Medicare Plans in
Cook County, IL
70 Medicare Advantage Plans Found in Cook County. See Plans
Cook County, IL
Medicare Information
For Cook County’s Medicare beneficiaries, private plans like Medicare Advantage plans offer an alternative to Original Medicare, and Part D plans (PDP) can work alongside your Original Medicare benefits.
Currently, 70 private Medicare plans are available in Cook County, and coverage is provided through Medicare-approved private companies, following rules set by Medicare.
MA plans, which are also referred to as Medicare Part C, may offer additional benefits that aren't available through Original Medicare.
Part D plans, also referred to as PDPs, cover retail prescription drugs.
Some Medicare Part C plans include coverage for prescription medications. Known as Medicare Advantage Prescription Drug plans, or MAPDs, these plans offer comprehensive coverage for seniors who want to minimize their out-of-pocket costs.
Learn more about some of the Medicare plans in Cook County, Illinois, including average costs, out-of-pocket expenses and what’s involved in obtaining prescription drug coverage.
The following is HelpAdvisor Editorial Team analysis of data from the 2024 MA Landscape Source Files as well as carrier-provided plan data supplied by SunFire Inc.
Average Cost of Medicare
Plans in Cook County
Average Cost of Medicare Advantage Plans in Cook County, Illinois | |
---|---|
Average Monthly Premium | $65.52 |
Average in-network out-of-pocket spending limit | $4,249.93 |
Average drug deductible in 2024 (weighted) | $452.75 |
Percentage of plans rated 4 stars or higher | 42.9% |
Average Cost of Medicare Advantage Plans in Cook County, Illinois |
---|
Average Monthly Premium $65.52 |
Average in-network out-of-pocket spending limit $4,249.93 |
Average drug deductible in 2021 (weighted) $452.75 |
Percentage of plans rated 4 stars or higher 42.9% |
Learn More About Medicare
Prescription Drug Plans
Plan Type | Description |
---|---|
HMO | HMO enrollees typically receive services through in-network providers and must obtain referrals for visits to specialists. However, most plans permit out-of-network care in emergencies or out-of-area dialysis. HMO plans often include prescription drug coverage. |
PPO | Members of PPO plans can typically go in or out of network for care, including hospitalization, although visits to non-network providers may cost considerably more. Referrals are usually not needed for visits to specialists, and many PPO plans include prescription drug coverage. |
PFFS | Private fee-for-service plans determine how much a doctor or facility will be paid for services, and members may seek care from any in or out-of-network provider that agrees to the plan's terms. Some PFFS plans include prescription drug coverage. Otherwise, members may seek coverage for medications through standalone Medicare drug plans, which are also known as Part D plans. |
SNP | Special Needs Plans are designed for individuals with specific conditions or medical characteristics. Benefits such as providers and drug formularies are tailored to members' unique needs, and most care is provided by in-network physicians and facilities. SNPs are required to provide prescription drug coverage. |
Plan Type and Description |
---|
HMO enrollees typically receive services through in-network providers and must obtain referrals for visits to specialists. However, most plans permit out-of-network care in emergencies or out-of-area dialysis. HMO plans often include prescription drug coverage.
|
Members of PPO plans can typically go in or out of network for care, including hospitalization, although visits to non-network providers may cost considerably more. Referrals are usually not needed for visits to specialists, and many PPO plans include prescription drug coverage.
|
Private fee-for-service plans determine how much a doctor or facility will be paid for services, and members may seek care from any in or out-of-network provider that agrees to the plan's terms. Some PFFS plans include prescription drug coverage. Otherwise, members may seek coverage for medications through standalone Medicare drug plans, which are also known as Part D plans.
|
Special Needs Plans are designed for individuals with specific conditions or medical characteristics. Benefits such as providers and drug formularies are tailored to members' unique needs, and most care is provided by in-network physicians and facilities. SNPs are required to provide prescription drug coverage.
|
Some beneficiaries may be eligible for standalone prescription drug plans. Otherwise known as a PDP or Part D plan, a standalone prescription drug plan adds coverage for prescription medications to Original Medicare and some PFFS plans. It’s important to note that some MA plans, such as HMOs, may disenroll members who sign up for a separate drug plan.
Medicare Advantage Plans
Aetna Inc. Medicare Plans in Cook County, IL
The following table includes cost information and other plan details for Aetna Inc. private Medicare plans available in Illinois in 2024.
Plan Name | Plan Code | Monthly Premium | Deductible | Out of Pocket Max |
Prescription Drug Coverage |
Medicare Star Rating |
---|---|---|---|---|---|---|
Aetna Medicare Choice (PPO) | H7301: 013 | $0 | $0 | $3,850 | Yes | 4 out of 5 |
Aetna Medicare Eagle (PPO) | H5521: 286 | $0 | N/A | $4,390 | No | 4 out of 5 |
Aetna Medicare Value (PPO) | H5521: 086 | $0 | $0 | $3,950 | Yes | 4 out of 5 |
Aetna Medicare Prime (HMO-POS) | H3192: 001 | $0 | $0 | $3,950 | Yes | 3.5 out of 5 |
Aetna Medicare Value Plus (PPO) | H7301: 014 | $22 | $400 | $4,550 | Yes | 4 out of 5 |
Aetna Medicare Premier Plus (PPO) | H5521: 016 | $34 | $0 | $3,400 | Yes | 4 out of 5 |
Aetna Medicare Enhanced Select (PPO) | H7301: 015 | $169 | $300 | $1,400 | Yes | 4 out of 5 |
Centene Corporation
Centene Corporation Medicare Plans in Cook County, IL
The following table includes cost information and other plan details for Centene Corporation private Medicare plans available in Illinois in 2024.
Plan Name | Plan Code | Monthly Premium | Deductible | Out of Pocket Max |
Prescription Drug Coverage |
Medicare Star Rating |
---|---|---|---|---|---|---|
Wellcare Complete - Giveback (HMO) | H7399: 001 | $0 | $500 | $5,000 | Yes | 3 out of 5 |
Cigna Medicare Plans in Cook County, IL
The following table includes cost information and other plan details for Cigna private Medicare plans available in Illinois in 2024.
Plan Name | Plan Code | Monthly Premium | Deductible | Out of Pocket Max |
Prescription Drug Coverage |
Medicare Star Rating |
---|---|---|---|---|---|---|
Cigna True Choice Savings Medicare (PPO) | H7849: 080 | $0 | $0 | $3,700 | Yes | 3 out of 5 |
Cigna True Choice Medicare (PPO) | H7849: 002 | $0 | $0 | $3,200 | Yes | 3 out of 5 |
Cigna Premier Medicare (HMO-POS) | H4513: 084 | $0 | $0 | $4,200 | Yes | 4 out of 5 |
Cigna Preferred Medicare (HMO) | H4513: 085 | $0 | $0 | $2,500 | Yes | 4 out of 5 |
Cigna Preferred Savings Medicare (HMO) | H4513: 086 | $0 | $0 | $4,500 | Yes | 4 out of 5 |
Cigna True Choice Courage Medicare (PPO) | H7849: 078 | $0 | N/A | $5,900 | No | 3 out of 5 |
Cigna True Choice Courage Medicare (PPO) | H7787: 002 | $0 | N/A | $5,700 | No | 3 out of 5 |
Devoted Health
Devoted Health Medicare Plans in Cook County, IL
The following table includes cost information and other plan details for Devoted Health private Medicare plans available in Illinois in 2024.
Plan Name | Plan Code | Monthly Premium | Deductible | Out of Pocket Max |
Prescription Drug Coverage |
Medicare Star Rating |
---|---|---|---|---|---|---|
Devoted CHOICE Illinois (PPO) | H6545: 001 | $0 | $0 | $3,200 | Yes | Plan too new to be measured |
Devoted GIVEBACK Illinois (HMO) | H7151: 003 | $0 | $0 | $4,500 | Yes | 3.5 out of 5 |
Devoted CORE Illinois (HMO) | H7151: 001 | $0 | $0 | $2,500 | Yes | 3.5 out of 5 |
Health Care Service Corporation
Health Care Service Corporation Medicare Plans in Cook County, IL
The following table includes cost information and other plan details for Health Care Service Corporation private Medicare plans available in Illinois in 2024.
Plan Name | Plan Code | Monthly Premium | Deductible | Out of Pocket Max |
Prescription Drug Coverage |
Medicare Star Rating |
---|---|---|---|---|---|---|
Blue Cross Medicare Advantage Classic (PPO) | H8634: 008 | $0 | $200 | $4,900 | Yes | 3 out of 5 |
Blue Cross Medicare Advantage Basic Plus (HMO-POS) | H3822: 007 | $0 | $0 | $4,500 | Yes | 2.5 out of 5 |
Blue Cross Medicare Advantage Health Choice (PPO) | H8634: 018 | $0 | $545 | $6,900 | Yes | 3 out of 5 |
Blue Cross Medicare Advantage Secure (HMO) | H8547: 001 | $0 | $0 | $2,500 | Yes | Not enough data available |
Blue Cross Medicare Advantage Elite (PPO) | H8634: 016 | $0 | $250 | $3,900 | Yes | 3 out of 5 |
Blue Cross Medicare Advantage Basic (HMO) | H3822: 001 | $0 | $0 | $2,500 | Yes | 2.5 out of 5 |
Blue Cross Medicare Advantage Protect (PPO) | H8634: 019 | $0 | N/A | $6,350 | No | 3 out of 5 |
Blue Cross Medicare Advantage Dental Premier (PPO) | H8634: 021 | $0 | $545 | $7,550 | Yes | 3 out of 5 |
Blue Cross Medicare Advantage Premier Plus (HMO-POS) | H3822: 008 | $76 | $0 | $3,500 | Yes | 2.5 out of 5 |
Blue Cross Medicare Advantage Choice Plus (PPO) | H8634: 003 | $77 | $0 | $4,500 | Yes | 3 out of 5 |
Blue Cross Medicare Advantage Choice Premier (PPO) | H8634: 004 | $135 | $0 | $3,855 | Yes | 3 out of 5 |
Blue Cross Medicare Advantage Flex (PPO) | H8634: 014 | $202 | $545 | N/A | Yes | 3 out of 5 |
Humana Inc. Medicare Plans in Cook County, IL
The following table includes cost information and other plan details for Humana Inc. private Medicare plans available in Illinois in 2024.
Plan Name | Plan Code | Monthly Premium | Deductible | Out of Pocket Max |
Prescription Drug Coverage |
Medicare Star Rating |
---|---|---|---|---|---|---|
Humana Community HMO Diabetes and Heart (HMO C-SNP) | H1468: 017 | $0 | $0 | $2,300 | Yes | 4.5 out of 5 |
Humana Gold Plus H1468-013 (HMO) | H1468: 013 | $0 | $0 | $2,300 | Yes | 4.5 out of 5 |
HumanaChoice H5216-251 (PPO) | H5216: 251 | $0 | $0 | $3,700 | Yes | 4.5 out of 5 |
Humana USAA Honor (PPO) | H5216: 258 | $0 | N/A | $5,500 | No | 4.5 out of 5 |
Humana USAA Honor (Regional PPO) | R5361: 001 | $0 | N/A | $5,500 | No | 4 out of 5 |
Humana USAA Honor (PPO) | H5216: 355 | $0 | N/A | $5,500 | No | 4.5 out of 5 |
HumanaChoice H5216-283 (PPO) | H5216: 283 | $30 | $0 | $3,100 | Yes | 4.5 out of 5 |
Humana Gold Choice H8145-006 (PFFS) | H8145: 006 | $40 | $545 | N/A | Yes | 4 out of 5 |
HumanaChoice R5361-002 (Regional PPO) | R5361: 002 | $97 | $545 | $6,700 | Yes | 4 out of 5 |
HumanaChoice H5216-013 (PPO) | H5216: 013 | $100 | $0 | $5,700 | Yes | 4.5 out of 5 |
HumanaChoice H5216-357 (PPO) | H5216: 357 | $138 | $545 | $1,000 | Yes | 4.5 out of 5 |
Molina Healthcare, Inc.,
Molina Healthcare, Inc., Medicare Plans in Cook County, IL
The following table includes cost information and other plan details for Molina Healthcare, Inc., private Medicare plans available in Illinois in 2024.
Plan Name | Plan Code | Monthly Premium | Deductible | Out of Pocket Max |
Prescription Drug Coverage |
Medicare Star Rating |
---|---|---|---|---|---|---|
Molina Medicare Choice Care (HMO) | H2715: 001 | $0 | $125 | $8,300 | Yes | Plan too new to be measured |
UnitedHealthcare Medicare Plans in Cook County, IL
The following table includes cost information and other plan details for UnitedHealthcare private Medicare plans available in Illinois in 2024.
Plan Name | Plan Code | Monthly Premium | Deductible | Out of Pocket Max |
Prescription Drug Coverage |
Medicare Star Rating |
---|---|---|---|---|---|---|
AARP Medicare Advantage from UHC IL-0002 (HMO-POS) | H2802: 054 | $0 | $0 | $2,900 | Yes | 4 out of 5 |
AARP Medicare Advantage Patriot No Rx IL-MA01 (PPO) | H8768: 019 | $0 | N/A | $5,900 | No | 4 out of 5 |
AARP Medicare Advantage from UHC IL-001P (HMO-POS) | H2802: 024 | $0 | $0 | $2,500 | Yes | 4 out of 5 |
AARP Medicare Advantage Walgreens from UHC IL-0005 (PPO) | H8768: 010 | $0 | $195 | $5,700 | Yes | 4 out of 5 |
UHC Nursing Home Plan IL-F002 (HMO-POS I-SNP) | H2802: 027 | $21 | $545 | $7,200 | Yes | 4 out of 5 |
UHC Complete Care IL-001A (PPO C-SNP) | H0271: 027 | $24 | $545 | $8,850 | Yes | 4 out of 5 |
AARP Medicare Advantage from UHC IL-0001 (HMO-POS) | H2802: 025 | $29 | $0 | $3,200 | Yes | 4 out of 5 |
UHC Nursing Home Plan IL-F001 (PPO I-SNP) | H0710: 039 | $31 | $545 | $1,500 | Yes | 5 out of 5 |
UHC Care Advantage IL-E001 (PPO I-SNP) | H0710: 055 | $33 | $0 | $1,600 | Yes | 5 out of 5 |
AARP Medicare Advantage from UHC IL-0004 (PPO) | H8768: 005 | $34 | $0 | $3,800 | Yes | 4 out of 5 |
Wellcare Health Plans, Inc. Medicare Plans in Cook County, IL
The following table includes cost information and other plan details for Wellcare Health Plans, Inc. private Medicare plans available in Illinois in 2024.
Plan Name | Plan Code | Monthly Premium | Deductible | Out of Pocket Max |
Prescription Drug Coverage |
Medicare Star Rating |
---|---|---|---|---|---|---|
Wellcare No Premium (HMO-POS) | H1416: 009 | $0 | $0 | $2,700 | Yes | 3 out of 5 |
Wellcare No Premium Open (PPO) | H6713: 001 | $0 | $0 | $3,200 | Yes | 2.5 out of 5 |
Wellcare No Premium Essential (HMO) | H5779: 002 | $0 | $0 | $2,900 | Yes | 3 out of 5 |
Wellcare Giveback Open (PPO) | H6713: 002 | $0 | $545 | $5,000 | Yes | 2.5 out of 5 |
Wellcare No Premium Exclusive (HMO) | H5779: 007 | $0 | $0 | $2,900 | Yes | 3 out of 5 |
Wellcare No Premium Essential Value (HMO) | H5779: 009 | $0 | $0 | $2,900 | Yes | 3 out of 5 |
Wellcare No Premium Value (HMO-POS) | H1416: 082 | $0 | $0 | $2,900 | Yes | 3 out of 5 |
Wellcare Assist Compass (HMO) | H1416: 023 | $20 | $545 | $2,900 | Yes | 3 out of 5 |
Zing Health
Zing Health Medicare Plans in Cook County, IL
The following table includes cost information and other plan details for Zing Health private Medicare plans available in Illinois in 2024.
Plan Name | Plan Code | Monthly Premium | Deductible | Out of Pocket Max |
Prescription Drug Coverage |
Medicare Star Rating |
---|---|---|---|---|---|---|
Zing Essential Wellness Diabetes & Heart IL (HMO C-SNP) | H4624: 010 | $0 | $0 | $3,650 | Yes | 3 out of 5 |
Zing ESRD Select IL (HMO C-SNP) | H7330: 008 | $0 | $0 | $4,950 | Yes | 2.5 out of 5 |
Zing Open Choice Diabetes & Heart IL (PPO C-SNP) | H9618: 005 | $0 | $0 | $6,400 | Yes | na |
Zing Select Diabetes & Heart IL (HMO C-SNP) | H7330: 003 | $0 | $0 | $3,650 | Yes | 2.5 out of 5 |
Zing Open Choice IL (PPO) | H9618: 004 | $0 | $0 | $3,200 | Yes | na |
Zing Elite Diabetes & Heart IL (HMO C-SNP) | H4624: 028 | $0 | $0 | $3,200 | Yes | 3 out of 5 |
Zing Select Care IL (HMO) | H7330: 001 | $0 | $0 | $3,850 | Yes | 2.5 out of 5 |
Zing Elite Select IL (HMO) | H7330: 004 | $0 | $0 | $2,900 | Yes | 2.5 out of 5 |
Zing Select Diabetes & Heart Complete IL (HMO C-SNP) | H4624: 027 | $33 | $545 | $8,850 | Yes | 3 out of 5 |
Zing Choice Diabetes & Heart Complete IL (PPO C-SNP) | H9618: 006 | $33 | $545 | $8,850 | Yes | na |