2026 Medicare Advantage Plans in Clinton County, IL
Last update: . Enrollment data updated: June 13, 2026
For 2026, Clinton County, IL includes 44 Medicare Advantage plans. Enrollment across these plans totals approximately 1,913, with 34 $0 premium options and 38% rated 4 stars or higher.
This page and its statistics exclude Medicare Advantage Special Needs Plans (SNPs). Special Needs Plans in Clinton County, IL are summarized separately. Visit Medicare Options in Clinton 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
- 24
- Average Monthly Premium
- $28.33/mo
- Total PPO Enrollment
- 437
- $0 Premium PPO Plans
- 17
- Average MOOP
- $5,121
- Top PPO by Enrollment
- AARP Medicare Advantage from UHC ST-2 (PPO) — 76 enrollees
- PPO Plans Without Drug Coverage
- 4
What is the average monthly premium for PPO plans in Clinton?
PPO plans in Clinton cost $28.33 per month on average.
Which PPO plan has the highest enrollment in Clinton?
The most popular PPO plan in Clinton is AARP Medicare Advantage from UHC ST-2 (PPO), with 76 enrollees.
How many PPO plans in Clinton do not include prescription drug coverage?
4 PPO plans in Clinton 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 12
- Average Monthly Premium $4.92/mo
- Total HMO Enrollment 215
- $0 Premium HMO Plans 11
- Average MOOP $4,638
- Top HMO by Enrollment Essence Advantage Select (HMO) — 134 enrollees
- HMO Plans Without Drug Coverage 1
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| Essence Advantage | $0 | $3,400 | $0 | H2610-005-0 | |
| Essence Advantage Plus | $59 | $2,900 | $0 | H2610-006-0 | |
| Essence Advantage Select | $0 | $3,900 | $340 | H2610-016-0 | |
| Humana Gold Plus Giveback H0028-065 | $0 | $4,200 | $615 | H0028-065-0 | |
| Humana Gold Plus H0028-014 | $0 | $2,700 | $615 | H0028-014-0 | |
| 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 | |
| Clear Spring Health BrightPath Advantage | $0 | $4,200 | $200 | H5454-001-0 | |
| Molina Medicare Choice Care | $0 | $9,250 | $0 | H2715-003-0 |
What is the top HMO by enrollment in Clinton?
Essence Advantage Select (HMO) is the top HMO in Clinton, with 134 enrollees.
What is the number of HMO plans without Part D coverage in Clinton?
1 HMO plans in Clinton 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
- 6
- Average Monthly Premium
- $6.67/mo
- Total HMO-POS Enrollment
- 1,261
- $0 Premium HMO-POS Plans
- 5
- Average MOOP
- $4,800
- Top HMO-POS by Enrollment
- AARP Medicare Advantage Extras from UHC ST-4 (HMO-POS) — 678 enrollees
- HMO-POS Plans Without Drug Coverage
- 1
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| AARP Medicare Advantage CareFlex from UHC ST-6 | $0 | $6,700 | $600 | H2802-073-0 | |
| AARP Medicare Advantage Essentials from UHC ST-3 | $0 | $3,200 | $440 | H2802-028-0 | |
| AARP Medicare Advantage Extras from UHC ST-4 | $0 | $3,900 | $520 | H2802-052-0 | |
| AARP Medicare Advantage Patriot No Rx MO-MA01 | $0 | $4,900 | N/A | H2802-050-0 | |
| Aetna Medicare Enhanced Extra | $40 | $5,900 | $615 | H2663-006-0 | |
| Aetna Medicare Signature | $0 | $4,200 | $615 | H2663-103-0 |
What is the typical premium for HMO-POS plans in Clinton?
HMO-POS plans in Clinton cost $6.67 per month on average.
Which HMO-POS plan has the most members in Clinton?
The most popular HMO-POS plan in Clinton is AARP Medicare Advantage Extras from UHC ST-4 (HMO-POS), with 678 enrollees.
How many HMO-POS options are offered without prescription drug coverage in Clinton?
There are 1 HMO-POS plans in Clinton 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 Clinton?
In 2026, Clinton has 2 PFFS plans with 0 enrollees.
How much do PFFS plans cost in Clinton?
The typical PFFS premium in Clinton is $18.50, and 1 plans have no monthly premium.
CMS quality ratings for Medicare Advantage plans in Clinton 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) | 15 | 38% |
| 3 Stars | 25 | 63% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 4 | 9% |
| Average Rating | 3.64 | |
* 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.