Medicare Plans in
Peoria County, IL

38 Medicare Advantage Plans Found in Peoria County. See Plans

Peoria County, IL
Medicare Information

For Peoria County’s Medicare beneficiaries, Medicare Advantage plans offer an alternative to Original Medicare. Currently, 38 MA plans are available in Peoria 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.

For Peoria County’s Medicare beneficiaries, Medicare Advantage plans offer an alternative to Original Medicare. Currently, 38 MA plans are available in Peoria 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 Peoria 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 Peoria County

Average Cost of Medicare Advantage Plans in Peoria County, Illinois
Average Monthly Premium $72.61
Average in-network out-of-pocket spending limit $4,840.00
Average drug deductible in 2022 (weighted) $373.85
Percentage of plans rated 4 stars or higher 57.9%
Average Cost of Medicare Advantage Plans in Peoria County, Illinois
Average Monthly Premium
$72.61
Average in-network out-of-pocket spending limit
$4,840.00
Average drug deductible in 2021 (weighted)
$373.85
Percentage of plans rated 4 stars or higher
57.9%

Learn More About Medicare Advantage
Prescription Drug Plans

Peoria County Medicare beneficiaries who are interested in a Part C policy may choose among the following types of plans, depending on their needs and circumstances:
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.

Aetna Inc. Medicare Advantage Plans in Peoria County, IL

The following table includes cost information and other plan details for Aetna Inc. Medicare Advantage plans available in Illinois in 2022.

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Plan Name Plan Code Monthly Premium Deductible Out of
Pocket Max
Prescription Drug Coverage Medicare
Star Rating
Aetna Medicare UnityPoint Health Prime (HMO) H2663: 017 $0 $0 $3,900 Yes
4.5 out of 5
Aetna Medicare Value (PPO) H7301: 007 $0 $0 $4,650 Yes
4.5 out of 5
Aetna Medicare Premier (PPO) H7301: 009 $26 $0 $5,500 Yes
4.5 out of 5

Health Care Service Corporation

Health Care Service Corporation Medicare Advantage Plans in Peoria 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.

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Plan Name Plan Code Monthly Premium Deductible Out of
Pocket Max
Prescription Drug Coverage Medicare
Star Rating
Blue Cross Medicare Advantage Basic (HMO) H3822: 015 $0 $0 $3,400 Yes
3.5 out of 5
Blue Cross Medicare Advantage Classic (PPO) H8634: 013 $0 $250 $5,900 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.

Humana Inc. Medicare Advantage Plans in Peoria County, IL

The following table includes cost information and other plan details for Humana Inc. Medicare Advantage plans available in Illinois in 2022.

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Plan Name Plan Code Monthly Premium Deductible Out of
Pocket Max
Prescription Drug Coverage Medicare
Star Rating
Humana Gold Plus H1468-007 (HMO) H1468: 007 $0 $0 $3,900 Yes
4 out of 5
HumanaChoice H5216-215 (PPO) H5216: 215 $0 $195 $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
HumanaChoice H5525-004 (PPO) H5525: 004 $96 $250 $5,500 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

The Carle Foundation

The Carle Foundation Medicare Advantage Plans in Peoria County, IL

The following table includes cost information and other plan details for The Carle Foundation Medicare Advantage plans available in Illinois in 2022.

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Plan Name Plan Code Monthly Premium Deductible Out of
Pocket Max
Prescription Drug Coverage Medicare
Star Rating
Health Alliance Medicare HMO Basic (HMO) H1463: 008 $0 N/A $6,700 No
4 out of 5
OSF MedAdvantage Core (HMO) H1463: 035 $0 $0 $3,900 Yes
4 out of 5
Health Alliance Medicare POS Basic (HMO-POS) H1463: 014 $23 N/A $6,700 No
4 out of 5
Health Alliance Medicare HMO Basic Rx (HMO) H1463: 009 $33 $0 $6,700 Yes
4 out of 5
OSF MedAdvantage Open (HMO-POS) H1463: 036 $39 $0 $4,750 Yes
4 out of 5
Health Alliance Medicare POS Basic Rx (HMO-POS) H1463: 015 $53 $0 $6,700 Yes
4 out of 5
Health Alliance Medicare HMO 40 Rx (HMO) H1463: 010 $75 $0 $4,700 Yes
4 out of 5
Health Alliance Medicare POS 30 Rx (HMO-POS) H1463: 017 $105 $0 $5,500 Yes
4 out of 5
Health Alliance Medicare HMO 20 Rx (HMO) H1463: 003 $125 $0 $4,000 Yes
4 out of 5
OSF MedAdvantage Enrich (HMO-POS) H1463: 042 $150 $175 $0 Yes
4 out of 5
Health Alliance Medicare POS 10 Rx (HMO-POS) H1463: 019 $165 $0 $4,500 Yes
4 out of 5
UnitedHealthcare

UnitedHealthcare Medicare Advantage Plans in Peoria County, IL

The following table includes cost information and other plan details for UnitedHealthcare Medicare Advantage plans available in Illinois in 2022.

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Plan Name Plan Code Monthly Premium Deductible Out of
Pocket Max
Prescription Drug Coverage Medicare
Star Rating
AARP Medicare Advantage Walgreens (PPO) H8768: 011 $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-POS) H5253: 108 $25 $0 $3,900 Yes
4 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: 003 $49 $0 $3,400 Yes
4 out of 5
WellCare Health Plans, Inc.

WellCare Health Plans, Inc. Medicare Advantage Plans in Peoria 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.

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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: 002 $0 $0 $3,450 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