Medicare Plans in
Kane County, IL
54 Medicare Advantage Plans Found in Kane County. See Plans
Kane County, IL
Medicare Information
For Kane County’s Medicare beneficiaries, Medicare Advantage plans offer an alternative to Original Medicare. Currently, 54 MA plans are available in Kane 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.
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 Medicare Advantage plans in Kane County, Illinois, including average costs, out-of-pocket expenses and what’s involved in obtaining prescription drug coverage.
Average Cost of Medicare Advantage
Plans in Kane County
Average Cost of Medicare Advantage Plans in Kane County, Illinois | |
---|---|
Average Monthly Premium | $58.00 |
Average in-network out-of-pocket spending limit | $4,066.37 |
Average drug deductible in 2022 (weighted) | $356.32 |
Percentage of plans rated 4 stars or higher | 27.8% |
Average Cost of Medicare Advantage Plans in Kane County, Illinois |
---|
Average Monthly Premium $58.00 |
Average in-network out-of-pocket spending limit $4,066.37 |
Average drug deductible in 2021 (weighted) $356.32 |
Percentage of plans rated 4 stars or higher 27.8% |
Learn More About Medicare Advantage
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.
|
In addition to these primary types of plans, some members 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 Advantage Plans in Kane County, IL
The following table includes cost information and other plan details for Aetna Inc. Medicare Advantage plans available in Illinois in 2022.
Plan Name | Plan Code | Monthly Premium | Deductible | Out of Pocket Max |
Prescription Drug Coverage |
Medicare Star Rating |
---|---|---|---|---|---|---|
Aetna Medicare Prime (HMO-POS) | H3192: 001 | $0 | $0 | $3,950 | Yes | Plan too new to be measured |
Aetna Medicare Value (PPO) | H5521: 086 | $0 | $0 | $3,950 | Yes | 4 out of 5 |
Aetna Medicare Eagle (PPO) | H5521: 286 | $0 | N/A | $5,500 | No | 4 out of 5 |
Aetna Medicare DMG Prime (PPO) | H5521: 314 | $0 | $0 | $3,950 | Yes | 4 out of 5 |
Aetna Medicare Premier Plus (PPO) | H5521: 016 | $39 | $0 | $3,475 | Yes | 4 out of 5 |
Bright Health
Bright Health Medicare Advantage Plans in Kane County, IL
The following table includes cost information and other plan details for Bright Health Medicare Advantage plans available in Illinois in 2022.
Plan Name | Plan Code | Monthly Premium | Deductible | Out of Pocket Max |
Prescription Drug Coverage |
Medicare Star Rating |
---|---|---|---|---|---|---|
Bright Advantage Classic Care Plan (HMO) | H6121: 008 | $0 | $0 | $3,400 | Yes | Plan too new to be measured |
Bright Advantage Classic Choice Plan (HMO) | H6121: 003 | $29 | $480 | $6,700 | Yes | Plan too new to be measured |
Centene Corporation
Centene Corporation Medicare Advantage Plans in Kane County, IL
The following table includes cost information and other plan details for Centene Corporation Medicare Advantage plans available in Illinois in 2022.
Plan Name | Plan Code | Monthly Premium | Deductible | Out of Pocket Max |
Prescription Drug Coverage |
Medicare Star Rating |
---|---|---|---|---|---|---|
Ascension Complete AMITA Health Reward (HMO) | H7399: 001 | $0 | $480 | $2,900 | Yes | Plan too new to be measured |
Ascension Complete AMITA Health Secure (HMO) | H7399: 002 | $0 | $0 | $2,400 | Yes | Plan too new to be measured |

Cigna Medicare Advantage Plans in Kane County, IL
The following table includes cost information and other plan details for Cigna Medicare Advantage plans available in Illinois in 2022.
Plan Name | Plan Code | Monthly Premium | Deductible | Out of Pocket Max |
Prescription Drug Coverage |
Medicare Star Rating |
---|---|---|---|---|---|---|
Cigna Fundamental Medicare (HMO) | H1415: 013 | $0 | N/A | $6,700 | No | 3 out of 5 |
Cigna Premier Medicare (HMO-POS) | H1415: 021 | $0 | $0 | $4,500 | Yes | 3 out of 5 |
Cigna Preferred Medicare (HMO) | H1415: 024 | $0 | $0 | $3,150 | Yes | 3 out of 5 |
Cigna True Choice Medicare (PPO) | H7849: 002 | $0 | $0 | $4,400 | Yes | Plan too new to be measured |
Clear Spring Health
Clear Spring Health Medicare Advantage Plans in Kane County, IL
The following table includes cost information and other plan details for Clear Spring Health Medicare Advantage plans available in Illinois in 2022.
Plan Name | Plan Code | Monthly Premium | Deductible | Out of Pocket Max |
Prescription Drug Coverage |
Medicare Star Rating |
---|---|---|---|---|---|---|
Clear Spring Health Community Advantage Plan (HMO) | H3071: 002 | $0 | $0 | $3,000 | Yes | 3 out of 5 |
Clear Spring Health Essential (HMO) | H5454: 002 | $0 | $0 | $2,900 | Yes | Plan too new to be measured |
Clear Spring Health Community Flex Plan (HMO-POS) | H3071: 003 | $19 | $0 | $2,500 | Yes | 3 out of 5 |
Devoted Health
Devoted Health Medicare Advantage Plans in Kane County, IL
The following table includes cost information and other plan details for Devoted Health Medicare Advantage plans available in Illinois in 2022.
Plan Name | Plan Code | Monthly Premium | Deductible | Out of Pocket Max |
Prescription Drug Coverage |
Medicare Star Rating |
---|---|---|---|---|---|---|
Devoted Health Core (HMO) | H7151: 001 | $0 | $0 | $2,900 | Yes | na |
Devoted Health Essentials (HMO) | H7151: 003 | $0 | $0 | $4,500 | Yes | na |
Devoted Health Prime (HMO) | H7151: 002 | $29 | $480 | $2,900 | Yes | na |
Health Care Service Corporation
Health Care Service Corporation Medicare Advantage Plans in Kane County, IL
The following table includes cost information and other plan details for Health Care Service Corporation Medicare Advantage plans available in Illinois in 2022.
Plan Name | Plan Code | Monthly Premium | Deductible | Out of Pocket Max |
Prescription Drug Coverage |
Medicare Star Rating |
---|---|---|---|---|---|---|
Blue Cross Medicare Advantage Basic (HMO) | H3822: 001 | $0 | $0 | $2,950 | Yes | 3.5 out of 5 |
Blue Cross Medicare Advantage Basic Plus (HMO-POS) | H3822: 007 | $0 | $0 | $3,450 | Yes | 3.5 out of 5 |
Blue Medicare Advocate Health (HMO) | H8547: 001 | $0 | $0 | $2,950 | Yes | Plan too new to be measured |
Blue Cross Medicare Advantage Classic (PPO) | H8634: 008 | $0 | $250 | $6,900 | Yes | 3.5 out of 5 |
Blue Cross Medicare Advantage Choice Plus (PPO) | H8634: 003 | $79 | $250 | $4,900 | Yes | 3.5 out of 5 |
Blue Cross Medicare Advantage Premier Plus (HMO-POS) | H3822: 008 | $83 | $0 | -$2,900 | Yes | 3.5 out of 5 |
Blue Cross Medicare Advantage Choice Premier (PPO) | H8634: 004 | $142 | $0 | $3,460 | Yes | 3.5 out of 5 |
Blue Cross Medicare Advantage Flex (PPO) | H8634: 014 | $189 | $480 | $0 | Yes | 3.5 out of 5 |

Humana Inc. Medicare Advantage Plans in Kane County, IL
The following table includes cost information and other plan details for Humana Inc. Medicare Advantage plans available in Illinois in 2022.
Plan Name | Plan Code | Monthly Premium | Deductible | Out of Pocket Max |
Prescription Drug Coverage |
Medicare Star Rating |
---|---|---|---|---|---|---|
Humana Community Select HMO H1468-018 (HMO) | H1468: 018 | $0 | $0 | $2,600 | Yes | 4 out of 5 |
HumanaChoice H5216-251 (PPO) | H5216: 251 | $0 | $200 | $5,500 | Yes | 4 out of 5 |
Humana Honor (PPO) | H5216: 258 | $0 | N/A | $5,900 | No | 4 out of 5 |
HumanaChoice R5361-001 (Regional PPO) | R5361: 001 | $0 | N/A | $6,700 | No | 3.5 out of 5 |
Humana Gold Plus H1468-014 (HMO) | H1468: 014 | $25 | $0 | $3,450 | Yes | 4 out of 5 |
HumanaChoice H5216-283 (PPO) | H5216: 283 | $35 | $150 | $3,750 | Yes | 4 out of 5 |
HumanaChoice H5216-013 (PPO) | H5216: 013 | $88 | $0 | $3,450 | Yes | 4 out of 5 |
HumanaChoice R5361-002 (Regional PPO) | R5361: 002 | $120 | $480 | $6,700 | Yes | 3.5 out of 5 |
Humana Gold Choice H8145-008 (PFFS) | H8145: 008 | $146 | $380 | N/A | Yes | 3.5 out of 5 |
UnitedHealthcare Medicare Advantage Plans in Kane County, IL
The following table includes cost information and other plan details for UnitedHealthcare Medicare Advantage plans available in Illinois in 2022.
Plan Name | Plan Code | Monthly Premium | Deductible | Out of Pocket Max |
Prescription Drug Coverage |
Medicare Star Rating |
---|---|---|---|---|---|---|
AARP Medicare Advantage Access (HMO) | H2802: 024 | $0 | $100 | $2,950 | Yes | 4.5 out of 5 |
AARP Medicare Advantage Walgreens (PPO) | H8768: 010 | $0 | $250 | $5,900 | Yes | 4 out of 5 |
AARP Medicare Advantage Patriot (PPO) | H8768: 019 | $0 | N/A | $5,900 | No | 4 out of 5 |
AARP Medicare Advantage (HMO) | H2802: 025 | $26 | $195 | $3,900 | Yes | 4.5 out of 5 |
UnitedHealthcare Medicare Advantage Assure (PPO) | H0271: 004 | $29 | $480 | $7,550 | Yes | Plan too new to be measured |
AARP Medicare Advantage Choice (PPO) | H8768: 005 | $38 | $195 | $3,900 | Yes | 4 out of 5 |

WellCare Health Plans, Inc. Medicare Advantage Plans in Kane County, IL
The following table includes cost information and other plan details for WellCare Health Plans, Inc. Medicare Advantage plans available in Illinois in 2022.
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 | $3,450 | Yes | 3 out of 5 |
Wellcare Patriot No Premium (HMO-POS) | H1416: 053 | $0 | N/A | $3,450 | No | 3 out of 5 |
Wellcare No Premium Essential (HMO) | H5779: 005 | $0 | $0 | $3,450 | Yes | 3.5 out of 5 |
Wellcare No Premium Exclusive (HMO) | H5779: 007 | $0 | $0 | $3,000 | Yes | 3.5 out of 5 |
Wellcare No Premium Open (PPO) | H6713: 001 | $0 | $0 | $3,450 | Yes | Plan too new to be measured |
Wellcare Giveback Open (PPO) | H6713: 002 | $0 | $0 | $3,450 | Yes | Plan too new to be measured |
Wellcare Assist (HMO) | H5779: 008 | $12 | $480 | $3,450 | Yes | 3.5 out of 5 |
Wellcare Edge Plus (HMO) | H5779: 006 | $19 | $480 | $3,450 | Yes | 3.5 out of 5 |
Wellcare Assist Compass (HMO) | H1416: 023 | $19 | $480 | $3,450 | Yes | 3 out of 5 |
Wellcare Plus (HMO) | H1416: 048 | $27 | $480 | $3,450 | Yes | 3 out of 5 |
Zing Health
Zing Health Medicare Advantage Plans in Kane County, IL
The following table includes cost information and other plan details for Zing Health Medicare Advantage plans available in Illinois in 2022.
Plan Name | Plan Code | Monthly Premium | Deductible | Out of Pocket Max |
Prescription Drug Coverage |
Medicare Star Rating |
---|---|---|---|---|---|---|
Zing Choice IL (HMO) | H4624: 001 | $0 | $0 | $3,450 | Yes | Plan too new to be measured |
Zing Open Access IL (HMO-POS) | H4624: 002 | $25 | $0 | $3,450 | Yes | Plan too new to be measured |