Medicare plans in Madison County, IL
58 plans are approved for Madison County, and 43 of them have no monthly premium. 47 carry a CMS star rating.
55.7% of the 60,275 people eligible for Medicare in Madison County are already in a Medicare Advantage plan (September 2026).
All plans · Medicare Advantage · Special Needs Plans · Part D drug plans
| Plan | Premium a month | Most you can pay a year | Drug deductible | Stars | Enrolled here |
|---|---|---|---|---|---|
| Essence Advantage (HMO) Essence Healthcare · HMO |
$0 | $3,400 | $0 | 4.5/5 | 1,802 |
| Essence Advantage Select (HMO) Essence Healthcare · HMO |
$0 | $3,900 | $340 | 4.5/5 | 1,871 |
| Humana Full Access H7617-008 (PPO) Humana · PPO |
$0 | $5,000 | $400 | 4.5/5 | 298 |
| Humana USAA Honor Giveback (PPO) Humana · PPO |
$0 | $4,700 | Not published | 4.5/5 | 70 |
| HumanaChoice Giveback H7617-013 (PPO) Humana · PPO |
$0 | $4,500 | $615 | 4.5/5 | 24 |
| Humana Value Choice H7617-023 (PPO) Humana · PPO |
$0 | $3,500 | $615 | 4.5/5 | 1,111 |
| Aetna Medicare Elite (PPO) Aetna Medicare · PPO |
$0 | $4,500 | $615 | 4.0/5 | 150 |
| AARP Medicare Advantage from UHC ST-2 (PPO) UnitedHealthcare · PPO |
$0 | $6,700 | $600 | 4.0/5 | 573 |
| Aetna Medicare Chronic Care (HMO C-SNP) Aetna Medicare · HMO C-SNP |
$0 | $6,750 | $615 | 4.0/5 | 236 |
| Aetna Medicare Signature (HMO-POS) Aetna Medicare · HMO-POS |
$0 | $4,200 | $615 | 4.0/5 | 465 |
| AARP Medicare Advantage Essentials from UHC ST-3 (HMO-POS) UnitedHealthcare · HMO-POS |
$0 | $3,200 | $440 | 4.0/5 | 4,005 |
| AARP Medicare Advantage Patriot No Rx MO-MA01 (HMO-POS) UnitedHealthcare · HMO-POS |
$0 | $4,900 | Not published | 4.0/5 | 359 |
| AARP Medicare Advantage Extras from UHC ST-4 (HMO-POS) UnitedHealthcare · HMO-POS |
$0 | $3,900 | $520 | 4.0/5 | 3,890 |
| AARP Medicare Advantage CareFlex from UHC ST-6 (HMO-POS) UnitedHealthcare · HMO-POS |
$0 | $6,700 | $600 | 4.0/5 | 104 |
| Humana Gold Plus H0028-014 (HMO) Humana · HMO |
$0 | $2,700 | $615 | 3.5/5 | 1,150 |
| Humana Gold Plus Giveback H0028-065 (HMO) Humana · HMO |
$0 | $4,200 | $615 | 3.5/5 | 124 |
| Blue Cross Medicare Advantage Value (HMO) Blue Cross and Blue Shield of IL, NM · HMO |
$0 | $4,000 | $450 | 3.5/5 | 46 |
| Humana USAA Honor Giveback (PPO) Humana · PPO |
$0 | $4,700 | Not published | 3.5/5 | 116 |
| Humana Value Choice H5216-318 (PPO) Humana · PPO |
$0 | $3,500 | $615 | 3.5/5 | 952 |
| HumanaChoice Giveback H5216-403 (PPO) Humana · PPO |
$0 | $4,500 | $615 | 3.5/5 | 123 |
| Humana Full Access H5216-407 (PPO) Humana · PPO |
$0 | $5,000 | $400 | 3.5/5 | 110 |
| Essence Advantage Choice (PPO) Essence Healthcare · PPO |
$0 | $5,400 | $340 | 3.5/5 | 622 |
| Aetna Medicare Signature (PPO) Aetna Medicare · PPO |
$0 | $5,500 | $615 | 3.5/5 | 347 |
| Humana Gold Choice H8145-126 (PFFS) Humana · PFFS |
$0 | $6,700 | Not published | 3.5/5 | Fewer than 11 |
| Wellcare Simple (HMO-POS) Wellcare · HMO-POS |
$0 | $3,900 | $615 | 3.0/5 | 580 |
| Wellcare Simple Value (HMO-POS) Wellcare · HMO-POS |
$0 | $3,900 | $615 | 3.0/5 | 57 |
| Wellcare Simple Essential (HMO) Wellcare · HMO |
$0 | $4,200 | $615 | 3.0/5 | 35 |
| Wellcare Simple Essential Value (HMO) Wellcare · HMO |
$0 | $3,900 | $615 | 3.0/5 | Fewer than 11 |
| Wellcare Giveback (HMO) Wellcare · HMO |
$0 | $7,500 | $615 | 3.0/5 | 47 |
| Wellcare Patriot Giveback (HMO) Wellcare · HMO |
$0 | $5,500 | Not published | 3.0/5 | Fewer than 11 |
| HealthSpring True Choice Savings (PPO) HealthSpring · PPO |
$0 | $4,250 | $200 | 3.0/5 | 27 |
| Blue Cross Medicare Advantage Essential (PPO) Blue Cross and Blue Shield of IL, NM, OK, TX · PPO |
$0 | $6,700 | $450 | 3.0/5 | 24 |
| Blue Cross Medicare Advantage Health Choice (PPO) Blue Cross and Blue Shield of IL, NM, OK, TX · PPO |
$0 | $9,000 | $615 | 3.0/5 | 15 |
| Blue Cross Medicare Advantage Protect (PPO) Blue Cross and Blue Shield of IL, NM, OK, TX · PPO |
$0 | $6,750 | Not published | 3.0/5 | Fewer than 11 |
| Blue Cross Medicare Advantage Dental Premier (PPO) Blue Cross and Blue Shield of IL, NM, OK, TX · PPO |
$0 | $7,500 | $615 | 3.0/5 | 19 |
| Humana USAA Honor Giveback (Regional PPO) Humana · Regional PPO |
$0 | $6,750 | Not published | 3.0/5 | Fewer than 11 |
| Molina Medicare Choice Care (HMO) Molina Healthcare of Illinois · HMO |
$0 | $9,250 | $0 | Not enough data to rate | 18 |
| Molina Medicare Complete Care Plus (HMO D-SNP) Molina Healthcare of Illinois · HMO D-SNP |
$0 | $9,250 | $100 | Too new to be rated | 362 |
| Humana Dual Fully Integrated (HMO D-SNP) Humana · HMO D-SNP |
$0 | $9,250 | $390 | Too new to be rated | 279 |
| Clear Spring Health BrightPath Advantage (HMO) Clear Spring Health · HMO |
$0 | $4,200 | $200 | Not enough data to rate | Fewer than 11 |
| Clear Spring Health Balance+ Diabetes & Heart (HMO C-SNP) Clear Spring Health · HMO C-SNP |
$0 | $6,751 | $100 | Not enough data to rate | Fewer than 11 |
| DEVOTED CHOICE 005 IL (PPO) Devoted Health · PPO |
$0 | $3,900 | $385 | Too new to be rated | 366 |
| DEVOTED CHOICE GIVEBACK 006 IL (PPO) Devoted Health · PPO |
$0 | $9,250 | $605 | Too new to be rated | 206 |
| Wellcare Meridian Dual Align (HMO D-SNP) Wellcare · HMO D-SNP |
$14.20 | $9,250 | $400 | Too new to be rated | 235 |
| UHC Complete Care Support ST-1A (PPO C-SNP) UnitedHealthcare · PPO C-SNP |
$15.20 | $9,250 | $450 | 4.5/5 | 2,312 |
| DEVOTED C-SNP CHOICE PLUS 012 IL (PPO C-SNP) Devoted Health · PPO C-SNP |
$15.20 | $9,250 | $615 | Too new to be rated | 58 |
| DEVOTED C-SNP CHOICE PREMIUM 014 IL (PPO C-SNP) Devoted Health · PPO C-SNP |
$15.20 | $4,200 | $615 | Too new to be rated | 43 |
| Aetna Medicare FIDE (HMO D-SNP) Aetna Medicare FIDE · HMO D-SNP |
$15.20 | $9,250 | $615 | Too new to be rated | 550 |
| HumanaChoice H5216-399 (PPO) Humana · PPO |
$18.00 | $6,000 | $615 | 3.5/5 | Fewer than 11 |
| Aetna Medicare Enhanced (PPO) Aetna Medicare · PPO |
$37.00 | $4,700 | $615 | 3.5/5 | 189 |
| Humana Gold Choice H8145-006 (PFFS) Humana · PFFS |
$37.00 | $6,800 | $615 | 3.5/5 | Fewer than 11 |
| Aetna Medicare Enhanced Extra (HMO-POS) Aetna Medicare · HMO-POS |
$40.00 | $5,900 | $615 | 4.0/5 | 698 |
| AARP Medicare Advantage from UHC ST-0001 (PPO) UnitedHealthcare · PPO |
$53.00 | $4,500 | $520 | 4.0/5 | 802 |
| Essence Advantage Plus (HMO) Essence Healthcare · HMO |
$59.00 | $2,900 | $0 | 4.5/5 | 85 |
| Aetna Medicare Enhanced (PPO) Aetna Medicare · PPO |
$60.00 | $7,500 | $615 | 4.0/5 | 32 |
| HumanaChoice H5216-032 (PPO) Humana · PPO |
$63.00 | $9,250 | $615 | 3.5/5 | 12 |
| HumanaChoice R5361-002 (Regional PPO) Humana · Regional PPO |
$103.00 | $7,200 | $615 | 3.0/5 | Fewer than 11 |
| Essence Advantage Premier Plus (PPO) Essence Healthcare · PPO |
$254.00 | $2,000 | $615 | 3.5/5 | Fewer than 11 |
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Plans arriving in or leaving Madison County, and premiums moving, when CMS republishes.
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Nearby and related
All Illinois counties · What changed recently
Premiums, deductibles, maximum out-of-pocket amounts, star ratings and sanctions are reproduced from the Centers for Medicare & Medicaid Services landscape file as published in the September 2026 release. Enrolment counts are from the CMS monthly enrolment file; CMS suppresses any count of ten or fewer, which is why many plans show “fewer than 11” rather than a number. Nothing on this page is calculated by us. This is not a complete list of your options and it is not advice: see Medicare.gov or call 1-800-MEDICARE.