2026 Medicare Advantage Plans in Carroll County, IL
Last update: . Enrollment data updated: June 13, 2026
For 2026, Carroll County, IL includes 20 Medicare Advantage plans. Enrollment across these plans totals approximately 1,018, with 14 $0 premium options and 16% rated 4 stars or higher.
This page and its statistics exclude Medicare Advantage Special Needs Plans (SNPs). Special Needs Plans in Carroll County, IL are summarized separately. Visit Medicare Options in Carroll County, IL to see more options.
Medicare Advantage PPO Plans
Preferred Provider Organization (PPO) plans allow members to choose care from both in-network and out-of-network providers. Out-of-network care usually costs more, but PPOs offer greater flexibility in how members access care.
- Total PPO Plans
- 11
- Average Monthly Premium
- $29.18/mo
- Total PPO Enrollment
- 738
- $0 Premium PPO Plans
- 7
- Average MOOP
- $5,927
- Top PPO by Enrollment
- AARP Medicare Advantage from UHC IL-6 (PPO) — 252 enrollees
- PPO Plans Without Drug Coverage
- 5
| PPO Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| Humana USAA Honor Giveback | $0 | $6,000 | N/A | H7617-022-0 | |
| HumanaChoice Giveback H7617-013 | $0 | $4,500 | $615 | H7617-013-0 | |
| AARP Medicare Advantage from UHC IL-6 | $45 | $6,700 | $600 | H8768-011-0 | |
| AARP Medicare Advantage Patriot No Rx IL-MA01 | $0 | $6,700 | N/A | H8768-019-0 | |
| Humana USAA Honor Giveback | $0 | $6,000 | N/A | H5216-355-0 | |
| Humana USAA Honor Giveback | $0 | $6,000 | N/A | H5216-258-0 | |
| HumanaChoice Giveback H5216-403 | $0 | $4,500 | $615 | H5216-403-0 | |
| HumanaChoice H5216-399 | $18 | $6,000 | $615 | H5216-399-0 | |
| Blue Cross Medicare Advantage Choice Premier | $155 | $4,850 | $300 | H8634-004-0 | |
| Humana USAA Honor Giveback | $0 | $6,750 | N/A | R5361-001-0 | |
| HumanaChoice R5361-002 | $103 | $7,200 | $615 | R5361-002-0 |
What is the average monthly premium for PPO plans in Carroll?
PPO plans in Carroll cost $29.18 per month on average.
Which PPO plan has the highest enrollment in Carroll?
The most popular PPO plan in Carroll is AARP Medicare Advantage from UHC IL-6 (PPO), with 252 enrollees.
How many PPO plans in Carroll do not include prescription drug coverage?
5 PPO plans in Carroll do not include prescription drug coverage.
Medicare Advantage HMO Plans
Health Maintenance Organization (HMO) plans generally require members to use in-network doctors, hospitals, and other providers, except in emergencies. Because of this structure, HMOs often have lower premiums and out-of-pocket costs than other plan types.
- Total HMO Plans 6
- Average Monthly Premium $0.00/mo
- Total HMO Enrollment 45
- $0 Premium HMO Plans 6
- Average MOOP $5,725
- Top HMO by Enrollment Wellcare Simple Essential (HMO) — 26 enrollees
- HMO Plans Without Drug Coverage 1
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| Blue Cross Medicare Advantage Value | $0 | $4,000 | $450 | H3822-014-0 | |
| Wellcare Giveback | $0 | $7,500 | $615 | H5779-010-0 | |
| Wellcare Patriot Giveback | $0 | $5,500 | N/A | H5779-011-0 | |
| Wellcare Simple Essential | $0 | $4,200 | $615 | H5779-002-0 | |
| Wellcare Simple Essential Value | $0 | $3,900 | $615 | H5779-009-0 | |
| Molina Medicare Choice Care | $0 | $9,250 | $0 | H2715-003-0 |
What is the top HMO by enrollment in Carroll?
Wellcare Simple Essential (HMO) is the top HMO in Carroll, with 26 enrollees.
What is the number of HMO plans without Part D coverage in Carroll?
1 HMO plans in Carroll do not include prescription drug coverage.
Medicare Advantage HMO-POS Plans
HMO-POS plans are structured like HMOs, requiring in-network care for the lowest costs, while allowing limited out-of-network access at higher cost. This provides added flexibility compared with standard HMO plans.
- Total HMO-POS Plans
- 1
- Average Monthly Premium
- $45.00/mo
- Total HMO-POS Enrollment
- 200
- $0 Premium HMO-POS Plans
- 0
- Average MOOP
- $4,900
- Top HMO-POS by Enrollment
- AARP Medicare Advantage from UHC IA-0002 (HMO-POS) — 200 enrollees
- HMO-POS Plans Without Drug Coverage
- 0
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| AARP Medicare Advantage from UHC IA-0002 | $45 | $4,900 | $520 | H5253-108-1 |
What is the typical premium for HMO-POS plans in Carroll?
HMO-POS plans in Carroll cost $45.00 per month on average.
Which HMO-POS plan has the most members in Carroll?
The most popular HMO-POS plan in Carroll is AARP Medicare Advantage from UHC IA-0002 (HMO-POS), with 200 enrollees.
How many HMO-POS options are offered without prescription drug coverage in Carroll?
There are 0 HMO-POS plans in Carroll without prescription drug coverage.
Medicare Advantage PFFS Plans
PFFS, or Private Fee-for-Service plans, allow access to any Medicare-approved doctor or hospital that accepts the plan’s terms. They provide wide flexibility in choosing providers, but it’s essential to verify that your preferred healthcare professionals agree to the plan’s payment rules before scheduling care.
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| Humana Gold Choice H8145-006 | $37 | $6,800 | $615 | H8145-006-0 | |
| Humana Gold Choice H8145-126 | $0 | $6,700 | N/A | H8145-126-0 |
What is the total number of PFFS plans in Carroll?
In 2026, Carroll has 2 PFFS plans with 35 enrollees.
How much do PFFS plans cost in Carroll?
The typical PFFS premium in Carroll is $18.50, and 1 plans have no monthly premium.
CMS quality ratings for Medicare Advantage plans in Carroll County, IL (2026) are summarized below.
| Rating Category | Number of Plans | Percent of Plans |
|---|---|---|
| 5 Stars | No 5-star plans available. | 0% |
| 4 Stars (includes 5 Stars) | 3 | 16% |
| 3 Stars | 16 | 84% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 1 | 5% |
| Average Rating | 3.42 | |
* CMS assigns Medicare Advantage star ratings annually based on plan quality and performance measures.
- CMS.gov, Medicare Advantage Landscape Source Files — Last accessed June 13, 2026
- CMS.gov, Medicare Part C & D Performance Data — Last accessed June 13, 2026
- CMS.gov, Medicare Advantage & Part D Contract and Enrollment Data — Last accessed June 13, 2026
All plan counts, enrollment totals, averages, and percentage distributions are calculated at the county level using CMS data and include standard Medicare Advantage (MA/MAPD) plans only, based on a consistent aggregation methodology.
Data sources and methodology documentation .
- Medicare.gov, "Understanding Medicare Advantage Plans" — Last accessed 25 May, 2025
- Medicare.gov, "Compare Original Medicare & Medicare Advantage" — Last accessed 25 May, 2025
- NCOA.org, "5 Steps to Choosing the Right Medicare Plan for You" — Last accessed 25 May, 2025
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Data provenance is documented in accordance with the U.S. Core Data for Interoperability (USCDI) Provenance standard .
Page content independently curated and maintained by David W. Bynon, Editorial Steward, using a standardized, data-driven methodology for accurate, non-commercial Medicare plan interpretation and resolution.