 4 Stars

LawrenceHealth Alliance Medicare

POS Basic (HMO-POS)

Health Alliance

Medicare

Local

HMO *$23.00 H1463 14 $6,700 4 Stars

LawrenceHealth Alliance Medicare

POS Basic Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$52.00 $0.00 Enhanced No EA H1463 15 $6,700 4 Stars

LawrenceHealth Alliance Medicare

POS 30 (HMO-POS)

Health Alliance

Medicare

Local

HMO *$59.00 H1463 16 $5,500 4 Stars

LawrenceHealth Alliance Medicare

POS 30 Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$96.00 $0.00 Enhanced No EA H1463 17 $5,500 4 Stars

LawrenceHealth Alliance Medicare

POS 10 (HMO-POS)

Health Alliance

Medicare

Local

HMO *$124.00 H1463 18 $4,500 4 Stars

LawrenceHealth Alliance Medicare

POS 10 Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars

LawrenceHumana Gold Choice H8145-

008 (PFFS)

Humana Insurance

CompanyPFFS $177.00 $380.00 Enhanced No EA H8145 8 N/A 3.5 Stars

LawrenceHumana Gold Choice H8145-

121 (PFFS)

Humana Insurance

CompanyPFFS * $59.00 H8145 121 N/A 3.5 Stars

LawrenceHumanaChoice R5361-001

(Regional PPO)

Humana Insurance

Company

Regional

PPO *$0.00 R5361 1 $6,700 3.5 Stars

LawrenceHumanaChoice R5361-002

(Regional PPO)

Humana Insurance

Company

Regional

PPO$137.00 $405.00 Basic No BA R5361 2 $6,700 3.5 Stars

LeeAARP MedicareComplete

(HMO)UnitedHealthcare

Local

HMO$39.00 $250.00 Enhanced No EA H5253 46 $3,900 4 Stars

Page 52: 2018 Illinois - Medicare Advantage and Cost Plans...$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars Boone Humana Gold Plus H1468-015 (HMO) Humana Benefit Plan of Illinois, Inc

LeeHumanaChoice H5525-004

(PPO)

Humana Benefit Plan

of Illinois, Inc.Local PPO $103.00 $250.00 Enhanced No EA H5525 4 $6,700 4 Stars

Lee Advantra (PPO) Coventry Health Care Local PPO $26.00 $0.00 Enhanced Yes EA H7301 2 $5,500 4 Stars

Lee Advantra Value (PPO) Coventry Health Care Local PPO $0.00 $0.00 Enhanced Yes EA H7301 6 $5,900 4 Stars

LeeHumana Gold Choice H8145-

008 (PFFS)

Humana Insurance

CompanyPFFS $177.00 $380.00 Enhanced No EA H8145 8 N/A 3.5 Stars

LeeHumana Gold Choice H8145-

121 (PFFS)

Humana Insurance

CompanyPFFS * $59.00 H8145 121 N/A 3.5 Stars

LeeAARP MedicareComplete

Choice (PPO)UnitedHealthcare Local PPO $77.00 $0.00 Enhanced No EA H8768 3 $2,900

Plan too new

to be

measured

LeeHumanaChoice R5361-001

(Regional PPO)

Humana Insurance

Company

Regional

PPO *$0.00 R5361 1 $6,700 3.5 Stars

LeeHumanaChoice R5361-002

(Regional PPO)

Humana Insurance

Company

Regional

PPO$137.00 $405.00 Basic No BA R5361 2 $6,700 3.5 Stars

LivingstonHealth Alliance Medicare

HMO 20 (HMO)

Health Alliance

Medicare

Local

HMO *$85.00 H1463 1 $4,000 4 Stars

LivingstonHealth Alliance Medicare

HMO 20 Rx (HMO)

Health Alliance

Medicare

Local

HMO$116.00 $0.00 Enhanced No EA H1463 3 $4,000 4 Stars

LivingstonHealth Alliance Medicare

HMO Basic (HMO)

Health Alliance

Medicare

Local

HMO *$0.00 H1463 8 $6,700 4 Stars

LivingstonHealth Alliance Medicare

HMO Basic Rx (HMO)

Health Alliance

Medicare

Local

HMO$33.00 $0.00 Enhanced No EA H1463 9 $6,700 4 Stars

LivingstonHealth Alliance Medicare

HMO 40 Rx (HMO)

Health Alliance

Medicare

Local

HMO$72.00 $0.00 Enhanced No EA H1463 10 $4,700 4 Stars

LivingstonHealth Alliance Medicare

HMO 40 (HMO)

Health Alliance

Medicare

Local

HMO *$39.00 H1463 11 $4,700 4 Stars

LivingstonHealth Alliance Medicare

POS Basic (HMO-POS)

Health Alliance

Medicare

Local

HMO *$23.00 H1463 14 $6,700 4 Stars

Page 53: 2018 Illinois - Medicare Advantage and Cost Plans...$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars Boone Humana Gold Plus H1468-015 (HMO) Humana Benefit Plan of Illinois, Inc

LivingstonHealth Alliance Medicare

POS Basic Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$52.00 $0.00 Enhanced No EA H1463 15 $6,700 4 Stars

LivingstonHealth Alliance Medicare

POS 30 (HMO-POS)

Health Alliance

Medicare

Local

HMO *$59.00 H1463 16 $5,500 4 Stars

LivingstonHealth Alliance Medicare

POS 30 Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$96.00 $0.00 Enhanced No EA H1463 17 $5,500 4 Stars

LivingstonHealth Alliance Medicare

POS 10 (HMO-POS)

Health Alliance

Medicare

Local

HMO *$124.00 H1463 18 $4,500 4 Stars

LivingstonHealth Alliance Medicare

POS 10 Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars

LivingstonHumana Gold Plus H1468-

007 (HMO)

Humana Benefit Plan

of Illinois, Inc.

Local

HMO$30.00 $200.00 Enhanced No EA H1468 7 $5,500 4.5 Stars

LivingstonHumanaChoice H5525-004

(PPO)

Humana Benefit Plan

of Illinois, Inc.Local PPO $103.00 $250.00 Enhanced No EA H5525 4 $6,700 4 Stars

Livingston Advantra (PPO) Coventry Health Care Local PPO $26.00 $0.00 Enhanced Yes EA H7301 2 $5,500 4 Stars

Livingston Advantra Value (PPO) Coventry Health Care Local PPO $0.00 $150.00 Enhanced Yes EA H7301 7 $4,650 4 Stars

LivingstonHumanaChoice R5361-001

(Regional PPO)

Humana Insurance

Company

Regional

PPO *$0.00 R5361 1 $6,700 3.5 Stars

LivingstonHumanaChoice R5361-002

(Regional PPO)

Humana Insurance

Company

Regional

PPO$137.00 $405.00 Basic No BA R5361 2 $6,700 3.5 Stars

LoganHealth Alliance Medicare

HMO 20 (HMO)

Health Alliance

Medicare

Local

HMO *$85.00 H1463 1 $4,000 4 Stars

LoganHealth Alliance Medicare

HMO 20 Rx (HMO)

Health Alliance

Medicare

Local

HMO$116.00 $0.00 Enhanced No EA H1463 3 $4,000 4 Stars

LoganHealth Alliance Medicare

HMO Basic (HMO)

Health Alliance

Medicare

Local

HMO *$0.00 H1463 8 $6,700 4 Stars

LoganHealth Alliance Medicare

HMO Basic Rx (HMO)

Health Alliance

Medicare

Local

HMO$33.00 $0.00 Enhanced No EA H1463 9 $6,700 4 Stars

Page 54: 2018 Illinois - Medicare Advantage and Cost Plans...$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars Boone Humana Gold Plus H1468-015 (HMO) Humana Benefit Plan of Illinois, Inc

LoganHealth Alliance Medicare

HMO 40 Rx (HMO)

Health Alliance

Medicare

Local

HMO$72.00 $0.00 Enhanced No EA H1463 10 $4,700 4 Stars

LoganHealth Alliance Medicare

HMO 40 (HMO)

Health Alliance

Medicare

Local

HMO *$39.00 H1463 11 $4,700 4 Stars

LoganHealth Alliance Medicare

POS Basic (HMO-POS)

Health Alliance

Medicare

Local

HMO *$23.00 H1463 14 $6,700 4 Stars

LoganHealth Alliance Medicare

POS Basic Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$52.00 $0.00 Enhanced No EA H1463 15 $6,700 4 Stars

LoganHealth Alliance Medicare

POS 30 (HMO-POS)

Health Alliance

Medicare

Local

HMO *$59.00 H1463 16 $5,500 4 Stars

LoganHealth Alliance Medicare

POS 30 Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$96.00 $0.00 Enhanced No EA H1463 17 $5,500 4 Stars

LoganHealth Alliance Medicare

POS 10 (HMO-POS)

Health Alliance

Medicare

Local

HMO *$124.00 H1463 18 $4,500 4 Stars

LoganHealth Alliance Medicare

POS 10 Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars

Logan Advantra (PPO) Coventry Health Care Local PPO $26.00 $0.00 Enhanced Yes EA H7301 2 $5,500 4 Stars

Logan Advantra Value (PPO) Coventry Health Care Local PPO $0.00 $150.00 Enhanced Yes EA H7301 7 $4,650 4 Stars

LoganHumana Gold Choice H8145-

008 (PFFS)

Humana Insurance

CompanyPFFS $177.00 $380.00 Enhanced No EA H8145 8 N/A 3.5 Stars

LoganHumana Gold Choice H8145-

121 (PFFS)

Humana Insurance

CompanyPFFS * $59.00 H8145 121 N/A 3.5 Stars

LoganHumanaChoice R5361-001

(Regional PPO)

Humana Insurance

Company

Regional

PPO *$0.00 R5361 1 $6,700 3.5 Stars

LoganHumanaChoice R5361-002

(Regional PPO)

Humana Insurance

Company

Regional

PPO$137.00 $405.00 Basic No BA R5361 2 $6,700 3.5 Stars

MaconHealth Alliance Medicare

HMO 20 (HMO)

Health Alliance

Medicare

Local

HMO *$85.00 H1463 1 $4,000 4 Stars

Page 55: 2018 Illinois - Medicare Advantage and Cost Plans...$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars Boone Humana Gold Plus H1468-015 (HMO) Humana Benefit Plan of Illinois, Inc

MaconHealth Alliance Medicare

HMO 20 Rx (HMO)

Health Alliance

Medicare

Local

HMO$116.00 $0.00 Enhanced No EA H1463 3 $4,000 4 Stars

MaconHealth Alliance Medicare

HMO Basic (HMO)

Health Alliance

Medicare

Local

HMO *$0.00 H1463 8 $6,700 4 Stars

MaconHealth Alliance Medicare

HMO Basic Rx (HMO)

Health Alliance

Medicare

Local

HMO$33.00 $0.00 Enhanced No EA H1463 9 $6,700 4 Stars

MaconHealth Alliance Medicare

HMO 40 Rx (HMO)

Health Alliance

Medicare

Local

HMO$72.00 $0.00 Enhanced No EA H1463 10 $4,700 4 Stars

MaconHealth Alliance Medicare

HMO 40 (HMO)

Health Alliance

Medicare

Local

HMO *$39.00 H1463 11 $4,700 4 Stars

MaconHealth Alliance Medicare

POS Basic (HMO-POS)

Health Alliance

Medicare

Local

HMO *$23.00 H1463 14 $6,700 4 Stars

MaconHealth Alliance Medicare

POS Basic Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$52.00 $0.00 Enhanced No EA H1463 15 $6,700 4 Stars

MaconHealth Alliance Medicare

POS 30 (HMO-POS)

Health Alliance

Medicare

Local

HMO *$59.00 H1463 16 $5,500 4 Stars

MaconHealth Alliance Medicare

POS 30 Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$96.00 $0.00 Enhanced No EA H1463 17 $5,500 4 Stars

MaconHealth Alliance Medicare

POS 10 (HMO-POS)

Health Alliance

Medicare

Local

HMO *$124.00 H1463 18 $4,500 4 Stars

MaconHealth Alliance Medicare

POS 10 Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars

Macon Advantra (PPO) Coventry Health Care Local PPO $26.00 $0.00 Enhanced Yes EA H7301 2 $5,500 4 Stars

Macon Advantra Value (PPO) Coventry Health Care Local PPO $0.00 $150.00 Enhanced Yes EA H7301 7 $4,650 4 Stars

MaconHumanaChoice R5361-001

(Regional PPO)

Humana Insurance

Company

Regional

PPO *$0.00 R5361 1 $6,700 3.5 Stars

Page 56: 2018 Illinois - Medicare Advantage and Cost Plans...$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars Boone Humana Gold Plus H1468-015 (HMO) Humana Benefit Plan of Illinois, Inc

MaconHumanaChoice R5361-002

(Regional PPO)

Humana Insurance

Company

Regional

PPO$137.00 $405.00 Basic No BA R5361 2 $6,700 3.5 Stars

MacoupinHealth Alliance Medicare

HMO 20 (HMO)

Health Alliance

Medicare

Local

HMO *$85.00 H1463 1 $4,000 4 Stars

MacoupinHealth Alliance Medicare

HMO 20 Rx (HMO)

Health Alliance

Medicare

Local

HMO$116.00 $0.00 Enhanced No EA H1463 3 $4,000 4 Stars

MacoupinHealth Alliance Medicare

HMO Basic (HMO)

Health Alliance

Medicare

Local

HMO *$0.00 H1463 8 $6,700 4 Stars

MacoupinHealth Alliance Medicare

HMO Basic Rx (HMO)

Health Alliance

Medicare

Local

HMO$33.00 $0.00 Enhanced No EA H1463 9 $6,700 4 Stars

MacoupinHealth Alliance Medicare

HMO 40 Rx (HMO)

Health Alliance

Medicare

Local

HMO$72.00 $0.00 Enhanced No EA H1463 10 $4,700 4 Stars

MacoupinHealth Alliance Medicare

HMO 40 (HMO)

Health Alliance

Medicare

Local

HMO *$39.00 H1463 11 $4,700 4 Stars

MacoupinHealth Alliance Medicare

POS Basic (HMO-POS)

Health Alliance

Medicare

Local

HMO *$23.00 H1463 14 $6,700 4 Stars

MacoupinHealth Alliance Medicare

POS Basic Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$52.00 $0.00 Enhanced No EA H1463 15 $6,700 4 Stars

MacoupinHealth Alliance Medicare

POS 30 (HMO-POS)

Health Alliance

Medicare

Local

HMO *$59.00 H1463 16 $5,500 4 Stars

MacoupinHealth Alliance Medicare

POS 30 Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$96.00 $0.00 Enhanced No EA H1463 17 $5,500 4 Stars

MacoupinHealth Alliance Medicare

POS 10 (HMO-POS)

Health Alliance

Medicare

Local

HMO *$124.00 H1463 18 $4,500 4 Stars

MacoupinHealth Alliance Medicare

POS 10 Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars

Page 57: 2018 Illinois - Medicare Advantage and Cost Plans...$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars Boone Humana Gold Plus H1468-015 (HMO) Humana Benefit Plan of Illinois, Inc

MacoupinAARP MedicareComplete

(HMO)UnitedHealthcare

Local

HMO$0.00 $150.00 Enhanced No EA H2802 28 $2,900 4 Stars

Macoupin Advantra (PPO) Coventry Health Care Local PPO $26.00 $0.00 Enhanced Yes EA H7301 2 $5,500 4 Stars

Macoupin Advantra Value (PPO) Coventry Health Care Local PPO $0.00 $150.00 Enhanced Yes EA H7301 7 $4,650 4 Stars

MacoupinHumanaChoice R5361-001

(Regional PPO)

Humana Insurance

Company

Regional

PPO *$0.00 R5361 1 $6,700 3.5 Stars

MacoupinHumanaChoice R5361-002

(Regional PPO)

Humana Insurance

Company

Regional

PPO$137.00 $405.00 Basic No BA R5361 2 $6,700 3.5 Stars

Madison WellCare Value (HMO-POS) WellCareLocal

HMO$0.00 $0.00 Enhanced No EA H1416 9 $3,900 3 Stars

Madison WellCare Rx (HMO) WellCareLocal

HMO$7.70 $405.00 Enhanced No EA H1416 23 $3,400 3 Stars

MadisonWellCare Choice (HMO-

POS)WellCare

Local

HMO$64.00 $0.00 Enhanced No EA H1416 24 $3,400 3 Stars

Madison WellCare Plus (HMO) WellCareLocal

HMO$15.50 $405.00 Enhanced No EA H1416 48 $6,700 3 Stars

Madison Advantra (PPO) Coventry Health Care Local PPO $56.00 $0.00 Enhanced Yes EA H1608 13 $6,000 4 Stars

MadisonAARP MedicareComplete

Choice Plan 1 (PPO)UnitedHealthcare Local PPO $30.00 $150.00 Enhanced No EA H2228 30 $4,400 3.5 Stars

MadisonAARP MedicareComplete

Choice Plan 2 (PPO)UnitedHealthcare Local PPO $70.00 $0.00 Enhanced No EA H2228 48 $2,900 3.5 Stars

Madison Essence Advantage (HMO) Essence HealthcareLocal

HMO$0.00 $0.00 Enhanced No EA H2610 5 $2,500 4.5 Stars

MadisonEssence Advantage Plus

(HMO)Essence Healthcare

Local

HMO$79.00 $0.00 Enhanced Yes EA H2610 6 $2,300 4.5 Stars

MadisonHumana Gold Plus H2649-

023 (HMO)

Humana Health Plan,

Inc.

Local

HMO$0.00 $195.00 Enhanced No EA H2649 23 $3,400 3.5 Stars

Madison Advantra Option 2 (HMO) Coventry Health CareLocal

HMO$86.00 $0.00 Enhanced Yes EA H2663 2 $2,430 4 Stars

Madison Gold Advantage (HMO) Coventry Health CareLocal

HMO$0.00 $0.00 Enhanced Yes EA H2663 5 $2,900 4 Stars

MadisonAdvantra Option 1 (HMO-

POS)Coventry Health Care

Local

HMO$41.00 $0.00 Enhanced Yes EA H2663 6 $5,200 4 Stars

Page 58: 2018 Illinois - Medicare Advantage and Cost Plans...$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars Boone Humana Gold Plus H1468-015 (HMO) Humana Benefit Plan of Illinois, Inc

MadisonAARP MedicareComplete

(HMO)UnitedHealthcare

Local

HMO$0.00 $150.00 Enhanced No EA H2802 28 $2,900 4 Stars

MadisonHumanaChoice H5216-032

(PPO)

Humana Insurance

CompanyLocal PPO $83.00 $195.00 Enhanced No EA H5216 32 $6,700 4 Stars

MadisonHumanaChoice H5216-033

(PPO)

Humana Insurance

CompanyLocal PPO $0.00 $195.00 Enhanced No EA H5216 33 $4,500 4 Stars

MadisonHumanaChoice H5216-140

(PPO)

Humana Insurance

Company

Local PPO

*$0.00 H5216 140 $4,900 4 Stars

MadisonHumana Gold Choice H8145-

008 (PFFS)

Humana Insurance

CompanyPFFS $177.00 $380.00 Enhanced No EA H8145 8 N/A 3.5 Stars

MadisonHumana Gold Choice H8145-

121 (PFFS)

Humana Insurance

CompanyPFFS * $59.00 H8145 121 N/A 3.5 Stars

MadisonHumanaChoice R5361-001

(Regional PPO)

Humana Insurance

Company

Regional

PPO *$0.00 R5361 1 $6,700 3.5 Stars

MadisonHumanaChoice R5361-002

(Regional PPO)

Humana Insurance

Company

Regional

PPO$137.00 $405.00 Basic No BA R5361 2 $6,700 3.5 Stars

MarionHumanaChoice R5361-001

(Regional PPO)

Humana Insurance

Company

Regional

PPO *$0.00 R5361 1 $6,700 3.5 Stars

MarionHumanaChoice R5361-002

(Regional PPO)

Humana Insurance

Company

Regional

PPO$137.00 $405.00 Basic No BA R5361 2 $6,700 3.5 Stars

MarshallHealth Alliance Medicare

HMO 20 (HMO)

Health Alliance

Medicare

Local

HMO *$85.00 H1463 1 $4,000 4 Stars

MarshallHealth Alliance Medicare

HMO 20 Rx (HMO)

Health Alliance

Medicare

Local

HMO$116.00 $0.00 Enhanced No EA H1463 3 $4,000 4 Stars

MarshallHealth Alliance Medicare

HMO Basic (HMO)

Health Alliance

Medicare

Local

HMO *$0.00 H1463 8 $6,700 4 Stars

MarshallHealth Alliance Medicare

HMO Basic Rx (HMO)

Health Alliance

Medicare

Local

HMO$33.00 $0.00 Enhanced No EA H1463 9 $6,700 4 Stars

MarshallHealth Alliance Medicare

HMO 40 Rx (HMO)

Health Alliance

Medicare

Local

HMO$72.00 $0.00 Enhanced No EA H1463 10 $4,700 4 Stars

Page 59: 2018 Illinois - Medicare Advantage and Cost Plans...$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars Boone Humana Gold Plus H1468-015 (HMO) Humana Benefit Plan of Illinois, Inc

MarshallHealth Alliance Medicare

HMO 40 (HMO)

Health Alliance

Medicare

Local

HMO *$39.00 H1463 11 $4,700 4 Stars

MarshallHealth Alliance Medicare

POS Basic (HMO-POS)

Health Alliance

Medicare

Local

HMO *$23.00 H1463 14 $6,700 4 Stars

MarshallHealth Alliance Medicare

POS Basic Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$52.00 $0.00 Enhanced No EA H1463 15 $6,700 4 Stars

MarshallHealth Alliance Medicare

POS 30 (HMO-POS)

Health Alliance

Medicare

Local

HMO *$59.00 H1463 16 $5,500 4 Stars

MarshallHealth Alliance Medicare

POS 30 Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$96.00 $0.00 Enhanced No EA H1463 17 $5,500 4 Stars

MarshallHealth Alliance Medicare

POS 10 (HMO-POS)

Health Alliance

Medicare

Local

HMO *$124.00 H1463 18 $4,500 4 Stars

MarshallHealth Alliance Medicare

POS 10 Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars

MarshallHumana Gold Plus H1468-

007 (HMO)

Humana Benefit Plan

of Illinois, Inc.

Local

HMO$30.00 $200.00 Enhanced No EA H1468 7 $5,500 4.5 Stars

MarshallAARP MedicareComplete

(HMO)UnitedHealthcare

Local

HMO$39.00 $250.00 Enhanced No EA H5253 46 $3,900 4 Stars

MarshallHumanaChoice H5525-004

(PPO)

Humana Benefit Plan

of Illinois, Inc.Local PPO $103.00 $250.00 Enhanced No EA H5525 4 $6,700 4 Stars

Marshall Advantra (PPO) Coventry Health Care Local PPO $26.00 $0.00 Enhanced Yes EA H7301 2 $5,500 4 Stars

Marshall Advantra Value (PPO) Coventry Health Care Local PPO $0.00 $150.00 Enhanced Yes EA H7301 7 $4,650 4 Stars

MarshallAARP MedicareComplete

Choice (PPO)UnitedHealthcare Local PPO $77.00 $0.00 Enhanced No EA H8768 3 $2,900

Plan too new

to be

measured

MarshallHumanaChoice R5361-001

(Regional PPO)

Humana Insurance

Company

Regional

PPO *$0.00 R5361 1 $6,700 3.5 Stars

MarshallHumanaChoice R5361-002

(Regional PPO)

Humana Insurance

Company

Regional

PPO$137.00 $405.00 Basic No BA R5361 2 $6,700 3.5 Stars

Page 60: 2018 Illinois - Medicare Advantage and Cost Plans...$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars Boone Humana Gold Plus H1468-015 (HMO) Humana Benefit Plan of Illinois, Inc

MasonHealth Alliance Medicare

HMO 20 (HMO)

Health Alliance

Medicare

Local

HMO *$85.00 H1463 1 $4,000 4 Stars

MasonHealth Alliance Medicare

HMO 20 Rx (HMO)

Health Alliance

Medicare

Local

HMO$116.00 $0.00 Enhanced No EA H1463 3 $4,000 4 Stars

MasonHealth Alliance Medicare

HMO Basic (HMO)

Health Alliance

Medicare

Local

HMO *$0.00 H1463 8 $6,700 4 Stars

MasonHealth Alliance Medicare

HMO Basic Rx (HMO)

Health Alliance

Medicare

Local

HMO$33.00 $0.00 Enhanced No EA H1463 9 $6,700 4 Stars

MasonHealth Alliance Medicare

HMO 40 Rx (HMO)

Health Alliance

Medicare

Local

HMO$72.00 $0.00 Enhanced No EA H1463 10 $4,700 4 Stars

MasonHealth Alliance Medicare

HMO 40 (HMO)

Health Alliance

Medicare

Local

HMO *$39.00 H1463 11 $4,700 4 Stars

MasonHealth Alliance Medicare

POS Basic (HMO-POS)

Health Alliance

Medicare

Local

HMO *$23.00 H1463 14 $6,700 4 Stars

MasonHealth Alliance Medicare

POS Basic Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$52.00 $0.00 Enhanced No EA H1463 15 $6,700 4 Stars

MasonHealth Alliance Medicare

POS 30 (HMO-POS)

Health Alliance

Medicare

Local

HMO *$59.00 H1463 16 $5,500 4 Stars

MasonHealth Alliance Medicare

POS 30 Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$96.00 $0.00 Enhanced No EA H1463 17 $5,500 4 Stars

MasonHealth Alliance Medicare

POS 10 (HMO-POS)

Health Alliance

Medicare

Local

HMO *$124.00 H1463 18 $4,500 4 Stars

MasonHealth Alliance Medicare

POS 10 Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars

Mason Advantra (PPO) Coventry Health Care Local PPO $26.00 $0.00 Enhanced Yes EA H7301 2 $5,500 4 Stars

Mason Advantra Value (PPO) Coventry Health Care Local PPO $0.00 $150.00 Enhanced Yes EA H7301 7 $4,650 4 Stars

Page 61: 2018 Illinois - Medicare Advantage and Cost Plans...$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars Boone Humana Gold Plus H1468-015 (HMO) Humana Benefit Plan of Illinois, Inc

MasonHumana Gold Choice H8145-

008 (PFFS)

Humana Insurance

CompanyPFFS $177.00 $380.00 Enhanced No EA H8145 8 N/A 3.5 Stars

MasonHumana Gold Choice H8145-

121 (PFFS)

Humana Insurance

CompanyPFFS * $59.00 H8145 121 N/A 3.5 Stars

MasonHumanaChoice R5361-001

(Regional PPO)

Humana Insurance

Company

Regional

PPO *$0.00 R5361 1 $6,700 3.5 Stars

MasonHumanaChoice R5361-002

(Regional PPO)

Humana Insurance

Company

Regional

PPO$137.00 $405.00 Basic No BA R5361 2 $6,700 3.5 Stars

MassacHumanaChoice R5361-001

(Regional PPO)

Humana Insurance

Company

Regional

PPO *$0.00 R5361 1 $6,700 3.5 Stars

MassacHumanaChoice R5361-002

(Regional PPO)

Humana Insurance

Company

Regional

PPO$137.00 $405.00 Basic No BA R5361 2 $6,700 3.5 Stars

McDonoughHealth Alliance Medicare

HMO 20 (HMO)

Health Alliance

Medicare

Local

HMO *$85.00 H1463 1 $4,000 4 Stars

McDonoughHealth Alliance Medicare

HMO 20 Rx (HMO)

Health Alliance

Medicare

Local

HMO$116.00 $0.00 Enhanced No EA H1463 3 $4,000 4 Stars

McDonoughHealth Alliance Medicare

HMO Basic (HMO)

Health Alliance

Medicare

Local

HMO *$0.00 H1463 8 $6,700 4 Stars

McDonoughHealth Alliance Medicare

HMO Basic Rx (HMO)

Health Alliance

Medicare

Local

HMO$33.00 $0.00 Enhanced No EA H1463 9 $6,700 4 Stars

McDonoughHealth Alliance Medicare

HMO 40 Rx (HMO)

Health Alliance

Medicare

Local

HMO$72.00 $0.00 Enhanced No EA H1463 10 $4,700 4 Stars

McDonoughHealth Alliance Medicare

HMO 40 (HMO)

Health Alliance

Medicare

Local

HMO *$39.00 H1463 11 $4,700 4 Stars

McDonoughHealth Alliance Medicare

POS Basic (HMO-POS)

Health Alliance

Medicare

Local

HMO *$23.00 H1463 14 $6,700 4 Stars

McDonoughHealth Alliance Medicare

POS Basic Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$52.00 $0.00 Enhanced No EA H1463 15 $6,700 4 Stars

Page 62: 2018 Illinois - Medicare Advantage and Cost Plans...$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars Boone Humana Gold Plus H1468-015 (HMO) Humana Benefit Plan of Illinois, Inc

McDonoughHealth Alliance Medicare

POS 30 (HMO-POS)

Health Alliance

Medicare

Local

HMO *$59.00 H1463 16 $5,500 4 Stars

McDonoughHealth Alliance Medicare

POS 30 Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$96.00 $0.00 Enhanced No EA H1463 17 $5,500 4 Stars

McDonoughHealth Alliance Medicare

POS 10 (HMO-POS)

Health Alliance

Medicare

Local

HMO *$124.00 H1463 18 $4,500 4 Stars

McDonoughHealth Alliance Medicare

POS 10 Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars

McDonoughHumanaChoice H5525-004

(PPO)

Humana Benefit Plan

of Illinois, Inc.Local PPO $103.00 $250.00 Enhanced No EA H5525 4 $6,700 4 Stars

McDonoughHumanaChoice R5361-001

(Regional PPO)

Humana Insurance

Company

Regional

PPO *$0.00 R5361 1 $6,700 3.5 Stars

McDonoughHumanaChoice R5361-002

(Regional PPO)

Humana Insurance

Company

Regional

PPO$137.00 $405.00 Basic No BA R5361 2 $6,700 3.5 Stars

McHenryHumana Gold Plus H1468-

014 (HMO)

Humana Benefit Plan

of Illinois, Inc.

Local

HMO$19.00 $0.00 Enhanced No EA H1468 14 $6,700 4.5 Stars

McHenryAARP MedicareComplete

Access (HMO)UnitedHealthcare

Local

HMO$0.00 $0.00 Enhanced No EA H2802 24 $3,400 4 Stars

McHenryAARP MedicareComplete

Plan 1 (HMO)UnitedHealthcare

Local

HMO$27.00 $230.00 Enhanced No EA H2802 25 $3,950 4 Stars

McHenryAARP MedicareComplete

Plan 2 (HMO)UnitedHealthcare

Local

HMO$77.00 $0.00 Enhanced No EA H2802 26 $2,900 4 Stars

McHenryCommunity Advantage

(HMO)

Community Care

Alliance of Illinois, NFP

Local

HMO$0.00 $0.00 Enhanced No EA H3071 2 $3,950 2.5 Stars

McHenryCommunity Flex-Plan (HMO-

POS)

Community Care

Alliance of Illinois, NFP

Local

HMO$27.50 $405.00 Basic No DS H3071 3 $3,950 2.5 Stars

McHenryAetna Medicare Value Plan

(HMO)Aetna Medicare

Local

HMO$0.00 $0.00 Enhanced Yes EA H3931 106 $3,400 3.5 Stars

McHenry Spartan Plan IL (HMO)Sunrise Advantage

Plan

Local

HMO$69.00 $0.00 Enhanced No EA H4778 3 $3,400

Plan too new

to be

measured

Page 63: 2018 Illinois - Medicare Advantage and Cost Plans...$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars Boone Humana Gold Plus H1468-015 (HMO) Humana Benefit Plan of Illinois, Inc

McHenryHumanaChoice H5216-012

(PPO)

Humana Insurance

Company

Local PPO

*$0.00 H5216 12 $6,700 4 Stars

McHenryHumanaChoice H5216-013

(PPO)

Humana Insurance

CompanyLocal PPO $87.00 $0.00 Enhanced No EA H5216 13 $6,700 4 Stars

McHenryAetna Medicare Standard

Plan (PPO)Aetna Medicare Local PPO $72.00 $0.00 Enhanced Yes EA H5521 16 $3,400 4 Stars

McHenryAetna Medicare Value Plan

(PPO)Aetna Medicare Local PPO $0.00 $0.00 Enhanced Yes EA H5521 86 $3,900 4 Stars

McHenry MeridianCare Elite (HMO) MeridianCareLocal

HMO$47.00 $0.00 Enhanced No EA H5779 3 $3,400

Not enough

data available

McHenryMeridianCare Essential

(HMO)MeridianCare

Local

HMO$0.00 $0.00 Enhanced No EA H5779 5 $3,750

Not enough

data available

McHenry MeridianCare Edge (HMO) MeridianCareLocal

HMO$27.50 $405.00 Enhanced No EA H5779 6 $6,700

Not enough

data available

McHenryHumana Gold Choice H8145-

008 (PFFS)

Humana Insurance

CompanyPFFS $177.00 $380.00 Enhanced No EA H8145 8 N/A 3.5 Stars

McHenryHumanaChoice R5361-001

(Regional PPO)

Humana Insurance

Company

Regional

PPO *$0.00 R5361 1 $6,700 3.5 Stars

McHenryHumanaChoice R5361-002

(Regional PPO)

Humana Insurance

Company

Regional

PPO$137.00 $405.00 Basic No BA R5361 2 $6,700 3.5 Stars

McLeanHealth Alliance Medicare

HMO 20 (HMO)

Health Alliance

Medicare

Local

HMO *$85.00 H1463 1 $4,000 4 Stars

McLeanHealth Alliance Medicare

HMO 20 Rx (HMO)

Health Alliance

Medicare

Local

HMO$116.00 $0.00 Enhanced No EA H1463 3 $4,000 4 Stars

McLeanHealth Alliance Medicare

HMO Basic (HMO)

Health Alliance

Medicare

Local

HMO *$0.00 H1463 8 $6,700 4 Stars

McLeanHealth Alliance Medicare

HMO Basic Rx (HMO)

Health Alliance

Medicare

Local

HMO$33.00 $0.00 Enhanced No EA H1463 9 $6,700 4 Stars

McLeanHealth Alliance Medicare

HMO 40 Rx (HMO)

Health Alliance

Medicare

Local

HMO$72.00 $0.00 Enhanced No EA H1463 10 $4,700 4 Stars

Page 64: 2018 Illinois - Medicare Advantage and Cost Plans...$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars Boone Humana Gold Plus H1468-015 (HMO) Humana Benefit Plan of Illinois, Inc

McLeanHealth Alliance Medicare

HMO 40 (HMO)

Health Alliance

Medicare

Local

HMO *$39.00 H1463 11 $4,700 4 Stars

McLeanHealth Alliance Medicare

POS Basic (HMO-POS)

Health Alliance

Medicare

Local

HMO *$23.00 H1463 14 $6,700 4 Stars

McLeanHealth Alliance Medicare

POS Basic Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$52.00 $0.00 Enhanced No EA H1463 15 $6,700 4 Stars

McLeanHealth Alliance Medicare

POS 30 (HMO-POS)

Health Alliance

Medicare

Local

HMO *$59.00 H1463 16 $5,500 4 Stars

McLeanHealth Alliance Medicare

POS 30 Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$96.00 $0.00 Enhanced No EA H1463 17 $5,500 4 Stars

McLeanHealth Alliance Medicare

POS 10 (HMO-POS)

Health Alliance

Medicare

Local

HMO *$124.00 H1463 18 $4,500 4 Stars

McLeanHealth Alliance Medicare

POS 10 Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars

McLeanHumana Gold Plus H1468-

007 (HMO)

Humana Benefit Plan

of Illinois, Inc.

Local

HMO$30.00 $200.00 Enhanced No EA H1468 7 $5,500 4.5 Stars

McLeanAARP MedicareComplete

Access (HMO)UnitedHealthcare

Local

HMO$0.00 $0.00 Enhanced No EA H2802 23 $3,400 4 Stars

McLeanHumanaChoice H5525-004

(PPO)

Humana Benefit Plan

of Illinois, Inc.Local PPO $103.00 $250.00 Enhanced No EA H5525 4 $6,700 4 Stars

McLean Advantra (PPO) Coventry Health Care Local PPO $26.00 $0.00 Enhanced Yes EA H7301 2 $5,500 4 Stars

McLean Advantra Value (PPO) Coventry Health Care Local PPO $0.00 $150.00 Enhanced Yes EA H7301 7 $4,650 4 Stars

McLeanHumana Gold Choice H8145-

008 (PFFS)

Humana Insurance

CompanyPFFS $177.00 $380.00 Enhanced No EA H8145 8 N/A 3.5 Stars

McLeanHumanaChoice R5361-001

(Regional PPO)

Humana Insurance

Company

Regional

PPO *$0.00 R5361 1 $6,700 3.5 Stars

McLeanHumanaChoice R5361-002

(Regional PPO)

Humana Insurance

Company

Regional

PPO$137.00 $405.00 Basic No BA R5361 2 $6,700 3.5 Stars

Page 65: 2018 Illinois - Medicare Advantage and Cost Plans...$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars Boone Humana Gold Plus H1468-015 (HMO) Humana Benefit Plan of Illinois, Inc

MenardHealth Alliance Medicare

HMO 20 (HMO)

Health Alliance

Medicare

Local

HMO *$85.00 H1463 1 $4,000 4 Stars

MenardHealth Alliance Medicare

HMO 20 Rx (HMO)

Health Alliance

Medicare

Local

HMO$116.00 $0.00 Enhanced No EA H1463 3 $4,000 4 Stars

MenardHealth Alliance Medicare

HMO Basic (HMO)

Health Alliance

Medicare

Local

HMO *$0.00 H1463 8 $6,700 4 Stars

MenardHealth Alliance Medicare

HMO Basic Rx (HMO)

Health Alliance

Medicare

Local

HMO$33.00 $0.00 Enhanced No EA H1463 9 $6,700 4 Stars

MenardHealth Alliance Medicare

HMO 40 Rx (HMO)

Health Alliance

Medicare

Local

HMO$72.00 $0.00 Enhanced No EA H1463 10 $4,700 4 Stars

MenardHealth Alliance Medicare

HMO 40 (HMO)

Health Alliance

Medicare

Local

HMO *$39.00 H1463 11 $4,700 4 Stars

MenardHealth Alliance Medicare

POS Basic (HMO-POS)

Health Alliance

Medicare

Local

HMO *$23.00 H1463 14 $6,700 4 Stars

MenardHealth Alliance Medicare

POS Basic Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$52.00 $0.00 Enhanced No EA H1463 15 $6,700 4 Stars

MenardHealth Alliance Medicare

POS 30 (HMO-POS)

Health Alliance

Medicare

Local

HMO *$59.00 H1463 16 $5,500 4 Stars

MenardHealth Alliance Medicare

POS 30 Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$96.00 $0.00 Enhanced No EA H1463 17 $5,500 4 Stars

MenardHealth Alliance Medicare

POS 10 (HMO-POS)

Health Alliance

Medicare

Local

HMO *$124.00 H1463 18 $4,500 4 Stars

MenardHealth Alliance Medicare

POS 10 Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars

MenardHumanaChoice H5216-013

(PPO)

Humana Insurance

CompanyLocal PPO $87.00 $0.00 Enhanced No EA H5216 13 $6,700 4 Stars

Menard Advantra (PPO) Coventry Health Care Local PPO $26.00 $0.00 Enhanced Yes EA H7301 2 $5,500 4 Stars

Page 66: 2018 Illinois - Medicare Advantage and Cost Plans...$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars Boone Humana Gold Plus H1468-015 (HMO) Humana Benefit Plan of Illinois, Inc

Menard Advantra Value (PPO) Coventry Health Care Local PPO $0.00 $150.00 Enhanced Yes EA H7301 7 $4,650 4 Stars

MenardHumanaChoice R5361-001

(Regional PPO)

Humana Insurance

Company

Regional

PPO *$0.00 R5361 1 $6,700 3.5 Stars

MenardHumanaChoice R5361-002

(Regional PPO)

Humana Insurance

Company

Regional

PPO$137.00 $405.00 Basic No BA R5361 2 $6,700 3.5 Stars

MercerHealth Alliance Medicare

HMO 20 (HMO)

Health Alliance

Medicare

Local

HMO *$85.00 H1463 1 $4,000 4 Stars

MercerHealth Alliance Medicare

HMO 20 Rx (HMO)

Health Alliance

Medicare

Local

HMO$116.00 $0.00 Enhanced No EA H1463 3 $4,000 4 Stars

MercerHealth Alliance Medicare

HMO Basic (HMO)

Health Alliance

Medicare

Local

HMO *$0.00 H1463 8 $6,700 4 Stars

MercerHealth Alliance Medicare

HMO Basic Rx (HMO)

Health Alliance

Medicare

Local

HMO$33.00 $0.00 Enhanced No EA H1463 9 $6,700 4 Stars

MercerHealth Alliance Medicare

HMO 40 Rx (HMO)

Health Alliance

Medicare

Local

HMO$72.00 $0.00 Enhanced No EA H1463 10 $4,700 4 Stars

MercerHealth Alliance Medicare

HMO 40 (HMO)

Health Alliance

Medicare

Local

HMO *$39.00 H1463 11 $4,700 4 Stars

MercerHealth Alliance Medicare

POS Basic (HMO-POS)

Health Alliance

Medicare

Local

HMO *$23.00 H1463 14 $6,700 4 Stars

MercerHealth Alliance Medicare

POS Basic Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$52.00 $0.00 Enhanced No EA H1463 15 $6,700 4 Stars

MercerHealth Alliance Medicare

POS 30 (HMO-POS)

Health Alliance

Medicare

Local

HMO *$59.00 H1463 16 $5,500 4 Stars

MercerHealth Alliance Medicare

POS 30 Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$96.00 $0.00 Enhanced No EA H1463 17 $5,500 4 Stars

MercerHealth Alliance Medicare

POS 10 (HMO-POS)

Health Alliance

Medicare

Local

HMO *$124.00 H1463 18 $4,500 4 Stars

Page 67: 2018 Illinois - Medicare Advantage and Cost Plans...$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars Boone Humana Gold Plus H1468-015 (HMO) Humana Benefit Plan of Illinois, Inc

MercerHealth Alliance Medicare

POS 10 Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars

MercerHumanaChoice H5216-013

(PPO)

Humana Insurance

CompanyLocal PPO $87.00 $0.00 Enhanced No EA H5216 13 $6,700 4 Stars

MercerAARP MedicareComplete

(HMO)UnitedHealthcare

Local

HMO$39.00 $250.00 Enhanced No EA H5253 46 $3,900 4 Stars

MercerMeridianCare Essential

(HMO)MeridianCare

Local

HMO$0.00 $0.00 Enhanced No EA H5779 2 $4,000

Not enough

data available

Mercer MeridianCare Edge (HMO) MeridianCareLocal

HMO$27.50 $405.00 Enhanced No EA H5779 6 $6,700

Not enough

data available

Mercer Advantra (PPO) Coventry Health Care Local PPO $26.00 $0.00 Enhanced Yes EA H7301 2 $5,500 4 Stars

Mercer Advantra Value (PPO) Coventry Health Care Local PPO $0.00 $0.00 Enhanced Yes EA H7301 6 $5,900 4 Stars

MercerAARP MedicareComplete

Choice (PPO)UnitedHealthcare Local PPO $0.00 $0.00 Enhanced No EA H8768 1 $4,900

Plan too new

to be

measured

MercerHumanaChoice R5361-001

(Regional PPO)

Humana Insurance

Company

Regional

PPO *$0.00 R5361 1 $6,700 3.5 Stars

MercerHumanaChoice R5361-002

(Regional PPO)

Humana Insurance

Company

Regional

PPO$137.00 $405.00 Basic No BA R5361 2 $6,700 3.5 Stars

Monroe WellCare Value (HMO-POS) WellCareLocal

HMO$0.00 $0.00 Enhanced No EA H1416 9 $3,900 3 Stars

Monroe WellCare Rx (HMO) WellCareLocal

HMO$7.70 $405.00 Enhanced No EA H1416 23 $3,400 3 Stars

MonroeWellCare Choice (HMO-

POS)WellCare

Local

HMO$64.00 $0.00 Enhanced No EA H1416 24 $3,400 3 Stars

Monroe WellCare Plus (HMO) WellCareLocal

HMO$15.50 $405.00 Enhanced No EA H1416 48 $6,700 3 Stars

Monroe Advantra (PPO) Coventry Health Care Local PPO $56.00 $0.00 Enhanced Yes EA H1608 13 $6,000 4 Stars

MonroeAARP MedicareComplete

Choice Plan 1 (PPO)UnitedHealthcare Local PPO $30.00 $150.00 Enhanced No EA H2228 30 $4,400 3.5 Stars

Page 68: 2018 Illinois - Medicare Advantage and Cost Plans...$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars Boone Humana Gold Plus H1468-015 (HMO) Humana Benefit Plan of Illinois, Inc

MonroeAARP MedicareComplete

Choice Plan 2 (PPO)UnitedHealthcare Local PPO $70.00 $0.00 Enhanced No EA H2228 48 $2,900 3.5 Stars

Monroe Essence Advantage (HMO) Essence HealthcareLocal

HMO$0.00 $0.00 Enhanced No EA H2610 5 $2,500 4.5 Stars

MonroeEssence Advantage Plus

(HMO)Essence Healthcare

Local

HMO$79.00 $0.00 Enhanced Yes EA H2610 6 $2,300 4.5 Stars

Monroe Advantra Option 2 (HMO) Coventry Health CareLocal

HMO$86.00 $0.00 Enhanced Yes EA H2663 2 $2,430 4 Stars

Monroe Gold Advantage (HMO) Coventry Health CareLocal

HMO$0.00 $0.00 Enhanced Yes EA H2663 5 $2,900 4 Stars

MonroeAdvantra Option 1 (HMO-

POS)Coventry Health Care

Local

HMO$41.00 $0.00 Enhanced Yes EA H2663 6 $5,200 4 Stars

MonroeAARP MedicareComplete

(HMO)UnitedHealthcare

Local

HMO$0.00 $150.00 Enhanced No EA H2802 28 $2,900 4 Stars

MonroeHumanaChoice H5216-032

(PPO)

Humana Insurance

CompanyLocal PPO $83.00 $195.00 Enhanced No EA H5216 32 $6,700 4 Stars

MonroeHumanaChoice H5216-033

(PPO)

Humana Insurance

CompanyLocal PPO $0.00 $195.00 Enhanced No EA H5216 33 $4,500 4 Stars

MonroeHumanaChoice H5216-140

(PPO)

Humana Insurance

Company

Local PPO

*$0.00 H5216 140 $4,900 4 Stars

MonroeHumanaChoice R5361-001

(Regional PPO)

Humana Insurance

Company

Regional

PPO *$0.00 R5361 1 $6,700 3.5 Stars

MonroeHumanaChoice R5361-002

(Regional PPO)

Humana Insurance

Company

Regional

PPO$137.00 $405.00 Basic No BA R5361 2 $6,700 3.5 Stars

MontgomeryHealth Alliance Medicare

HMO 20 (HMO)

Health Alliance

Medicare

Local

HMO *$85.00 H1463 1 $4,000 4 Stars

MontgomeryHealth Alliance Medicare

HMO 20 Rx (HMO)

Health Alliance

Medicare

Local

HMO$116.00 $0.00 Enhanced No EA H1463 3 $4,000 4 Stars

MontgomeryHealth Alliance Medicare

HMO Basic (HMO)

Health Alliance

Medicare

Local

HMO *$0.00 H1463 8 $6,700 4 Stars

MontgomeryHealth Alliance Medicare

HMO Basic Rx (HMO)

Health Alliance

Medicare

Local

HMO$33.00 $0.00 Enhanced No EA H1463 9 $6,700 4 Stars

Page 69: 2018 Illinois - Medicare Advantage and Cost Plans...$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars Boone Humana Gold Plus H1468-015 (HMO) Humana Benefit Plan of Illinois, Inc

MontgomeryHealth Alliance Medicare

HMO 40 Rx (HMO)

Health Alliance

Medicare

Local

HMO$72.00 $0.00 Enhanced No EA H1463 10 $4,700 4 Stars

MontgomeryHealth Alliance Medicare

HMO 40 (HMO)

Health Alliance

Medicare

Local

HMO *$39.00 H1463 11 $4,700 4 Stars

MontgomeryHealth Alliance Medicare

POS Basic (HMO-POS)

Health Alliance

Medicare

Local

HMO *$23.00 H1463 14 $6,700 4 Stars

MontgomeryHealth Alliance Medicare

POS Basic Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$52.00 $0.00 Enhanced No EA H1463 15 $6,700 4 Stars

MontgomeryHealth Alliance Medicare

POS 30 (HMO-POS)

Health Alliance

Medicare

Local

HMO *$59.00 H1463 16 $5,500 4 Stars

MontgomeryHealth Alliance Medicare

POS 30 Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$96.00 $0.00 Enhanced No EA H1463 17 $5,500 4 Stars

MontgomeryHealth Alliance Medicare

POS 10 (HMO-POS)

Health Alliance

Medicare

Local

HMO *$124.00 H1463 18 $4,500 4 Stars

MontgomeryHealth Alliance Medicare

POS 10 Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars

Montgomery Advantra (PPO) Coventry Health Care Local PPO $26.00 $0.00 Enhanced Yes EA H7301 2 $5,500 4 Stars

Montgomery Advantra Value (PPO) Coventry Health Care Local PPO $0.00 $150.00 Enhanced Yes EA H7301 7 $4,650 4 Stars

MontgomeryHumana Gold Choice H8145-

008 (PFFS)

Humana Insurance

CompanyPFFS $177.00 $380.00 Enhanced No EA H8145 8 N/A 3.5 Stars

MontgomeryHumana Gold Choice H8145-

121 (PFFS)

Humana Insurance

CompanyPFFS * $59.00 H8145 121 N/A 3.5 Stars

MontgomeryHumanaChoice R5361-001

(Regional PPO)

Humana Insurance

Company

Regional

PPO *$0.00 R5361 1 $6,700 3.5 Stars

MontgomeryHumanaChoice R5361-002

(Regional PPO)

Humana Insurance

Company

Regional

PPO$137.00 $405.00 Basic No BA R5361 2 $6,700 3.5 Stars

MorganHealth Alliance Medicare

HMO 20 (HMO)

Health Alliance

Medicare

Local

HMO *$85.00 H1463 1 $4,000 4 Stars

Page 70: 2018 Illinois - Medicare Advantage and Cost Plans...$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars Boone Humana Gold Plus H1468-015 (HMO) Humana Benefit Plan of Illinois, Inc

MorganHealth Alliance Medicare

HMO 20 Rx (HMO)

Health Alliance

Medicare

Local

HMO$116.00 $0.00 Enhanced No EA H1463 3 $4,000 4 Stars

MorganHealth Alliance Medicare

HMO Basic (HMO)

Health Alliance

Medicare

Local

HMO *$0.00 H1463 8 $6,700 4 Stars

MorganHealth Alliance Medicare

HMO Basic Rx (HMO)

Health Alliance

Medicare

Local

HMO$33.00 $0.00 Enhanced No EA H1463 9 $6,700 4 Stars

MorganHealth Alliance Medicare

HMO 40 Rx (HMO)

Health Alliance

Medicare

Local

HMO$72.00 $0.00 Enhanced No EA H1463 10 $4,700 4 Stars

MorganHealth Alliance Medicare

HMO 40 (HMO)

Health Alliance

Medicare

Local

HMO *$39.00 H1463 11 $4,700 4 Stars

MorganHealth Alliance Medicare

POS Basic (HMO-POS)

Health Alliance

Medicare

Local

HMO *$23.00 H1463 14 $6,700 4 Stars

MorganHealth Alliance Medicare

POS Basic Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$52.00 $0.00 Enhanced No EA H1463 15 $6,700 4 Stars

MorganHealth Alliance Medicare

POS 30 (HMO-POS)

Health Alliance

Medicare

Local

HMO *$59.00 H1463 16 $5,500 4 Stars

MorganHealth Alliance Medicare

POS 30 Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$96.00 $0.00 Enhanced No EA H1463 17 $5,500 4 Stars

MorganHealth Alliance Medicare

POS 10 (HMO-POS)

Health Alliance

Medicare

Local

HMO *$124.00 H1463 18 $4,500 4 Stars

MorganHealth Alliance Medicare

POS 10 Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars

MorganHumanaChoice H5216-013

(PPO)

Humana Insurance

CompanyLocal PPO $87.00 $0.00 Enhanced No EA H5216 13 $6,700 4 Stars

Morgan Advantra (PPO) Coventry Health Care Local PPO $26.00 $0.00 Enhanced Yes EA H7301 2 $5,500 4 Stars

Morgan Advantra Value (PPO) Coventry Health Care Local PPO $0.00 $150.00 Enhanced Yes EA H7301 7 $4,650 4 Stars

Page 71: 2018 Illinois - Medicare Advantage and Cost Plans...$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars Boone Humana Gold Plus H1468-015 (HMO) Humana Benefit Plan of Illinois, Inc

MorganHumanaChoice R5361-001

(Regional PPO)

Humana Insurance

Company

Regional

PPO *$0.00 R5361 1 $6,700 3.5 Stars

MorganHumanaChoice R5361-002

(Regional PPO)

Humana Insurance

Company

Regional

PPO$137.00 $405.00 Basic No BA R5361 2 $6,700 3.5 Stars

MoultrieHealth Alliance Medicare

HMO 20 (HMO)

Health Alliance

Medicare

Local

HMO *$85.00 H1463 1 $4,000 4 Stars

MoultrieHealth Alliance Medicare

HMO 20 Rx (HMO)

Health Alliance

Medicare

Local

HMO$116.00 $0.00 Enhanced No EA H1463 3 $4,000 4 Stars

MoultrieHealth Alliance Medicare

HMO Basic (HMO)

Health Alliance

Medicare

Local

HMO *$0.00 H1463 8 $6,700 4 Stars

MoultrieHealth Alliance Medicare

HMO Basic Rx (HMO)

Health Alliance

Medicare

Local

HMO$33.00 $0.00 Enhanced No EA H1463 9 $6,700 4 Stars

MoultrieHealth Alliance Medicare

HMO 40 Rx (HMO)

Health Alliance

Medicare

Local

HMO$72.00 $0.00 Enhanced No EA H1463 10 $4,700 4 Stars

MoultrieHealth Alliance Medicare

HMO 40 (HMO)

Health Alliance

Medicare

Local

HMO *$39.00 H1463 11 $4,700 4 Stars

MoultrieHealth Alliance Medicare

POS Basic (HMO-POS)

Health Alliance

Medicare

Local

HMO *$23.00 H1463 14 $6,700 4 Stars

MoultrieHealth Alliance Medicare

POS Basic Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$52.00 $0.00 Enhanced No EA H1463 15 $6,700 4 Stars

MoultrieHealth Alliance Medicare

POS 30 (HMO-POS)

Health Alliance

Medicare

Local

HMO *$59.00 H1463 16 $5,500 4 Stars

MoultrieHealth Alliance Medicare

POS 30 Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$96.00 $0.00 Enhanced No EA H1463 17 $5,500 4 Stars

MoultrieHealth Alliance Medicare

POS 10 (HMO-POS)

Health Alliance

Medicare

Local

HMO *$124.00 H1463 18 $4,500 4 Stars

Page 72: 2018 Illinois - Medicare Advantage and Cost Plans...$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars Boone Humana Gold Plus H1468-015 (HMO) Humana Benefit Plan of Illinois, Inc

MoultrieHealth Alliance Medicare

POS 10 Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars

MoultrieHumanaChoice H5216-013

(PPO)

Humana Insurance

CompanyLocal PPO $87.00 $0.00 Enhanced No EA H5216 13 $6,700 4 Stars

Moultrie Advantra (PPO) Coventry Health Care Local PPO $26.00 $0.00 Enhanced Yes EA H7301 2 $5,500 4 Stars

Moultrie Advantra Value (PPO) Coventry Health Care Local PPO $0.00 $150.00 Enhanced Yes EA H7301 7 $4,650 4 Stars

MoultrieHumana Gold Choice H8145-

008 (PFFS)

Humana Insurance

CompanyPFFS $177.00 $380.00 Enhanced No EA H8145 8 N/A 3.5 Stars

MoultrieHumana Gold Choice H8145-

121 (PFFS)

Humana Insurance

CompanyPFFS * $59.00 H8145 121 N/A 3.5 Stars

MoultrieHumanaChoice R5361-001

(Regional PPO)

Humana Insurance

Company

Regional

PPO *$0.00 R5361 1 $6,700 3.5 Stars

MoultrieHumanaChoice R5361-002

(Regional PPO)

Humana Insurance

Company

Regional

PPO$137.00 $405.00 Basic No BA R5361 2 $6,700 3.5 Stars

OgleCommunity Advantage

(HMO)

Community Care

Alliance of Illinois, NFP

Local

HMO$0.00 $0.00 Enhanced No EA H3071 2 $3,950 2.5 Stars

OgleCommunity Flex-Plan (HMO-

POS)

Community Care

Alliance of Illinois, NFP

Local

HMO$27.50 $405.00 Basic No DS H3071 3 $3,950 2.5 Stars

OgleAARP MedicareComplete

(HMO)UnitedHealthcare

Local

HMO$39.00 $250.00 Enhanced No EA H5253 46 $3,900 4 Stars

OgleHumanaChoice H5525-004

(PPO)

Humana Benefit Plan

of Illinois, Inc.Local PPO $103.00 $250.00 Enhanced No EA H5525 4 $6,700 4 Stars

Ogle Advantra (PPO) Coventry Health Care Local PPO $26.00 $0.00 Enhanced Yes EA H7301 2 $5,500 4 Stars

Ogle Advantra Value (PPO) Coventry Health Care Local PPO $0.00 $0.00 Enhanced Yes EA H7301 6 $5,900 4 Stars

OgleHumana Gold Choice H8145-

008 (PFFS)

Humana Insurance

CompanyPFFS $177.00 $380.00 Enhanced No EA H8145 8 N/A 3.5 Stars

OgleHumana Gold Choice H8145-

121 (PFFS)

Humana Insurance

CompanyPFFS * $59.00 H8145 121 N/A 3.5 Stars

OgleAARP MedicareComplete

Choice (PPO)UnitedHealthcare Local PPO $77.00 $0.00 Enhanced No EA H8768 3 $2,900

Plan too new

to be

measured

Page 73: 2018 Illinois - Medicare Advantage and Cost Plans...$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars Boone Humana Gold Plus H1468-015 (HMO) Humana Benefit Plan of Illinois, Inc

OgleHumanaChoice R5361-001

(Regional PPO)

Humana Insurance

Company

Regional

PPO *$0.00 R5361 1 $6,700 3.5 Stars

OgleHumanaChoice R5361-002

(Regional PPO)

Humana Insurance

Company

Regional

PPO$137.00 $405.00 Basic No BA R5361 2 $6,700 3.5 Stars

Peoria WellCare Value (HMO-POS) WellCareLocal

HMO$0.00 $0.00 Enhanced No EA H1416 9 $3,900 3 Stars

Peoria WellCare Rx (HMO) WellCareLocal

HMO$7.70 $405.00 Enhanced No EA H1416 23 $3,400 3 Stars

PeoriaWellCare Choice (HMO-

POS)WellCare

Local

HMO$64.00 $0.00 Enhanced No EA H1416 24 $3,400 3 Stars

Peoria WellCare Plus (HMO) WellCareLocal

HMO$15.50 $405.00 Enhanced No EA H1416 48 $6,700 3 Stars

PeoriaHealth Alliance Medicare

HMO 20 (HMO)

Health Alliance

Medicare

Local

HMO *$85.00 H1463 1 $4,000 4 Stars

PeoriaHealth Alliance Medicare

HMO 20 Rx (HMO)

Health Alliance

Medicare

Local

HMO$116.00 $0.00 Enhanced No EA H1463 3 $4,000 4 Stars

PeoriaHealth Alliance Medicare

HMO Basic (HMO)

Health Alliance

Medicare

Local

HMO *$0.00 H1463 8 $6,700 4 Stars

PeoriaHealth Alliance Medicare

HMO Basic Rx (HMO)

Health Alliance

Medicare

Local

HMO$33.00 $0.00 Enhanced No EA H1463 9 $6,700 4 Stars

PeoriaHealth Alliance Medicare

HMO 40 Rx (HMO)

Health Alliance

Medicare

Local

HMO$72.00 $0.00 Enhanced No EA H1463 10 $4,700 4 Stars

PeoriaHealth Alliance Medicare

HMO 40 (HMO)

Health Alliance

Medicare

Local

HMO *$39.00 H1463 11 $4,700 4 Stars

PeoriaHealth Alliance Medicare

POS Basic (HMO-POS)

Health Alliance

Medicare

Local

HMO *$23.00 H1463 14 $6,700 4 Stars

PeoriaHealth Alliance Medicare

POS Basic Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$52.00 $0.00 Enhanced No EA H1463 15 $6,700 4 Stars

PeoriaHealth Alliance Medicare

POS 30 (HMO-POS)

Health Alliance

Medicare

Local

HMO *$59.00 H1463 16 $5,500 4 Stars

Page 74: 2018 Illinois - Medicare Advantage and Cost Plans...$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars Boone Humana Gold Plus H1468-015 (HMO) Humana Benefit Plan of Illinois, Inc

PeoriaHealth Alliance Medicare

POS 30 Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$96.00 $0.00 Enhanced No EA H1463 17 $5,500 4 Stars

PeoriaHealth Alliance Medicare

POS 10 (HMO-POS)

Health Alliance

Medicare

Local

HMO *$124.00 H1463 18 $4,500 4 Stars

PeoriaHealth Alliance Medicare

POS 10 Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars

PeoriaHumana Gold Plus H1468-

007 (HMO)

Humana Benefit Plan

of Illinois, Inc.

Local

HMO$30.00 $200.00 Enhanced No EA H1468 7 $5,500 4.5 Stars

Peoria Coventry Total Care (HMO) Coventry Health CareLocal

HMO$0.00 $0.00 Enhanced Yes EA H2663 17 $3,500 4 Stars

PeoriaHealthPartners UnityPoint

Health Align (PPO)

HealthPartners

UnityPoint HealthLocal PPO $0.00 $100.00 Enhanced No EA H3416 1 $3,950

Plan too new

to be

measured

PeoriaHealthPartners UnityPoint

Health Symmetry (PPO)

HealthPartners

UnityPoint HealthLocal PPO $39.00 $100.00 Enhanced Yes EA H3416 2 $3,500

Plan too new

to be

measured

PeoriaAARP MedicareComplete

(HMO)UnitedHealthcare

Local

HMO$39.00 $250.00 Enhanced No EA H5253 46 $3,900 4 Stars

PeoriaHumanaChoice H5525-004

(PPO)

Humana Benefit Plan

of Illinois, Inc.Local PPO $103.00 $250.00 Enhanced No EA H5525 4 $6,700 4 Stars

PeoriaMeridianCare Essential

(HMO)MeridianCare

Local

HMO$0.00 $0.00 Enhanced No EA H5779 2 $4,000

Not enough

data available

Peoria MeridianCare Edge (HMO) MeridianCareLocal

HMO$27.50 $405.00 Enhanced No EA H5779 6 $6,700

Not enough

data available

Peoria Advantra (PPO) Coventry Health Care Local PPO $26.00 $0.00 Enhanced Yes EA H7301 2 $5,500 4 Stars

Peoria Advantra Value (PPO) Coventry Health Care Local PPO $0.00 $150.00 Enhanced Yes EA H7301 7 $4,650 4 Stars

PeoriaHumana Gold Choice H8145-

008 (PFFS)

Humana Insurance

CompanyPFFS $177.00 $380.00 Enhanced No EA H8145 8 N/A 3.5 Stars

PeoriaAARP MedicareComplete

Choice (PPO)UnitedHealthcare Local PPO $77.00 $0.00 Enhanced No EA H8768 3 $2,900

Plan too new

to be

measured

Page 75: 2018 Illinois - Medicare Advantage and Cost Plans...$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars Boone Humana Gold Plus H1468-015 (HMO) Humana Benefit Plan of Illinois, Inc

PeoriaHumanaChoice R5361-001

(Regional PPO)

Humana Insurance

Company

Regional

PPO *$0.00 R5361 1 $6,700 3.5 Stars

PeoriaHumanaChoice R5361-002

(Regional PPO)

Humana Insurance

Company

Regional

PPO$137.00 $405.00 Basic No BA R5361 2 $6,700 3.5 Stars

PerryHealth Alliance Medicare

HMO 20 (HMO)

Health Alliance

Medicare

Local

HMO *$85.00 H1463 1 $4,000 4 Stars

PerryHealth Alliance Medicare

HMO 20 Rx (HMO)

Health Alliance

Medicare

Local

HMO$116.00 $0.00 Enhanced No EA H1463 3 $4,000 4 Stars

PerryHealth Alliance Medicare

HMO Basic (HMO)

Health Alliance

Medicare

Local

HMO *$0.00 H1463 8 $6,700 4 Stars

PerryHealth Alliance Medicare

HMO Basic Rx (HMO)

Health Alliance

Medicare

Local

HMO$33.00 $0.00 Enhanced No EA H1463 9 $6,700 4 Stars

PerryHealth Alliance Medicare

HMO 40 Rx (HMO)

Health Alliance

Medicare

Local

HMO$72.00 $0.00 Enhanced No EA H1463 10 $4,700 4 Stars

PerryHealth Alliance Medicare

HMO 40 (HMO)

Health Alliance

Medicare

Local

HMO *$39.00 H1463 11 $4,700 4 Stars

PerryHealth Alliance Medicare

POS Basic (HMO-POS)

Health Alliance

Medicare

Local

HMO *$23.00 H1463 14 $6,700 4 Stars

PerryHealth Alliance Medicare

POS Basic Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$52.00 $0.00 Enhanced No EA H1463 15 $6,700 4 Stars

PerryHealth Alliance Medicare

POS 30 (HMO-POS)

Health Alliance

Medicare

Local

HMO *$59.00 H1463 16 $5,500 4 Stars

PerryHealth Alliance Medicare

POS 30 Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$96.00 $0.00 Enhanced No EA H1463 17 $5,500 4 Stars

PerryHealth Alliance Medicare

POS 10 (HMO-POS)

Health Alliance

Medicare

Local

HMO *$124.00 H1463 18 $4,500 4 Stars

Page 76: 2018 Illinois - Medicare Advantage and Cost Plans...$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars Boone Humana Gold Plus H1468-015 (HMO) Humana Benefit Plan of Illinois, Inc

PerryHealth Alliance Medicare

POS 10 Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars

PerryHumanaChoice R5361-001

(Regional PPO)

Humana Insurance

Company

Regional

PPO *$0.00 R5361 1 $6,700 3.5 Stars

PerryHumanaChoice R5361-002

(Regional PPO)

Humana Insurance

Company

Regional

PPO$137.00 $405.00 Basic No BA R5361 2 $6,700 3.5 Stars

PiattHealth Alliance Medicare

HMO 20 (HMO)

Health Alliance

Medicare

Local

HMO *$85.00 H1463 1 $4,000 4 Stars

PiattHealth Alliance Medicare

HMO 20 Rx (HMO)

Health Alliance

Medicare

Local

HMO$116.00 $0.00 Enhanced No EA H1463 3 $4,000 4 Stars

PiattHealth Alliance Medicare

HMO Basic (HMO)

Health Alliance

Medicare

Local

HMO *$0.00 H1463 8 $6,700 4 Stars

PiattHealth Alliance Medicare

HMO Basic Rx (HMO)

Health Alliance

Medicare

Local

HMO$33.00 $0.00 Enhanced No EA H1463 9 $6,700 4 Stars

PiattHealth Alliance Medicare

HMO 40 Rx (HMO)

Health Alliance

Medicare

Local

HMO$72.00 $0.00 Enhanced No EA H1463 10 $4,700 4 Stars

PiattHealth Alliance Medicare

HMO 40 (HMO)

Health Alliance

Medicare

Local

HMO *$39.00 H1463 11 $4,700 4 Stars

PiattHealth Alliance Medicare

POS Basic (HMO-POS)

Health Alliance

Medicare

Local

HMO *$23.00 H1463 14 $6,700 4 Stars

PiattHealth Alliance Medicare

POS Basic Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$52.00 $0.00 Enhanced No EA H1463 15 $6,700 4 Stars

PiattHealth Alliance Medicare

POS 30 (HMO-POS)

Health Alliance

Medicare

Local

HMO *$59.00 H1463 16 $5,500 4 Stars

PiattHealth Alliance Medicare

POS 30 Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$96.00 $0.00 Enhanced No EA H1463 17 $5,500 4 Stars

Page 77: 2018 Illinois - Medicare Advantage and Cost Plans...$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars Boone Humana Gold Plus H1468-015 (HMO) Humana Benefit Plan of Illinois, Inc

PiattHealth Alliance Medicare

POS 10 (HMO-POS)

Health Alliance

Medicare

Local

HMO *$124.00 H1463 18 $4,500 4 Stars

PiattHealth Alliance Medicare

POS 10 Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars

Piatt Advantra (PPO) Coventry Health Care Local PPO $26.00 $0.00 Enhanced Yes EA H7301 2 $5,500 4 Stars

Piatt Advantra Value (PPO) Coventry Health Care Local PPO $0.00 $150.00 Enhanced Yes EA H7301 7 $4,650 4 Stars

PiattHumanaChoice R5361-001

(Regional PPO)

Humana Insurance

Company

Regional

PPO *$0.00 R5361 1 $6,700 3.5 Stars

PiattHumanaChoice R5361-002

(Regional PPO)

Humana Insurance

Company

Regional

PPO$137.00 $405.00 Basic No BA R5361 2 $6,700 3.5 Stars

PikeHealth Alliance Medicare

HMO 20 (HMO)

Health Alliance

Medicare

Local

HMO *$85.00 H1463 1 $4,000 4 Stars

PikeHealth Alliance Medicare

HMO 20 Rx (HMO)

Health Alliance

Medicare

Local

HMO$116.00 $0.00 Enhanced No EA H1463 3 $4,000 4 Stars

PikeHealth Alliance Medicare

HMO Basic (HMO)

Health Alliance

Medicare

Local

HMO *$0.00 H1463 8 $6,700 4 Stars

PikeHealth Alliance Medicare

HMO Basic Rx (HMO)

Health Alliance

Medicare

Local

HMO$33.00 $0.00 Enhanced No EA H1463 9 $6,700 4 Stars

PikeHealth Alliance Medicare

HMO 40 Rx (HMO)

Health Alliance

Medicare

Local

HMO$72.00 $0.00 Enhanced No EA H1463 10 $4,700 4 Stars

PikeHealth Alliance Medicare

HMO 40 (HMO)

Health Alliance

Medicare

Local

HMO *$39.00 H1463 11 $4,700 4 Stars

PikeHealth Alliance Medicare

POS Basic (HMO-POS)

Health Alliance

Medicare

Local

HMO *$23.00 H1463 14 $6,700 4 Stars

PikeHealth Alliance Medicare

POS Basic Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$52.00 $0.00 Enhanced No EA H1463 15 $6,700 4 Stars

Page 78: 2018 Illinois - Medicare Advantage and Cost Plans...$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars Boone Humana Gold Plus H1468-015 (HMO) Humana Benefit Plan of Illinois, Inc

PikeHealth Alliance Medicare

POS 30 (HMO-POS)

Health Alliance

Medicare

Local

HMO *$59.00 H1463 16 $5,500 4 Stars

PikeHealth Alliance Medicare

POS 30 Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$96.00 $0.00 Enhanced No EA H1463 17 $5,500 4 Stars

PikeHealth Alliance Medicare

POS 10 (HMO-POS)

Health Alliance

Medicare

Local

HMO *$124.00 H1463 18 $4,500 4 Stars

PikeHealth Alliance Medicare

POS 10 Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars

PikeHumanaChoice H5216-013

(PPO)

Humana Insurance

CompanyLocal PPO $87.00 $0.00 Enhanced No EA H5216 13 $6,700 4 Stars

Pike Advantra (PPO) Coventry Health Care Local PPO $26.00 $0.00 Enhanced Yes EA H7301 2 $5,500 4 Stars

Pike Advantra Value (PPO) Coventry Health Care Local PPO $0.00 $150.00 Enhanced Yes EA H7301 7 $4,650 4 Stars

PikeHumana Gold Choice H8145-

008 (PFFS)

Humana Insurance

CompanyPFFS $177.00 $380.00 Enhanced No EA H8145 8 N/A 3.5 Stars

PikeHumana Gold Choice H8145-

121 (PFFS)

Humana Insurance

CompanyPFFS * $59.00 H8145 121 N/A 3.5 Stars

PikeHumanaChoice R5361-001

(Regional PPO)

Humana Insurance

Company

Regional

PPO *$0.00 R5361 1 $6,700 3.5 Stars

PikeHumanaChoice R5361-002

(Regional PPO)

Humana Insurance

Company

Regional

PPO$137.00 $405.00 Basic No BA R5361 2 $6,700 3.5 Stars

PopeHumana Gold Choice H8145-

008 (PFFS)

Humana Insurance

CompanyPFFS $177.00 $380.00 Enhanced No EA H8145 8 N/A 3.5 Stars

PopeHumana Gold Choice H8145-

121 (PFFS)

Humana Insurance

CompanyPFFS * $59.00 H8145 121 N/A 3.5 Stars

PopeHumanaChoice R5361-001

(Regional PPO)

Humana Insurance

Company

Regional

PPO *$0.00 R5361 1 $6,700 3.5 Stars

PopeHumanaChoice R5361-002

(Regional PPO)

Humana Insurance

Company

Regional

PPO$137.00 $405.00 Basic No BA R5361 2 $6,700 3.5 Stars

PulaskiHumanaChoice R5361-001

(Regional PPO)

Humana Insurance

Company

Regional

PPO *$0.00 R5361 1 $6,700 3.5 Stars

Page 79: 2018 Illinois - Medicare Advantage and Cost Plans...$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars Boone Humana Gold Plus H1468-015 (HMO) Humana Benefit Plan of Illinois, Inc

PulaskiHumanaChoice R5361-002

(Regional PPO)

Humana Insurance

Company

Regional

PPO$137.00 $405.00 Basic No BA R5361 2 $6,700 3.5 Stars

PutnamHealth Alliance Medicare

HMO 20 (HMO)

Health Alliance

Medicare

Local

HMO *$85.00 H1463 1 $4,000 4 Stars

PutnamHealth Alliance Medicare

HMO 20 Rx (HMO)

Health Alliance

Medicare

Local

HMO$116.00 $0.00 Enhanced No EA H1463 3 $4,000 4 Stars

PutnamHealth Alliance Medicare

HMO Basic (HMO)

Health Alliance

Medicare

Local

HMO *$0.00 H1463 8 $6,700 4 Stars

PutnamHealth Alliance Medicare

HMO Basic Rx (HMO)

Health Alliance

Medicare

Local

HMO$33.00 $0.00 Enhanced No EA H1463 9 $6,700 4 Stars

PutnamHealth Alliance Medicare

HMO 40 Rx (HMO)

Health Alliance

Medicare

Local

HMO$72.00 $0.00 Enhanced No EA H1463 10 $4,700 4 Stars

PutnamHealth Alliance Medicare

HMO 40 (HMO)

Health Alliance

Medicare

Local

HMO *$39.00 H1463 11 $4,700 4 Stars

PutnamHealth Alliance Medicare

POS Basic (HMO-POS)

Health Alliance

Medicare

Local

HMO *$23.00 H1463 14 $6,700 4 Stars

PutnamHealth Alliance Medicare

POS Basic Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$52.00 $0.00 Enhanced No EA H1463 15 $6,700 4 Stars

PutnamHealth Alliance Medicare

POS 30 (HMO-POS)

Health Alliance

Medicare

Local

HMO *$59.00 H1463 16 $5,500 4 Stars

PutnamHealth Alliance Medicare

POS 30 Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$96.00 $0.00 Enhanced No EA H1463 17 $5,500 4 Stars

PutnamHealth Alliance Medicare

POS 10 (HMO-POS)

Health Alliance

Medicare

Local

HMO *$124.00 H1463 18 $4,500 4 Stars

PutnamHealth Alliance Medicare

POS 10 Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars

Page 80: 2018 Illinois - Medicare Advantage and Cost Plans...$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars Boone Humana Gold Plus H1468-015 (HMO) Humana Benefit Plan of Illinois, Inc

PutnamAARP MedicareComplete

(HMO)UnitedHealthcare

Local

HMO$39.00 $250.00 Enhanced No EA H5253 46 $3,900 4 Stars

PutnamHumanaChoice H5525-004

(PPO)

Humana Benefit Plan

of Illinois, Inc.Local PPO $103.00 $250.00 Enhanced No EA H5525 4 $6,700 4 Stars

Putnam Advantra (PPO) Coventry Health Care Local PPO $26.00 $0.00 Enhanced Yes EA H7301 2 $5,500 4 Stars

Putnam Advantra Value (PPO) Coventry Health Care Local PPO $0.00 $150.00 Enhanced Yes EA H7301 7 $4,650 4 Stars

PutnamAARP MedicareComplete

Choice (PPO)UnitedHealthcare Local PPO $77.00 $0.00 Enhanced No EA H8768 3 $2,900

Plan too new

to be

measured

PutnamHumanaChoice R5361-001

(Regional PPO)

Humana Insurance

Company

Regional

PPO *$0.00 R5361 1 $6,700 3.5 Stars

PutnamHumanaChoice R5361-002

(Regional PPO)

Humana Insurance

Company

Regional

PPO$137.00 $405.00 Basic No BA R5361 2 $6,700 3.5 Stars

Randolph Advantra (PPO) Coventry Health Care Local PPO $56.00 $0.00 Enhanced Yes EA H1608 13 $6,000 4 Stars

Randolph Advantra Option 2 (HMO) Coventry Health CareLocal

HMO$86.00 $0.00 Enhanced Yes EA H2663 2 $2,430 4 Stars

RandolphAdvantra Option 1 (HMO-

POS)Coventry Health Care

Local

HMO$41.00 $0.00 Enhanced Yes EA H2663 6 $5,200 4 Stars

RandolphHumanaChoice R5361-001

(Regional PPO)

Humana Insurance

Company

Regional

PPO *$0.00 R5361 1 $6,700 3.5 Stars

RandolphHumanaChoice R5361-002

(Regional PPO)

Humana Insurance

Company

Regional

PPO$137.00 $405.00 Basic No BA R5361 2 $6,700 3.5 Stars

RichlandHealth Alliance Medicare

HMO 20 (HMO)

Health Alliance

Medicare

Local

HMO *$85.00 H1463 1 $4,000 4 Stars

RichlandHealth Alliance Medicare

HMO 20 Rx (HMO)

Health Alliance

Medicare

Local

HMO$116.00 $0.00 Enhanced No EA H1463 3 $4,000 4 Stars

RichlandHealth Alliance Medicare

HMO Basic (HMO)

Health Alliance

Medicare

Local

HMO *$0.00 H1463 8 $6,700 4 Stars

RichlandHealth Alliance Medicare

HMO Basic Rx (HMO)

Health Alliance

Medicare

Local

HMO$33.00 $0.00 Enhanced No EA H1463 9 $6,700 4 Stars

Page 81: 2018 Illinois - Medicare Advantage and Cost Plans...$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars Boone Humana Gold Plus H1468-015 (HMO) Humana Benefit Plan of Illinois, Inc

RichlandHealth Alliance Medicare

HMO 40 Rx (HMO)

Health Alliance

Medicare

Local

HMO$72.00 $0.00 Enhanced No EA H1463 10 $4,700 4 Stars

RichlandHealth Alliance Medicare

HMO 40 (HMO)

Health Alliance

Medicare

Local

HMO *$39.00 H1463 11 $4,700 4 Stars

RichlandHealth Alliance Medicare

POS Basic (HMO-POS)

Health Alliance

Medicare

Local

HMO *$23.00 H1463 14 $6,700 4 Stars

RichlandHealth Alliance Medicare

POS Basic Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$52.00 $0.00 Enhanced No EA H1463 15 $6,700 4 Stars

RichlandHealth Alliance Medicare

POS 30 (HMO-POS)

Health Alliance

Medicare

Local

HMO *$59.00 H1463 16 $5,500 4 Stars

RichlandHealth Alliance Medicare

POS 30 Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$96.00 $0.00 Enhanced No EA H1463 17 $5,500 4 Stars

RichlandHealth Alliance Medicare

POS 10 (HMO-POS)

Health Alliance

Medicare

Local

HMO *$124.00 H1463 18 $4,500 4 Stars

RichlandHealth Alliance Medicare

POS 10 Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars

RichlandHumanaChoice H5216-013

(PPO)

Humana Insurance

CompanyLocal PPO $87.00 $0.00 Enhanced No EA H5216 13 $6,700 4 Stars

RichlandHumana Gold Choice H8145-

008 (PFFS)

Humana Insurance

CompanyPFFS $177.00 $380.00 Enhanced No EA H8145 8 N/A 3.5 Stars

RichlandHumana Gold Choice H8145-

121 (PFFS)

Humana Insurance

CompanyPFFS * $59.00 H8145 121 N/A 3.5 Stars

RichlandHumanaChoice R5361-001

(Regional PPO)

Humana Insurance

Company

Regional

PPO *$0.00 R5361 1 $6,700 3.5 Stars

RichlandHumanaChoice R5361-002

(Regional PPO)

Humana Insurance

Company

Regional

PPO$137.00 $405.00 Basic No BA R5361 2 $6,700 3.5 Stars

Rock IslandHealth Alliance Medicare

HMO 20 (HMO)

Health Alliance

Medicare

Local

HMO *$85.00 H1463 1 $4,000 4 Stars

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Rock IslandHealth Alliance Medicare

HMO 20 Rx (HMO)

Health Alliance

Medicare

Local

HMO$116.00 $0.00 Enhanced No EA H1463 3 $4,000 4 Stars

Rock IslandHealth Alliance Medicare

HMO Basic (HMO)

Health Alliance

Medicare

Local

HMO *$0.00 H1463 8 $6,700 4 Stars

Rock IslandHealth Alliance Medicare

HMO Basic Rx (HMO)

Health Alliance

Medicare

Local

HMO$33.00 $0.00 Enhanced No EA H1463 9 $6,700 4 Stars

Rock IslandHealth Alliance Medicare

HMO 40 Rx (HMO)

Health Alliance

Medicare

Local

HMO$72.00 $0.00 Enhanced No EA H1463 10 $4,700 4 Stars

Rock IslandHealth Alliance Medicare

HMO 40 (HMO)

Health Alliance

Medicare

Local

HMO *$39.00 H1463 11 $4,700 4 Stars

Rock IslandHealth Alliance Medicare

POS Basic (HMO-POS)

Health Alliance

Medicare

Local

HMO *$23.00 H1463 14 $6,700 4 Stars

Rock IslandHealth Alliance Medicare

POS Basic Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$52.00 $0.00 Enhanced No EA H1463 15 $6,700 4 Stars

Rock IslandHealth Alliance Medicare

POS 30 (HMO-POS)

Health Alliance

Medicare

Local

HMO *$59.00 H1463 16 $5,500 4 Stars

Rock IslandHealth Alliance Medicare

POS 30 Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$96.00 $0.00 Enhanced No EA H1463 17 $5,500 4 Stars

Rock IslandHealth Alliance Medicare

POS 10 (HMO-POS)

Health Alliance

Medicare

Local

HMO *$124.00 H1463 18 $4,500 4 Stars

Rock IslandHealth Alliance Medicare

POS 10 Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars

Rock IslandHealthPartners UnityPoint

Health Align (PPO)

HealthPartners

UnityPoint HealthLocal PPO $0.00 $100.00 Enhanced No EA H3416 1 $3,950

Plan too new

to be

measured

Rock IslandHealthPartners UnityPoint

Health Symmetry (PPO)

HealthPartners

UnityPoint HealthLocal PPO $39.00 $100.00 Enhanced Yes EA H3416 2 $3,500

Plan too new

to be

measured

Page 83: 2018 Illinois - Medicare Advantage and Cost Plans...$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars Boone Humana Gold Plus H1468-015 (HMO) Humana Benefit Plan of Illinois, Inc

Rock IslandHumanaChoice H5216-013

(PPO)

Humana Insurance

CompanyLocal PPO $87.00 $0.00 Enhanced No EA H5216 13 $6,700 4 Stars

Rock IslandAARP MedicareComplete

(HMO)UnitedHealthcare

Local

HMO$39.00 $250.00 Enhanced No EA H5253 46 $3,900 4 Stars

Rock IslandMeridianCare Essential

(HMO)MeridianCare

Local

HMO$0.00 $0.00 Enhanced No EA H5779 2 $4,000

Not enough

data available

Rock Island Advantra (PPO) Coventry Health Care Local PPO $26.00 $0.00 Enhanced Yes EA H7301 2 $5,500 4 Stars

Rock Island Advantra Value (PPO) Coventry Health Care Local PPO $0.00 $0.00 Enhanced Yes EA H7301 6 $5,900 4 Stars

Rock IslandHumana Gold Choice H8145-

008 (PFFS)

Humana Insurance

CompanyPFFS $177.00 $380.00 Enhanced No EA H8145 8 N/A 3.5 Stars

Rock IslandHumana Gold Choice H8145-

121 (PFFS)

Humana Insurance

CompanyPFFS * $59.00 H8145 121 N/A 3.5 Stars

Rock IslandAARP MedicareComplete

Choice (PPO)UnitedHealthcare Local PPO $0.00 $0.00 Enhanced No EA H8768 1 $4,900

Plan too new

to be

measured

Rock IslandHumanaChoice R5361-001

(Regional PPO)

Humana Insurance

Company

Regional

PPO *$0.00 R5361 1 $6,700 3.5 Stars

Rock IslandHumanaChoice R5361-002

(Regional PPO)

Humana Insurance

Company

Regional

PPO$137.00 $405.00 Basic No BA R5361 2 $6,700 3.5 Stars

SalineHealth Alliance Medicare

HMO 20 (HMO)

Health Alliance

Medicare

Local

HMO *$85.00 H1463 1 $4,000 4 Stars

SalineHealth Alliance Medicare

HMO 20 Rx (HMO)

Health Alliance

Medicare

Local

HMO$116.00 $0.00 Enhanced No EA H1463 3 $4,000 4 Stars

SalineHealth Alliance Medicare

HMO Basic (HMO)

Health Alliance

Medicare

Local

HMO *$0.00 H1463 8 $6,700 4 Stars

SalineHealth Alliance Medicare

HMO Basic Rx (HMO)

Health Alliance

Medicare

Local

HMO$33.00 $0.00 Enhanced No EA H1463 9 $6,700 4 Stars

SalineHealth Alliance Medicare

HMO 40 Rx (HMO)

Health Alliance

Medicare

Local

HMO$72.00 $0.00 Enhanced No EA H1463 10 $4,700 4 Stars

Page 84: 2018 Illinois - Medicare Advantage and Cost Plans...$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars Boone Humana Gold Plus H1468-015 (HMO) Humana Benefit Plan of Illinois, Inc

SalineHealth Alliance Medicare

HMO 40 (HMO)

Health Alliance

Medicare

Local

HMO *$39.00 H1463 11 $4,700 4 Stars

SalineHealth Alliance Medicare

POS Basic (HMO-POS)

Health Alliance

Medicare

Local

HMO *$23.00 H1463 14 $6,700 4 Stars

SalineHealth Alliance Medicare

POS Basic Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$52.00 $0.00 Enhanced No EA H1463 15 $6,700 4 Stars

SalineHealth Alliance Medicare

POS 30 (HMO-POS)

Health Alliance

Medicare

Local

HMO *$59.00 H1463 16 $5,500 4 Stars

SalineHealth Alliance Medicare

POS 30 Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$96.00 $0.00 Enhanced No EA H1463 17 $5,500 4 Stars

SalineHealth Alliance Medicare

POS 10 (HMO-POS)

Health Alliance

Medicare

Local

HMO *$124.00 H1463 18 $4,500 4 Stars

SalineHealth Alliance Medicare

POS 10 Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars

SalineHumanaChoice R5361-001

(Regional PPO)

Humana Insurance

Company

Regional

PPO *$0.00 R5361 1 $6,700 3.5 Stars

SalineHumanaChoice R5361-002

(Regional PPO)

Humana Insurance

Company

Regional

PPO$137.00 $405.00 Basic No BA R5361 2 $6,700 3.5 Stars

SangamonHealth Alliance Medicare

HMO 20 (HMO)

Health Alliance

Medicare

Local

HMO *$85.00 H1463 1 $4,000 4 Stars

SangamonHealth Alliance Medicare

HMO 20 Rx (HMO)

Health Alliance

Medicare

Local

HMO$116.00 $0.00 Enhanced No EA H1463 3 $4,000 4 Stars

SangamonHealth Alliance Medicare

HMO Basic (HMO)

Health Alliance

Medicare

Local

HMO *$0.00 H1463 8 $6,700 4 Stars

SangamonHealth Alliance Medicare

HMO Basic Rx (HMO)

Health Alliance

Medicare

Local

HMO$33.00 $0.00 Enhanced No EA H1463 9 $6,700 4 Stars

Page 85: 2018 Illinois - Medicare Advantage and Cost Plans...$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars Boone Humana Gold Plus H1468-015 (HMO) Humana Benefit Plan of Illinois, Inc

SangamonHealth Alliance Medicare

HMO 40 Rx (HMO)

Health Alliance

Medicare

Local

HMO$72.00 $0.00 Enhanced No EA H1463 10 $4,700 4 Stars

SangamonHealth Alliance Medicare

HMO 40 (HMO)

Health Alliance

Medicare

Local

HMO *$39.00 H1463 11 $4,700 4 Stars

SangamonHealth Alliance Medicare

POS Basic (HMO-POS)

Health Alliance

Medicare

Local

HMO *$23.00 H1463 14 $6,700 4 Stars

SangamonHealth Alliance Medicare

POS Basic Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$52.00 $0.00 Enhanced No EA H1463 15 $6,700 4 Stars

SangamonHealth Alliance Medicare

POS 30 (HMO-POS)

Health Alliance

Medicare

Local

HMO *$59.00 H1463 16 $5,500 4 Stars

SangamonHealth Alliance Medicare

POS 30 Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$96.00 $0.00 Enhanced No EA H1463 17 $5,500 4 Stars

SangamonHealth Alliance Medicare

POS 10 (HMO-POS)

Health Alliance

Medicare

Local

HMO *$124.00 H1463 18 $4,500 4 Stars

SangamonHealth Alliance Medicare

POS 10 Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars

SangamonHumanaChoice H5216-013

(PPO)

Humana Insurance

CompanyLocal PPO $87.00 $0.00 Enhanced No EA H5216 13 $6,700 4 Stars

Sangamon Advantra (PPO) Coventry Health Care Local PPO $26.00 $0.00 Enhanced Yes EA H7301 2 $5,500 4 Stars

Sangamon Advantra Value (PPO) Coventry Health Care Local PPO $0.00 $150.00 Enhanced Yes EA H7301 7 $4,650 4 Stars

SangamonHumana Gold Choice H8145-

008 (PFFS)

Humana Insurance

CompanyPFFS $177.00 $380.00 Enhanced No EA H8145 8 N/A 3.5 Stars

SangamonHumana Gold Choice H8145-

121 (PFFS)

Humana Insurance

CompanyPFFS * $59.00 H8145 121 N/A 3.5 Stars

SangamonHumanaChoice R5361-001

(Regional PPO)

Humana Insurance

Company

Regional

PPO *$0.00 R5361 1 $6,700 3.5 Stars

SangamonHumanaChoice R5361-002

(Regional PPO)

Humana Insurance

Company

Regional

PPO$137.00 $405.00 Basic No BA R5361 2 $6,700 3.5 Stars

Page 86: 2018 Illinois - Medicare Advantage and Cost Plans...$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars Boone Humana Gold Plus H1468-015 (HMO) Humana Benefit Plan of Illinois, Inc

SchuylerHealth Alliance Medicare

HMO 20 (HMO)

Health Alliance

Medicare

Local

HMO *$85.00 H1463 1 $4,000 4 Stars

SchuylerHealth Alliance Medicare

HMO 20 Rx (HMO)

Health Alliance

Medicare

Local

HMO$116.00 $0.00 Enhanced No EA H1463 3 $4,000 4 Stars

SchuylerHealth Alliance Medicare

HMO Basic (HMO)

Health Alliance

Medicare

Local

HMO *$0.00 H1463 8 $6,700 4 Stars

SchuylerHealth Alliance Medicare

HMO Basic Rx (HMO)

Health Alliance

Medicare

Local

HMO$33.00 $0.00 Enhanced No EA H1463 9 $6,700 4 Stars

SchuylerHealth Alliance Medicare

HMO 40 Rx (HMO)

Health Alliance

Medicare

Local

HMO$72.00 $0.00 Enhanced No EA H1463 10 $4,700 4 Stars

SchuylerHealth Alliance Medicare

HMO 40 (HMO)

Health Alliance

Medicare

Local

HMO *$39.00 H1463 11 $4,700 4 Stars

SchuylerHealth Alliance Medicare

POS Basic (HMO-POS)

Health Alliance

Medicare

Local

HMO *$23.00 H1463 14 $6,700 4 Stars

SchuylerHealth Alliance Medicare

POS Basic Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$52.00 $0.00 Enhanced No EA H1463 15 $6,700 4 Stars

SchuylerHealth Alliance Medicare

POS 30 (HMO-POS)

Health Alliance

Medicare

Local

HMO *$59.00 H1463 16 $5,500 4 Stars

SchuylerHealth Alliance Medicare

POS 30 Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$96.00 $0.00 Enhanced No EA H1463 17 $5,500 4 Stars

SchuylerHealth Alliance Medicare

POS 10 (HMO-POS)

Health Alliance

Medicare

Local

HMO *$124.00 H1463 18 $4,500 4 Stars

SchuylerHealth Alliance Medicare

POS 10 Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars

SchuylerHumanaChoice H5525-004

(PPO)

Humana Benefit Plan

of Illinois, Inc.Local PPO $103.00 $250.00 Enhanced No EA H5525 4 $6,700 4 Stars

Page 87: 2018 Illinois - Medicare Advantage and Cost Plans...$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars Boone Humana Gold Plus H1468-015 (HMO) Humana Benefit Plan of Illinois, Inc

SchuylerHumana Gold Choice H8145-

008 (PFFS)

Humana Insurance

CompanyPFFS $177.00 $380.00 Enhanced No EA H8145 8 N/A 3.5 Stars

SchuylerHumana Gold Choice H8145-

121 (PFFS)

Humana Insurance

CompanyPFFS * $59.00 H8145 121 N/A 3.5 Stars

SchuylerHumanaChoice R5361-001

(Regional PPO)

Humana Insurance

Company

Regional

PPO *$0.00 R5361 1 $6,700 3.5 Stars

SchuylerHumanaChoice R5361-002

(Regional PPO)

Humana Insurance

Company

Regional

PPO$137.00 $405.00 Basic No BA R5361 2 $6,700 3.5 Stars

ScottHealth Alliance Medicare

HMO 20 (HMO)

Health Alliance

Medicare

Local

HMO *$85.00 H1463 1 $4,000 4 Stars

ScottHealth Alliance Medicare

HMO 20 Rx (HMO)

Health Alliance

Medicare

Local

HMO$116.00 $0.00 Enhanced No EA H1463 3 $4,000 4 Stars

ScottHealth Alliance Medicare

HMO Basic (HMO)

Health Alliance

Medicare

Local

HMO *$0.00 H1463 8 $6,700 4 Stars

ScottHealth Alliance Medicare

HMO Basic Rx (HMO)

Health Alliance

Medicare

Local

HMO$33.00 $0.00 Enhanced No EA H1463 9 $6,700 4 Stars

ScottHealth Alliance Medicare

HMO 40 Rx (HMO)

Health Alliance

Medicare

Local

HMO$72.00 $0.00 Enhanced No EA H1463 10 $4,700 4 Stars

ScottHealth Alliance Medicare

HMO 40 (HMO)

Health Alliance

Medicare

Local

HMO *$39.00 H1463 11 $4,700 4 Stars

ScottHealth Alliance Medicare

POS Basic (HMO-POS)

Health Alliance

Medicare

Local

HMO *$23.00 H1463 14 $6,700 4 Stars

ScottHealth Alliance Medicare

POS Basic Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$52.00 $0.00 Enhanced No EA H1463 15 $6,700 4 Stars

ScottHealth Alliance Medicare

POS 30 (HMO-POS)

Health Alliance

Medicare

Local

HMO *$59.00 H1463 16 $5,500 4 Stars

ScottHealth Alliance Medicare

POS 30 Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$96.00 $0.00 Enhanced No EA H1463 17 $5,500 4 Stars

Page 88: 2018 Illinois - Medicare Advantage and Cost Plans...$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars Boone Humana Gold Plus H1468-015 (HMO) Humana Benefit Plan of Illinois, Inc

ScottHealth Alliance Medicare

POS 10 (HMO-POS)

Health Alliance

Medicare

Local

HMO *$124.00 H1463 18 $4,500 4 Stars

ScottHealth Alliance Medicare

POS 10 Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars

ScottHumanaChoice H5216-013

(PPO)

Humana Insurance

CompanyLocal PPO $87.00 $0.00 Enhanced No EA H5216 13 $6,700 4 Stars

Scott Advantra (PPO) Coventry Health Care Local PPO $26.00 $0.00 Enhanced Yes EA H7301 2 $5,500 4 Stars

Scott Advantra Value (PPO) Coventry Health Care Local PPO $0.00 $150.00 Enhanced Yes EA H7301 7 $4,650 4 Stars

ScottHumanaChoice R5361-001

(Regional PPO)

Humana Insurance

Company

Regional

PPO *$0.00 R5361 1 $6,700 3.5 Stars

ScottHumanaChoice R5361-002

(Regional PPO)

Humana Insurance

Company

Regional

PPO$137.00 $405.00 Basic No BA R5361 2 $6,700 3.5 Stars

ShelbyHealth Alliance Medicare

HMO 20 (HMO)

Health Alliance

Medicare

Local

HMO *$85.00 H1463 1 $4,000 4 Stars

ShelbyHealth Alliance Medicare

HMO 20 Rx (HMO)

Health Alliance

Medicare

Local

HMO$116.00 $0.00 Enhanced No EA H1463 3 $4,000 4 Stars

ShelbyHealth Alliance Medicare

HMO Basic (HMO)

Health Alliance

Medicare

Local

HMO *$0.00 H1463 8 $6,700 4 Stars

ShelbyHealth Alliance Medicare

HMO Basic Rx (HMO)

Health Alliance

Medicare

Local

HMO$33.00 $0.00 Enhanced No EA H1463 9 $6,700 4 Stars

ShelbyHealth Alliance Medicare

HMO 40 Rx (HMO)

Health Alliance

Medicare

Local

HMO$72.00 $0.00 Enhanced No EA H1463 10 $4,700 4 Stars

ShelbyHealth Alliance Medicare

HMO 40 (HMO)

Health Alliance

Medicare

Local

HMO *$39.00 H1463 11 $4,700 4 Stars

ShelbyHealth Alliance Medicare

POS Basic (HMO-POS)

Health Alliance

Medicare

Local

HMO *$23.00 H1463 14 $6,700 4 Stars

ShelbyHealth Alliance Medicare

POS Basic Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$52.00 $0.00 Enhanced No EA H1463 15 $6,700 4 Stars

Page 89: 2018 Illinois - Medicare Advantage and Cost Plans...$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars Boone Humana Gold Plus H1468-015 (HMO) Humana Benefit Plan of Illinois, Inc

ShelbyHealth Alliance Medicare

POS 30 (HMO-POS)

Health Alliance

Medicare

Local

HMO *$59.00 H1463 16 $5,500 4 Stars

ShelbyHealth Alliance Medicare

POS 30 Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$96.00 $0.00 Enhanced No EA H1463 17 $5,500 4 Stars

ShelbyHealth Alliance Medicare

POS 10 (HMO-POS)

Health Alliance

Medicare

Local

HMO *$124.00 H1463 18 $4,500 4 Stars

ShelbyHealth Alliance Medicare

POS 10 Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars

Shelby Advantra (PPO) Coventry Health Care Local PPO $26.00 $0.00 Enhanced Yes EA H7301 2 $5,500 4 Stars

Shelby Advantra Value (PPO) Coventry Health Care Local PPO $0.00 $150.00 Enhanced Yes EA H7301 7 $4,650 4 Stars

ShelbyHumanaChoice R5361-001

(Regional PPO)

Humana Insurance

Company

Regional

PPO *$0.00 R5361 1 $6,700 3.5 Stars

ShelbyHumanaChoice R5361-002

(Regional PPO)

Humana Insurance

Company

Regional

PPO$137.00 $405.00 Basic No BA R5361 2 $6,700 3.5 Stars

St. Clair WellCare Value (HMO-POS) WellCareLocal

HMO$0.00 $0.00 Enhanced No EA H1416 9 $3,900 3 Stars

St. Clair WellCare Rx (HMO) WellCareLocal

HMO$7.70 $405.00 Enhanced No EA H1416 23 $3,400 3 Stars

St. ClairWellCare Choice (HMO-

POS)WellCare

Local

HMO$64.00 $0.00 Enhanced No EA H1416 24 $3,400 3 Stars

St. Clair WellCare Plus (HMO) WellCareLocal

HMO$15.50 $405.00 Enhanced No EA H1416 48 $6,700 3 Stars

St. Clair Advantra (PPO) Coventry Health Care Local PPO $56.00 $0.00 Enhanced Yes EA H1608 13 $6,000 4 Stars

St. ClairAARP MedicareComplete

Choice Plan 1 (PPO)UnitedHealthcare Local PPO $30.00 $150.00 Enhanced No EA H2228 30 $4,400 3.5 Stars

St. ClairAARP MedicareComplete

Choice Plan 2 (PPO)UnitedHealthcare Local PPO $70.00 $0.00 Enhanced No EA H2228 48 $2,900 3.5 Stars

St. Clair Essence Advantage (HMO) Essence HealthcareLocal

HMO$0.00 $0.00 Enhanced No EA H2610 5 $2,500 4.5 Stars

St. ClairEssence Advantage Plus

(HMO)Essence Healthcare

Local

HMO$79.00 $0.00 Enhanced Yes EA H2610 6 $2,300 4.5 Stars

Page 90: 2018 Illinois - Medicare Advantage and Cost Plans...$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars Boone Humana Gold Plus H1468-015 (HMO) Humana Benefit Plan of Illinois, Inc

St. ClairHumana Gold Plus H2649-

023 (HMO)

Humana Health Plan,

Inc.

Local

HMO$0.00 $195.00 Enhanced No EA H2649 23 $3,400 3.5 Stars

St. Clair Advantra Option 2 (HMO) Coventry Health CareLocal

HMO$86.00 $0.00 Enhanced Yes EA H2663 2 $2,430 4 Stars

St. Clair Gold Advantage (HMO) Coventry Health CareLocal

HMO$0.00 $0.00 Enhanced Yes EA H2663 5 $2,900 4 Stars

St. ClairAdvantra Option 1 (HMO-

POS)Coventry Health Care

Local

HMO$41.00 $0.00 Enhanced Yes EA H2663 6 $5,200 4 Stars

St. ClairAARP MedicareComplete

(HMO)UnitedHealthcare

Local

HMO$0.00 $150.00 Enhanced No EA H2802 28 $2,900 4 Stars

St. ClairHumanaChoice H5216-032

(PPO)

Humana Insurance

CompanyLocal PPO $83.00 $195.00 Enhanced No EA H5216 32 $6,700 4 Stars

St. ClairHumanaChoice H5216-033

(PPO)

Humana Insurance

CompanyLocal PPO $0.00 $195.00 Enhanced No EA H5216 33 $4,500 4 Stars

St. ClairHumanaChoice H5216-140

(PPO)

Humana Insurance

Company

Local PPO

*$0.00 H5216 140 $4,900 4 Stars

St. ClairHumana Gold Choice H8145-

008 (PFFS)

Humana Insurance

CompanyPFFS $177.00 $380.00 Enhanced No EA H8145 8 N/A 3.5 Stars

St. ClairHumana Gold Choice H8145-

121 (PFFS)

Humana Insurance

CompanyPFFS * $59.00 H8145 121 N/A 3.5 Stars

St. ClairHumanaChoice R5361-001

(Regional PPO)

Humana Insurance

Company

Regional

PPO *$0.00 R5361 1 $6,700 3.5 Stars

St. ClairHumanaChoice R5361-002

(Regional PPO)

Humana Insurance

Company

Regional

PPO$137.00 $405.00 Basic No BA R5361 2 $6,700 3.5 Stars

StarkHealth Alliance Medicare

HMO 20 (HMO)

Health Alliance

Medicare

Local

HMO *$85.00 H1463 1 $4,000 4 Stars

StarkHealth Alliance Medicare

HMO 20 Rx (HMO)

Health Alliance

Medicare

Local

HMO$116.00 $0.00 Enhanced No EA H1463 3 $4,000 4 Stars

StarkHealth Alliance Medicare

HMO Basic (HMO)

Health Alliance

Medicare

Local

HMO *$0.00 H1463 8 $6,700 4 Stars

StarkHealth Alliance Medicare

HMO Basic Rx (HMO)

Health Alliance

Medicare

Local

HMO$33.00 $0.00 Enhanced No EA H1463 9 $6,700 4 Stars

Page 91: 2018 Illinois - Medicare Advantage and Cost Plans...$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars Boone Humana Gold Plus H1468-015 (HMO) Humana Benefit Plan of Illinois, Inc

StarkHealth Alliance Medicare

HMO 40 Rx (HMO)

Health Alliance

Medicare

Local

HMO$72.00 $0.00 Enhanced No EA H1463 10 $4,700 4 Stars

StarkHealth Alliance Medicare

HMO 40 (HMO)

Health Alliance

Medicare

Local

HMO *$39.00 H1463 11 $4,700 4 Stars

StarkHealth Alliance Medicare

POS Basic (HMO-POS)

Health Alliance

Medicare

Local

HMO *$23.00 H1463 14 $6,700 4 Stars

StarkHealth Alliance Medicare

POS Basic Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$52.00 $0.00 Enhanced No EA H1463 15 $6,700 4 Stars

StarkHealth Alliance Medicare

POS 30 (HMO-POS)

Health Alliance

Medicare

Local

HMO *$59.00 H1463 16 $5,500 4 Stars

StarkHealth Alliance Medicare

POS 30 Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$96.00 $0.00 Enhanced No EA H1463 17 $5,500 4 Stars

StarkHealth Alliance Medicare

POS 10 (HMO-POS)

Health Alliance

Medicare

Local

HMO *$124.00 H1463 18 $4,500 4 Stars

StarkHealth Alliance Medicare

POS 10 Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars

StarkHumana Gold Plus H1468-

007 (HMO)

Humana Benefit Plan

of Illinois, Inc.

Local

HMO$30.00 $200.00 Enhanced No EA H1468 7 $5,500 4.5 Stars

StarkAARP MedicareComplete

(HMO)UnitedHealthcare

Local

HMO$39.00 $250.00 Enhanced No EA H5253 46 $3,900 4 Stars

StarkHumanaChoice H5525-004

(PPO)

Humana Benefit Plan

of Illinois, Inc.Local PPO $103.00 $250.00 Enhanced No EA H5525 4 $6,700 4 Stars

Stark Advantra (PPO) Coventry Health Care Local PPO $26.00 $0.00 Enhanced Yes EA H7301 2 $5,500 4 Stars

Stark Advantra Value (PPO) Coventry Health Care Local PPO $0.00 $150.00 Enhanced Yes EA H7301 7 $4,650 4 Stars

StarkAARP MedicareComplete

Choice (PPO)UnitedHealthcare Local PPO $77.00 $0.00 Enhanced No EA H8768 3 $2,900

Plan too new

to be

measured

StarkHumanaChoice R5361-001

(Regional PPO)

Humana Insurance

Company

Regional

PPO *$0.00 R5361 1 $6,700 3.5 Stars

Page 92: 2018 Illinois - Medicare Advantage and Cost Plans...$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars Boone Humana Gold Plus H1468-015 (HMO) Humana Benefit Plan of Illinois, Inc

StarkHumanaChoice R5361-002

(Regional PPO)

Humana Insurance

Company

Regional

PPO$137.00 $405.00 Basic No BA R5361 2 $6,700 3.5 Stars

StephensonHumana Gold Plus H1468-

015 (HMO)

Humana Benefit Plan

of Illinois, Inc.

Local

HMO$19.00 $200.00 Enhanced No EA H1468 15 $5,500 4.5 Stars

StephensonAARP MedicareComplete

(HMO)UnitedHealthcare

Local

HMO$39.00 $250.00 Enhanced No EA H5253 46 $3,900 4 Stars

StephensonHumanaChoice H5525-004

(PPO)

Humana Benefit Plan

of Illinois, Inc.Local PPO $103.00 $250.00 Enhanced No EA H5525 4 $6,700 4 Stars

Stephenson Advantra (PPO) Coventry Health Care Local PPO $26.00 $0.00 Enhanced Yes EA H7301 2 $5,500 4 Stars

Stephenson Advantra Value (PPO) Coventry Health Care Local PPO $0.00 $0.00 Enhanced Yes EA H7301 6 $5,900 4 Stars

StephensonHumana Gold Choice H8145-

008 (PFFS)

Humana Insurance

CompanyPFFS $177.00 $380.00 Enhanced No EA H8145 8 N/A 3.5 Stars

StephensonAARP MedicareComplete

Choice (PPO)UnitedHealthcare Local PPO $77.00 $0.00 Enhanced No EA H8768 3 $2,900

Plan too new

to be

measured

StephensonHumanaChoice R5361-001

(Regional PPO)

Humana Insurance

Company

Regional

PPO *$0.00 R5361 1 $6,700 3.5 Stars

StephensonHumanaChoice R5361-002

(Regional PPO)

Humana Insurance

Company

Regional

PPO$137.00 $405.00 Basic No BA R5361 2 $6,700 3.5 Stars

Tazewell WellCare Value (HMO-POS) WellCareLocal

HMO$0.00 $0.00 Enhanced No EA H1416 9 $3,900 3 Stars

Tazewell WellCare Rx (HMO) WellCareLocal

HMO$7.70 $405.00 Enhanced No EA H1416 23 $3,400 3 Stars

TazewellWellCare Choice (HMO-

POS)WellCare

Local

HMO$64.00 $0.00 Enhanced No EA H1416 24 $3,400 3 Stars

Tazewell WellCare Plus (HMO) WellCareLocal

HMO$15.50 $405.00 Enhanced No EA H1416 48 $6,700 3 Stars

TazewellHealth Alliance Medicare

HMO 20 (HMO)

Health Alliance

Medicare

Local

HMO *$85.00 H1463 1 $4,000 4 Stars

TazewellHealth Alliance Medicare

HMO 20 Rx (HMO)

Health Alliance

Medicare

Local

HMO$116.00 $0.00 Enhanced No EA H1463 3 $4,000 4 Stars

TazewellHealth Alliance Medicare

HMO Basic (HMO)

Health Alliance

Medicare

Local

HMO *$0.00 H1463 8 $6,700 4 Stars

Page 93: 2018 Illinois - Medicare Advantage and Cost Plans...$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars Boone Humana Gold Plus H1468-015 (HMO) Humana Benefit Plan of Illinois, Inc

TazewellHealth Alliance Medicare

HMO Basic Rx (HMO)

Health Alliance

Medicare

Local

HMO$33.00 $0.00 Enhanced No EA H1463 9 $6,700 4 Stars

TazewellHealth Alliance Medicare

HMO 40 Rx (HMO)

Health Alliance

Medicare

Local

HMO$72.00 $0.00 Enhanced No EA H1463 10 $4,700 4 Stars

TazewellHealth Alliance Medicare

HMO 40 (HMO)

Health Alliance

Medicare

Local

HMO *$39.00 H1463 11 $4,700 4 Stars

TazewellHealth Alliance Medicare

POS Basic (HMO-POS)

Health Alliance

Medicare

Local

HMO *$23.00 H1463 14 $6,700 4 Stars

TazewellHealth Alliance Medicare

POS Basic Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$52.00 $0.00 Enhanced No EA H1463 15 $6,700 4 Stars

TazewellHealth Alliance Medicare

POS 30 (HMO-POS)

Health Alliance

Medicare

Local

HMO *$59.00 H1463 16 $5,500 4 Stars

TazewellHealth Alliance Medicare

POS 30 Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$96.00 $0.00 Enhanced No EA H1463 17 $5,500 4 Stars

TazewellHealth Alliance Medicare

POS 10 (HMO-POS)

Health Alliance

Medicare

Local

HMO *$124.00 H1463 18 $4,500 4 Stars

TazewellHealth Alliance Medicare

POS 10 Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars

TazewellHumana Gold Plus H1468-

007 (HMO)

Humana Benefit Plan

of Illinois, Inc.

Local

HMO$30.00 $200.00 Enhanced No EA H1468 7 $5,500 4.5 Stars

Tazewell Coventry Total Care (HMO) Coventry Health CareLocal

HMO$0.00 $0.00 Enhanced Yes EA H2663 17 $3,500 4 Stars

TazewellHealthPartners UnityPoint

Health Align (PPO)

HealthPartners

UnityPoint HealthLocal PPO $0.00 $100.00 Enhanced No EA H3416 1 $3,950

Plan too new

to be

measured

TazewellHealthPartners UnityPoint

Health Symmetry (PPO)

HealthPartners

UnityPoint HealthLocal PPO $39.00 $100.00 Enhanced Yes EA H3416 2 $3,500

Plan too new

to be

measured

TazewellAARP MedicareComplete

(HMO)UnitedHealthcare

Local

HMO$39.00 $250.00 Enhanced No EA H5253 46 $3,900 4 Stars

Page 94: 2018 Illinois - Medicare Advantage and Cost Plans...$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars Boone Humana Gold Plus H1468-015 (HMO) Humana Benefit Plan of Illinois, Inc

TazewellHumanaChoice H5525-004

(PPO)

Humana Benefit Plan

of Illinois, Inc.Local PPO $103.00 $250.00 Enhanced No EA H5525 4 $6,700 4 Stars

TazewellMeridianCare Essential

(HMO)MeridianCare

Local

HMO$0.00 $0.00 Enhanced No EA H5779 2 $4,000

Not enough

data available

Tazewell Advantra (PPO) Coventry Health Care Local PPO $26.00 $0.00 Enhanced Yes EA H7301 2 $5,500 4 Stars

Tazewell Advantra Value (PPO) Coventry Health Care Local PPO $0.00 $150.00 Enhanced Yes EA H7301 7 $4,650 4 Stars

TazewellHumana Gold Choice H8145-

008 (PFFS)

Humana Insurance

CompanyPFFS $177.00 $380.00 Enhanced No EA H8145 8 N/A 3.5 Stars

TazewellAARP MedicareComplete

Choice (PPO)UnitedHealthcare Local PPO $77.00 $0.00 Enhanced No EA H8768 3 $2,900

Plan too new

to be

measured

TazewellHumanaChoice R5361-001

(Regional PPO)

Humana Insurance

Company

Regional

PPO *$0.00 R5361 1 $6,700 3.5 Stars

TazewellHumanaChoice R5361-002

(Regional PPO)

Humana Insurance

Company

Regional

PPO$137.00 $405.00 Basic No BA R5361 2 $6,700 3.5 Stars

UnionHumana Gold Choice H8145-

008 (PFFS)

Humana Insurance

CompanyPFFS $177.00 $380.00 Enhanced No EA H8145 8 N/A 3.5 Stars

UnionHumana Gold Choice H8145-

121 (PFFS)

Humana Insurance

CompanyPFFS * $59.00 H8145 121 N/A 3.5 Stars

UnionHumanaChoice R5361-001

(Regional PPO)

Humana Insurance

Company

Regional

PPO *$0.00 R5361 1 $6,700 3.5 Stars

UnionHumanaChoice R5361-002

(Regional PPO)

Humana Insurance

Company

Regional

PPO$137.00 $405.00 Basic No BA R5361 2 $6,700 3.5 Stars

Vermilion WellCare Value (HMO-POS) WellCareLocal

HMO$0.00 $0.00 Enhanced No EA H1416 9 $3,900 3 Stars

Vermilion WellCare Rx (HMO) WellCareLocal

HMO$7.70 $405.00 Enhanced No EA H1416 23 $3,400 3 Stars

VermilionWellCare Choice (HMO-

POS)WellCare

Local

HMO$64.00 $0.00 Enhanced No EA H1416 24 $3,400 3 Stars

Vermilion WellCare Plus (HMO) WellCareLocal

HMO$15.50 $405.00 Enhanced No EA H1416 48 $6,700 3 Stars

VermilionHealth Alliance Medicare

HMO 20 (HMO)

Health Alliance

Medicare

Local

HMO *$85.00 H1463 1 $4,000 4 Stars

Page 95: 2018 Illinois - Medicare Advantage and Cost Plans...$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars Boone Humana Gold Plus H1468-015 (HMO) Humana Benefit Plan of Illinois, Inc

VermilionHealth Alliance Medicare

HMO 20 Rx (HMO)

Health Alliance

Medicare

Local

HMO$116.00 $0.00 Enhanced No EA H1463 3 $4,000 4 Stars

VermilionHealth Alliance Medicare

HMO Basic (HMO)

Health Alliance

Medicare

Local

HMO *$0.00 H1463 8 $6,700 4 Stars

VermilionHealth Alliance Medicare

HMO Basic Rx (HMO)

Health Alliance

Medicare

Local

HMO$33.00 $0.00 Enhanced No EA H1463 9 $6,700 4 Stars

VermilionHealth Alliance Medicare

HMO 40 Rx (HMO)

Health Alliance

Medicare

Local

HMO$72.00 $0.00 Enhanced No EA H1463 10 $4,700 4 Stars

VermilionHealth Alliance Medicare

HMO 40 (HMO)

Health Alliance

Medicare

Local

HMO *$39.00 H1463 11 $4,700 4 Stars

VermilionHealth Alliance Medicare

POS Basic (HMO-POS)

Health Alliance

Medicare

Local

HMO *$23.00 H1463 14 $6,700 4 Stars

VermilionHealth Alliance Medicare

POS Basic Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$52.00 $0.00 Enhanced No EA H1463 15 $6,700 4 Stars

VermilionHealth Alliance Medicare

POS 30 (HMO-POS)

Health Alliance

Medicare

Local

HMO *$59.00 H1463 16 $5,500 4 Stars

VermilionHealth Alliance Medicare

POS 30 Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$96.00 $0.00 Enhanced No EA H1463 17 $5,500 4 Stars

VermilionHealth Alliance Medicare

POS 10 (HMO-POS)

Health Alliance

Medicare

Local

HMO *$124.00 H1463 18 $4,500 4 Stars

VermilionHealth Alliance Medicare

POS 10 Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars

VermilionHumanaChoice H5216-013

(PPO)

Humana Insurance

CompanyLocal PPO $87.00 $0.00 Enhanced No EA H5216 13 $6,700 4 Stars

Vermilion Advantra (PPO) Coventry Health Care Local PPO $26.00 $0.00 Enhanced Yes EA H7301 2 $5,500 4 Stars

Vermilion Advantra Value (PPO) Coventry Health Care Local PPO $0.00 $150.00 Enhanced Yes EA H7301 7 $4,650 4 Stars

Page 96: 2018 Illinois - Medicare Advantage and Cost Plans...$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars Boone Humana Gold Plus H1468-015 (HMO) Humana Benefit Plan of Illinois, Inc

VermilionHumanaChoice R5361-001

(Regional PPO)

Humana Insurance

Company

Regional

PPO *$0.00 R5361 1 $6,700 3.5 Stars

VermilionHumanaChoice R5361-002

(Regional PPO)

Humana Insurance

Company

Regional

PPO$137.00 $405.00 Basic No BA R5361 2 $6,700 3.5 Stars

WabashHumana Gold Choice H8145-

008 (PFFS)

Humana Insurance

CompanyPFFS $177.00 $380.00 Enhanced No EA H8145 8 N/A 3.5 Stars

WabashHumana Gold Choice H8145-

121 (PFFS)

Humana Insurance

CompanyPFFS * $59.00 H8145 121 N/A 3.5 Stars

WabashHumanaChoice R5361-001

(Regional PPO)

Humana Insurance

Company

Regional

PPO *$0.00 R5361 1 $6,700 3.5 Stars

WabashHumanaChoice R5361-002

(Regional PPO)

Humana Insurance

Company

Regional

PPO$137.00 $405.00 Basic No BA R5361 2 $6,700 3.5 Stars

WarrenAARP MedicareComplete

(HMO)UnitedHealthcare

Local

HMO$39.00 $250.00 Enhanced No EA H5253 46 $3,900 4 Stars

WarrenHumanaChoice H5525-004

(PPO)

Humana Benefit Plan

of Illinois, Inc.Local PPO $103.00 $250.00 Enhanced No EA H5525 4 $6,700 4 Stars

WarrenMeridianCare Essential

(HMO)MeridianCare

Local

HMO$0.00 $0.00 Enhanced No EA H5779 2 $4,000

Not enough

data

available

Warren Advantra (PPO) Coventry Health Care Local PPO $26.00 $0.00 Enhanced Yes EA H7301 2 $5,500 4 Stars

Warren Advantra Value (PPO) Coventry Health Care Local PPO $0.00 $0.00 Enhanced Yes EA H7301 6 $5,900 4 Stars

WarrenAARP MedicareComplete

Choice (PPO)UnitedHealthcare Local PPO $77.00 $0.00 Enhanced No EA H8768 3 $2,900

Plan too new

to be

measured

WarrenHumanaChoice R5361-001

(Regional PPO)

Humana Insurance

Company

Regional

PPO *$0.00 R5361 1 $6,700 3.5 Stars

WarrenHumanaChoice R5361-002

(Regional PPO)

Humana Insurance

Company

Regional

PPO$137.00 $405.00 Basic No BA R5361 2 $6,700 3.5 Stars

Washington Advantra (PPO) Coventry Health Care Local PPO $56.00 $0.00 Enhanced Yes EA H1608 13 $6,000 4 Stars

Washington Advantra Option 2 (HMO) Coventry Health CareLocal

HMO$86.00 $0.00 Enhanced Yes EA H2663 2 $2,430 4 Stars

WashingtonAdvantra Option 1 (HMO-

POS)Coventry Health Care

Local

HMO$41.00 $0.00 Enhanced Yes EA H2663 6 $5,200 4 Stars

Page 97: 2018 Illinois - Medicare Advantage and Cost Plans...$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars Boone Humana Gold Plus H1468-015 (HMO) Humana Benefit Plan of Illinois, Inc

WashingtonGold Advantage Value

(HMO)Coventry Health Care

Local

HMO$0.00 $0.00 Enhanced Yes EA H2663 32 $3,400 4 Stars

WashingtonHumana Gold Choice H8145-

008 (PFFS)

Humana Insurance

CompanyPFFS $177.00 $380.00 Enhanced No EA H8145 8 N/A 3.5 Stars

WashingtonHumana Gold Choice H8145-

121 (PFFS)

Humana Insurance

CompanyPFFS * $59.00 H8145 121 N/A 3.5 Stars

WashingtonHumanaChoice R5361-001

(Regional PPO)

Humana Insurance

Company

Regional

PPO *$0.00 R5361 1 $6,700 3.5 Stars

WashingtonHumanaChoice R5361-002

(Regional PPO)

Humana Insurance

Company

Regional

PPO$137.00 $405.00 Basic No BA R5361 2 $6,700 3.5 Stars

WayneHealth Alliance Medicare

HMO 20 (HMO)

Health Alliance

Medicare

Local

HMO *$85.00 H1463 1 $4,000 4 Stars

WayneHealth Alliance Medicare

HMO 20 Rx (HMO)

Health Alliance

Medicare

Local

HMO$116.00 $0.00 Enhanced No EA H1463 3 $4,000 4 Stars

WayneHealth Alliance Medicare

HMO Basic (HMO)

Health Alliance

Medicare

Local

HMO *$0.00 H1463 8 $6,700 4 Stars

WayneHealth Alliance Medicare

HMO Basic Rx (HMO)

Health Alliance

Medicare

Local

HMO$33.00 $0.00 Enhanced No EA H1463 9 $6,700 4 Stars

WayneHealth Alliance Medicare

HMO 40 Rx (HMO)

Health Alliance

Medicare

Local

HMO$72.00 $0.00 Enhanced No EA H1463 10 $4,700 4 Stars

WayneHealth Alliance Medicare

HMO 40 (HMO)

Health Alliance

Medicare

Local

HMO *$39.00 H1463 11 $4,700 4 Stars

WayneHealth Alliance Medicare

POS Basic (HMO-POS)

Health Alliance

Medicare

Local

HMO *$23.00 H1463 14 $6,700 4 Stars

WayneHealth Alliance Medicare

POS Basic Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$52.00 $0.00 Enhanced No EA H1463 15 $6,700 4 Stars

WayneHealth Alliance Medicare

POS 30 (HMO-POS)

Health Alliance

Medicare

Local

HMO *$59.00 H1463 16 $5,500 4 Stars

Page 98: 2018 Illinois - Medicare Advantage and Cost Plans...$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars Boone Humana Gold Plus H1468-015 (HMO) Humana Benefit Plan of Illinois, Inc

WayneHealth Alliance Medicare

POS 30 Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$96.00 $0.00 Enhanced No EA H1463 17 $5,500 4 Stars

WayneHealth Alliance Medicare

POS 10 (HMO-POS)

Health Alliance

Medicare

Local

HMO *$124.00 H1463 18 $4,500 4 Stars

WayneHealth Alliance Medicare

POS 10 Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars

WayneHumana Gold Choice H8145-

008 (PFFS)

Humana Insurance

CompanyPFFS $177.00 $380.00 Enhanced No EA H8145 8 N/A 3.5 Stars

WayneHumana Gold Choice H8145-

121 (PFFS)

Humana Insurance

CompanyPFFS * $59.00 H8145 121 N/A 3.5 Stars

WayneHumanaChoice R5361-001

(Regional PPO)

Humana Insurance

Company

Regional

PPO *$0.00 R5361 1 $6,700 3.5 Stars

WayneHumanaChoice R5361-002

(Regional PPO)

Humana Insurance

Company

Regional

PPO$137.00 $405.00 Basic No BA R5361 2 $6,700 3.5 Stars

WhiteHumana Gold Choice H8145-

008 (PFFS)

Humana Insurance

CompanyPFFS $177.00 $380.00 Enhanced No EA H8145 8 N/A 3.5 Stars

WhiteHumana Gold Choice H8145-

121 (PFFS)

Humana Insurance

CompanyPFFS * $59.00 H8145 121 N/A 3.5 Stars

WhiteHumanaChoice R5361-001

(Regional PPO)

Humana Insurance

Company

Regional

PPO *$0.00 R5361 1 $6,700 3.5 Stars

WhiteHumanaChoice R5361-002

(Regional PPO)

Humana Insurance

Company

Regional

PPO$137.00 $405.00 Basic No BA R5361 2 $6,700 3.5 Stars

WhitesideHealth Alliance Medicare

HMO 20 (HMO)

Health Alliance

Medicare

Local

HMO *$85.00 H1463 1 $4,000 4 Stars

WhitesideHealth Alliance Medicare

HMO 20 Rx (HMO)

Health Alliance

Medicare

Local

HMO$116.00 $0.00 Enhanced No EA H1463 3 $4,000 4 Stars

WhitesideHealth Alliance Medicare

HMO Basic (HMO)

Health Alliance

Medicare

Local

HMO *$0.00 H1463 8 $6,700 4 Stars

WhitesideHealth Alliance Medicare

HMO Basic Rx (HMO)

Health Alliance

Medicare

Local

HMO$33.00 $0.00 Enhanced No EA H1463 9 $6,700 4 Stars

Page 99: 2018 Illinois - Medicare Advantage and Cost Plans...$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars Boone Humana Gold Plus H1468-015 (HMO) Humana Benefit Plan of Illinois, Inc

WhitesideHealth Alliance Medicare

HMO 40 Rx (HMO)

Health Alliance

Medicare

Local

HMO$72.00 $0.00 Enhanced No EA H1463 10 $4,700 4 Stars

WhitesideHealth Alliance Medicare

HMO 40 (HMO)

Health Alliance

Medicare

Local

HMO *$39.00 H1463 11 $4,700 4 Stars

WhitesideHealth Alliance Medicare

POS Basic (HMO-POS)

Health Alliance

Medicare

Local

HMO *$23.00 H1463 14 $6,700 4 Stars

WhitesideHealth Alliance Medicare

POS Basic Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$52.00 $0.00 Enhanced No EA H1463 15 $6,700 4 Stars

WhitesideHealth Alliance Medicare

POS 30 (HMO-POS)

Health Alliance

Medicare

Local

HMO *$59.00 H1463 16 $5,500 4 Stars

WhitesideHealth Alliance Medicare

POS 30 Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$96.00 $0.00 Enhanced No EA H1463 17 $5,500 4 Stars

WhitesideHealth Alliance Medicare

POS 10 (HMO-POS)

Health Alliance

Medicare

Local

HMO *$124.00 H1463 18 $4,500 4 Stars

WhitesideHealth Alliance Medicare

POS 10 Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars

WhitesideAARP MedicareComplete

(HMO)UnitedHealthcare

Local

HMO$39.00 $250.00 Enhanced No EA H5253 46 $3,900 4 Stars

WhitesideAARP MedicareComplete

Choice (PPO)UnitedHealthcare Local PPO $77.00 $0.00 Enhanced No EA H8768 3 $2,900

Plan too new

to be

measured

WhitesideHumanaChoice R5361-001

(Regional PPO)

Humana Insurance

Company

Regional

PPO *$0.00 R5361 1 $6,700 3.5 Stars

WhitesideHumanaChoice R5361-002

(Regional PPO)

Humana Insurance

Company

Regional

PPO$137.00 $405.00 Basic No BA R5361 2 $6,700 3.5 Stars

WillCigna-HealthSpring

Advantage (HMO)Cigna-HealthSpring

Local

HMO *$0.00 H1415 13 $4,500 3 Stars

WillCigna-HealthSpring Premier

(HMO-POS)Cigna-HealthSpring

Local

HMO$0.00 $0.00 Enhanced No EA H1415 21 $6,500 3 Stars

Page 100: 2018 Illinois - Medicare Advantage and Cost Plans...$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars Boone Humana Gold Plus H1468-015 (HMO) Humana Benefit Plan of Illinois, Inc

WillCigna-HealthSpring Primary

(HMO)Cigna-HealthSpring

Local

HMO$11.10 $405.00 Basic No DS H1415 24 $6,000 3 Stars

Will WellCare Value (HMO-POS) WellCareLocal

HMO$0.00 $0.00 Enhanced No EA H1416 9 $3,900 3 Stars

Will WellCare Rx (HMO) WellCareLocal

HMO$7.70 $405.00 Enhanced No EA H1416 23 $3,400 3 Stars

WillWellCare Choice (HMO-

POS)WellCare

Local

HMO$64.00 $0.00 Enhanced No EA H1416 24 $3,400 3 Stars

Will WellCare Plus (HMO) WellCareLocal

HMO$15.50 $405.00 Enhanced No EA H1416 48 $6,700 3 Stars

WillHumana Gold Plus H1468-

013 (HMO)

Humana Benefit Plan

of Illinois, Inc.

Local

HMO$0.00 $0.00 Enhanced No EA H1468 13 $3,200 4.5 Stars

WillAARP MedicareComplete

Access (HMO)UnitedHealthcare

Local

HMO$0.00 $0.00 Enhanced No EA H2802 24 $3,400 4 Stars

WillAARP MedicareComplete

Plan 1 (HMO)UnitedHealthcare

Local

HMO$27.00 $230.00 Enhanced No EA H2802 25 $3,950 4 Stars

WillAARP MedicareComplete

Plan 2 (HMO)UnitedHealthcare

Local

HMO$77.00 $0.00 Enhanced No EA H2802 26 $2,900 4 Stars

WillCommunity Advantage

(HMO)

Community Care

Alliance of Illinois, NFP

Local

HMO$0.00 $0.00 Enhanced No EA H3071 2 $3,950 2.5 Stars

WillCommunity Flex-Plan (HMO-

POS)

Community Care

Alliance of Illinois, NFP

Local

HMO$27.50 $405.00 Basic No DS H3071 3 $3,950 2.5 Stars

WillBlue Cross Medicare

Advantage Basic (HMO)

Blue Cross Blue Shield

of IL, MT, NM

Local

HMO$0.00 $0.00 Enhanced Yes EA H3822 1 $2,800 3.5 Stars

Will

Blue Cross Medicare

Advantage Basic Plus (HMO-

POS)

Blue Cross Blue Shield

of IL, MT, NM

Local

HMO$0.00 $0.00 Enhanced Yes EA H3822 7 $3,600 3.5 Stars

Will

Blue Cross Medicare

Advantage Premier Plus

(HMO-POS)

Blue Cross Blue Shield

of IL, MT, NM

Local

HMO$83.00 $0.00 Enhanced Yes EA H3822 8 $3,600 3.5 Stars

WillBlue Cross Medicare

Advantage Elite (HMO-POS)

Blue Cross Blue Shield

of IL, MT, NM

Local

HMO$118.00 $0.00 Enhanced Yes EA H3822 10 $2,000 3.5 Stars

WillAetna Medicare Value Plan

(HMO)Aetna Medicare

Local

HMO$0.00 $0.00 Enhanced Yes EA H3931 106 $3,400 3.5 Stars

Page 101: 2018 Illinois - Medicare Advantage and Cost Plans...$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars Boone Humana Gold Plus H1468-015 (HMO) Humana Benefit Plan of Illinois, Inc

WillHumanaChoice H5216-012

(PPO)

Humana Insurance

Company

Local PPO

*$0.00 H5216 12 $6,700 4 Stars

WillHumanaChoice H5216-013

(PPO)

Humana Insurance

CompanyLocal PPO $87.00 $0.00 Enhanced No EA H5216 13 $6,700 4 Stars

WillAetna Medicare Standard

Plan (PPO)Aetna Medicare Local PPO $72.00 $0.00 Enhanced Yes EA H5521 16 $3,400 4 Stars

WillAetna Medicare Value Plan

(PPO)Aetna Medicare Local PPO $0.00 $0.00 Enhanced Yes EA H5521 86 $3,900 4 Stars

Will MeridianCare Elite (HMO) MeridianCareLocal

HMO$47.00 $0.00 Enhanced No EA H5779 3 $3,400

Not enough

data available

WillMeridianCare Essential

(HMO)MeridianCare

Local

HMO$0.00 $0.00 Enhanced No EA H5779 5 $3,750

Not enough

data available

Will MeridianCare Edge (HMO) MeridianCareLocal

HMO$27.50 $405.00 Enhanced No EA H5779 6 $6,700

Not enough

data available

Will

Blue Cross Medicare

Advantage Choice Plus

(PPO)

Blue Cross and Blue

Shield of IL, NM, OKLocal PPO $88.00 $0.00 Enhanced Yes EA H8634 3 $6,700 3 Stars

Will

Blue Cross Medicare

Advantage Choice Premier

(PPO)

Blue Cross and Blue

Shield of IL, NM, OKLocal PPO $141.00 $0.00 Enhanced Yes EA H8634 4 $5,900 3 Stars

WillHumanaChoice R5361-001

(Regional PPO)

Humana Insurance

Company

Regional

PPO *$0.00 R5361 1 $6,700 3.5 Stars

WillHumanaChoice R5361-002

(Regional PPO)

Humana Insurance

Company

Regional

PPO$137.00 $405.00 Basic No BA R5361 2 $6,700 3.5 Stars

WilliamsonHealth Alliance Medicare

HMO 20 (HMO)

Health Alliance

Medicare

Local

HMO *$85.00 H1463 1 $4,000 4 Stars

WilliamsonHealth Alliance Medicare

HMO 20 Rx (HMO)

Health Alliance

Medicare

Local

HMO$116.00 $0.00 Enhanced No EA H1463 3 $4,000 4 Stars

WilliamsonHealth Alliance Medicare

HMO Basic (HMO)

Health Alliance

Medicare

Local

HMO *$0.00 H1463 8 $6,700 4 Stars

WilliamsonHealth Alliance Medicare

HMO Basic Rx (HMO)

Health Alliance

Medicare

Local

HMO$33.00 $0.00 Enhanced No EA H1463 9 $6,700 4 Stars

Page 102: 2018 Illinois - Medicare Advantage and Cost Plans...$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars Boone Humana Gold Plus H1468-015 (HMO) Humana Benefit Plan of Illinois, Inc

WilliamsonHealth Alliance Medicare

HMO 40 Rx (HMO)

Health Alliance

Medicare

Local

HMO$72.00 $0.00 Enhanced No EA H1463 10 $4,700 4 Stars

WilliamsonHealth Alliance Medicare

HMO 40 (HMO)

Health Alliance

Medicare

Local

HMO *$39.00 H1463 11 $4,700 4 Stars

WilliamsonHealth Alliance Medicare

POS Basic (HMO-POS)

Health Alliance

Medicare

Local

HMO *$23.00 H1463 14 $6,700 4 Stars

WilliamsonHealth Alliance Medicare

POS Basic Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$52.00 $0.00 Enhanced No EA H1463 15 $6,700 4 Stars

WilliamsonHealth Alliance Medicare

POS 30 (HMO-POS)

Health Alliance

Medicare

Local

HMO *$59.00 H1463 16 $5,500 4 Stars

WilliamsonHealth Alliance Medicare

POS 30 Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$96.00 $0.00 Enhanced No EA H1463 17 $5,500 4 Stars

WilliamsonHealth Alliance Medicare

POS 10 (HMO-POS)

Health Alliance

Medicare

Local

HMO *$124.00 H1463 18 $4,500 4 Stars

WilliamsonHealth Alliance Medicare

POS 10 Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars

WilliamsonHumanaChoice R5361-001

(Regional PPO)

Humana Insurance

Company

Regional

PPO *$0.00 R5361 1 $6,700 3.5 Stars

WilliamsonHumanaChoice R5361-002

(Regional PPO)

Humana Insurance

Company

Regional

PPO$137.00 $405.00 Basic No BA R5361 2 $6,700 3.5 Stars

WinnebagoHealth Alliance Medicare

HMO 20 (HMO)

Health Alliance

Medicare

Local

HMO *$85.00 H1463 1 $4,000 4 Stars

WinnebagoHealth Alliance Medicare

HMO 20 Rx (HMO)

Health Alliance

Medicare

Local

HMO$116.00 $0.00 Enhanced No EA H1463 3 $4,000 4 Stars

WinnebagoHealth Alliance Medicare

HMO Basic (HMO)

Health Alliance

Medicare

Local

HMO *$0.00 H1463 8 $6,700 4 Stars

Page 103: 2018 Illinois - Medicare Advantage and Cost Plans...$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars Boone Humana Gold Plus H1468-015 (HMO) Humana Benefit Plan of Illinois, Inc

WinnebagoHealth Alliance Medicare

HMO Basic Rx (HMO)

Health Alliance

Medicare

Local

HMO$33.00 $0.00 Enhanced No EA H1463 9 $6,700 4 Stars

WinnebagoHealth Alliance Medicare

HMO 40 Rx (HMO)

Health Alliance

Medicare

Local

HMO$72.00 $0.00 Enhanced No EA H1463 10 $4,700 4 Stars

WinnebagoHealth Alliance Medicare

HMO 40 (HMO)

Health Alliance

Medicare

Local

HMO *$39.00 H1463 11 $4,700 4 Stars

WinnebagoHealth Alliance Medicare

POS Basic (HMO-POS)

Health Alliance

Medicare

Local

HMO *$23.00 H1463 14 $6,700 4 Stars

WinnebagoHealth Alliance Medicare

POS Basic Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$52.00 $0.00 Enhanced No EA H1463 15 $6,700 4 Stars

WinnebagoHealth Alliance Medicare

POS 30 (HMO-POS)

Health Alliance

Medicare

Local

HMO *$59.00 H1463 16 $5,500 4 Stars

WinnebagoHealth Alliance Medicare

POS 30 Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$96.00 $0.00 Enhanced No EA H1463 17 $5,500 4 Stars

WinnebagoHealth Alliance Medicare

POS 10 (HMO-POS)

Health Alliance

Medicare

Local

HMO *$124.00 H1463 18 $4,500 4 Stars

WinnebagoHealth Alliance Medicare

POS 10 Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars

WinnebagoHumana Gold Plus H1468-

015 (HMO)

Humana Benefit Plan

of Illinois, Inc.

Local

HMO$19.00 $200.00 Enhanced No EA H1468 15 $5,500 4.5 Stars

Winnebago Coventry Total Care (HMO) Coventry Health CareLocal

HMO$0.00 $0.00 Enhanced Yes EA H2663 16 $5,000 4 Stars

WinnebagoAARP MedicareComplete

(HMO)UnitedHealthcare

Local

HMO$39.00 $250.00 Enhanced No EA H2802 45 $3,900 4 Stars

WinnebagoCommunity Advantage

(HMO)

Community Care

Alliance of Illinois, NFP

Local

HMO$0.00 $0.00 Enhanced No EA H3071 2 $3,950 2.5 Stars

WinnebagoCommunity Flex-Plan (HMO-

POS)

Community Care

Alliance of Illinois, NFP

Local

HMO$27.50 $405.00 Basic No DS H3071 3 $3,950 2.5 Stars

Page 104: 2018 Illinois - Medicare Advantage and Cost Plans...$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars Boone Humana Gold Plus H1468-015 (HMO) Humana Benefit Plan of Illinois, Inc

WinnebagoHumanaChoice H5216-012

(PPO)

Humana Insurance

Company

Local PPO

*$0.00 H5216 12 $6,700 4 Stars

WinnebagoHumanaChoice H5525-004

(PPO)

Humana Benefit Plan

of Illinois, Inc.Local PPO $103.00 $250.00 Enhanced No EA H5525 4 $6,700 4 Stars

Winnebago MeridianCare Elite (HMO) MeridianCareLocal

HMO$47.00 $0.00 Enhanced No EA H5779 3 $3,400

Not enough

data available

WinnebagoMeridianCare Essential

(HMO)MeridianCare

Local

HMO$0.00 $0.00 Enhanced No EA H5779 5 $3,750

Not enough

data available

Winnebago MeridianCare Edge (HMO) MeridianCareLocal

HMO$27.50 $405.00 Enhanced No EA H5779 6 $6,700

Not enough

data available

Winnebago Advantra (PPO) Coventry Health Care Local PPO $26.00 $0.00 Enhanced Yes EA H7301 2 $5,500 4 Stars

Winnebago Advantra Value (PPO) Coventry Health Care Local PPO $0.00 $0.00 Enhanced Yes EA H7301 6 $5,900 4 Stars

WinnebagoHumana Gold Choice H8145-

008 (PFFS)

Humana Insurance

CompanyPFFS $177.00 $380.00 Enhanced No EA H8145 8 N/A 3.5 Stars

WinnebagoAARP MedicareComplete

Choice (PPO)UnitedHealthcare Local PPO $77.00 $0.00 Enhanced No EA H8768 4 $2,900

Plan too new

to be

measured

WinnebagoHumanaChoice R5361-001

(Regional PPO)

Humana Insurance

Company

Regional

PPO *$0.00 R5361 1 $6,700 3.5 Stars

WinnebagoHumanaChoice R5361-002

(Regional PPO)

Humana Insurance

Company

Regional

PPO$137.00 $405.00 Basic No BA R5361 2 $6,700 3.5 Stars

WoodfordHealth Alliance Medicare

HMO 20 (HMO)

Health Alliance

Medicare

Local

HMO *$85.00 H1463 1 $4,000 4 Stars

WoodfordHealth Alliance Medicare

HMO 20 Rx (HMO)

Health Alliance

Medicare

Local

HMO$116.00 $0.00 Enhanced No EA H1463 3 $4,000 4 Stars

WoodfordHealth Alliance Medicare

HMO Basic (HMO)

Health Alliance

Medicare

Local

HMO *$0.00 H1463 8 $6,700 4 Stars

WoodfordHealth Alliance Medicare

HMO Basic Rx (HMO)

Health Alliance

Medicare

Local

HMO$33.00 $0.00 Enhanced No EA H1463 9 $6,700 4 Stars

Page 105: 2018 Illinois - Medicare Advantage and Cost Plans...$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars Boone Humana Gold Plus H1468-015 (HMO) Humana Benefit Plan of Illinois, Inc

WoodfordHealth Alliance Medicare

HMO 40 Rx (HMO)

Health Alliance

Medicare

Local

HMO$72.00 $0.00 Enhanced No EA H1463 10 $4,700 4 Stars

WoodfordHealth Alliance Medicare

HMO 40 (HMO)

Health Alliance

Medicare

Local

HMO *$39.00 H1463 11 $4,700 4 Stars

WoodfordHealth Alliance Medicare

POS Basic (HMO-POS)

Health Alliance

Medicare

Local

HMO *$23.00 H1463 14 $6,700 4 Stars

WoodfordHealth Alliance Medicare

POS Basic Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$52.00 $0.00 Enhanced No EA H1463 15 $6,700 4 Stars

WoodfordHealth Alliance Medicare

POS 30 (HMO-POS)

Health Alliance

Medicare

Local

HMO *$59.00 H1463 16 $5,500 4 Stars

WoodfordHealth Alliance Medicare

POS 30 Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$96.00 $0.00 Enhanced No EA H1463 17 $5,500 4 Stars

WoodfordHealth Alliance Medicare

POS 10 (HMO-POS)

Health Alliance

Medicare

Local

HMO *$124.00 H1463 18 $4,500 4 Stars

WoodfordHealth Alliance Medicare

POS 10 Rx (HMO-POS)

Health Alliance

Medicare

Local

HMO$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars

WoodfordHumana Gold Plus H1468-

007 (HMO)

Humana Benefit Plan

of Illinois, Inc.

Local

HMO$30.00 $200.00 Enhanced No EA H1468 7 $5,500 4.5 Stars

WoodfordAARP MedicareComplete

(HMO)UnitedHealthcare

Local

HMO$39.00 $250.00 Enhanced No EA H5253 46 $3,900 4 Stars

WoodfordHumanaChoice H5525-004

(PPO)

Humana Benefit Plan

of Illinois, Inc.Local PPO $103.00 $250.00 Enhanced No EA H5525 4 $6,700 4 Stars

Woodford Advantra (PPO) Coventry Health Care Local PPO $26.00 $0.00 Enhanced Yes EA H7301 2 $5,500 4 Stars

Woodford Advantra Value (PPO) Coventry Health Care Local PPO $0.00 $150.00 Enhanced Yes EA H7301 7 $4,650 4 Stars

WoodfordAARP MedicareComplete

Choice (PPO)UnitedHealthcare Local PPO $77.00 $0.00 Enhanced No EA H8768 3 $2,900

Plan too

new to

be

measure

d

Page 106: 2018 Illinois - Medicare Advantage and Cost Plans...$156.00 $0.00 Enhanced No EA H1463 19 $4,500 4 Stars Boone Humana Gold Plus H1468-015 (HMO) Humana Benefit Plan of Illinois, Inc

WoodfordHumanaChoice R5361-001

(Regional PPO)

Humana Insurance

Company

Regional

PPO *$0.00 R5361 1 $6,700 3.5 Stars

WoodfordHumanaChoice R5361-002

(Regional PPO)

Humana Insurance

Company

Regional

PPO$137.00 $405.00 Basic No BA R5361 2 $6,700 3.5 Stars

To determine whether there are meaningful differences between basic prescription drug coverage options offered by the same PDP sponsor in a region, CMS’ analysis focuses on whether there are significant

differences in proposed beneficiary out-of-pocket costs and/or formularies.

AE - When Part D plan sponsors (either PDP or MA-PD) want to offer a benefit with a structure that differs

from the standard benefit design, statutes allow these differing plan designs as long as they are actuarially equivalent (AE) or better than the standard Part D plan design.

BA - For basic alternative (BA) coverage, the plan sponsor may combine features. This might include a reduction in the deductible, changes in cost sharing (for example, tiered co-payments), and a modification

of the Initial Coverage Limit (ICL) , as long as the actuarial value of coverage equals the defined standard drug coverage benefit . In Basic Alternative plans there is no additional premium required.

EA - Enhanced alternative (EA) coverage includes basic coverage and supplemental benefits. These supplemental benefits provide for a package of benefits that exceeds the actuarial value of standard

coverage. Supplemental benefits can consist of either reduction in cost sharing, or coverage of drugs that are specifically excluded from the definition of Part D drugs. Enhanced Alternative plans have an

additional premium required.

Benefit Type Details defined: