2026 Medicare Advantage Plans in Coles County, IL
Last update: . Enrollment data updated: August 15, 2026
In Coles County, IL, there are 21 Medicare Advantage plans available for 2026. Of these, 16 offer a $0 monthly premium, and about 14% are rated 4 stars or higher based on CMS quality ratings.
Medicare Advantage Special Needs Plans (SNPs) are not included in the figures shown above. View Special Needs Plans in Coles County, IL. Or explore all Medicare Options available in Coles County, IL.
Medicare Advantage PPO Plans
Preferred Provider Organization (PPO) plans allow access to both in-network and out-of-network providers. Out-of-network care usually costs more, but PPOs offer greater flexibility in choosing doctors and hospitals.
- Total PPO Plans 15
- Average Monthly Premium $13.53/mo
- Total PPO Enrollment 1,943
- $0 Premium PPO Plans 11
- Average MOOP $6,153
- Top PPO by Enrollment Aetna Medicare Enhanced (PPO) — 954 enrollees
- PPO Plans Without Drug Coverage 6
What is the total number of PPO plans offered in Coles?
There are 15 PPO plans in 2026, covering 1,943 beneficiaries.
How much do PPO plans cost in Coles?
The average PPO premium in Coles is $13.53 per month, with 11 plans offering $0 premiums.
What is the most popular PPO plan in Coles?
Aetna Medicare Enhanced (PPO) is the top PPO in Coles, with 954 enrollees.
What is the number of PPO plans without Part D coverage in Coles?
There are 6 PPO plans in Coles without prescription drug coverage.
Medicare Advantage HMO Plans
HMO plans typically require members to use in-network providers and facilities, except in emergencies. In return, HMOs often offer lower monthly premiums and reduced cost-sharing.
- Total HMO Plans
- 5
- Average Monthly Premium
- $0.00/mo
- Total HMO Enrollment
- 294
- $0 Premium HMO Plans
- 5
- Average MOOP
- $5,320
- Top HMO by Enrollment
- Wellcare Simple Essential (HMO) — 146 enrollees
- HMO Plans Without Drug Coverage
- 1
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| Blue Cross Medicare Advantage Basic | $0 | $5,500 | $450 | H3822-012-0 | |
| 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 |
What is the average monthly premium for HMO plans?
HMO plans in Coles cost $0.00 per month on average.
Which HMO plan is most popular in Coles?
The most popular HMO plan in Coles is Wellcare Simple Essential (HMO), with 146 enrollees.
How many HMO plans in Coles do not include drug coverage?
There are 1 HMO plans in Coles without prescription drug coverage.
Medicare Advantage HMO-POS Plans
HMO Point-of-Service (HMO-POS) plans combine HMO network rules with limited out-of-network access. Care outside the network typically costs more, but HMO-POS plans provide added flexibility compared with standard HMOs.
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| AARP Medicare Advantage from UHC IA-0002 | $45 | $4,900 | $520 | H5253-108-1 |
What is the leading HMO-POS plan in Coles?
AARP Medicare Advantage from UHC IA-0002 (HMO-POS) is the top HMO-POS in Coles, with 47 enrollees.
What is the number of HMO-POS plans without Part D coverage in Coles?
0 HMO-POS plans in Coles do not include prescription drug coverage.
The table below shows CMS star ratings for Medicare Advantage plans in Coles County, IL for 2026.
| Rating Category | Number of Plans | Percent of Plans |
|---|---|---|
| 5 Stars | No 5-star plans available. | 0% |
| 4 Stars (includes 5 Stars) | 3 | 14% |
| 3 Stars | 18 | 86% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 0 | 0% |
| Average Rating | 3.38 | |
* Medicare Advantage star ratings are determined by CMS each year using a standardized 5-star rating system.
- CMS.gov, Medicare Advantage Landscape Source Files — Last accessed August 15, 2026
- CMS.gov, Medicare Part C & D Performance Data — Last accessed August 15, 2026
- CMS.gov, Medicare Advantage & Part D Contract and Enrollment Data — Last accessed August 15, 2026
County-level figures shown on this page, including plan counts, enrollment totals, averages, and percentage distributions, reflect standard Medicare Advantage (MA/MAPD) plans only and are derived from CMS datasets using a standardized aggregation methodology.
Data sources and methodology documentation .
- Medicare.gov, "Compare types of Medicare Advantage Plans" — Last accessed 25 May, 2025
- Medicare.gov, "Your coverage options" — Last accessed 25 May, 2025
- Medicare.gov, "Joining a plan" — Last accessed 25 May, 2025
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