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2026 Medicare Advantage Plans in Edgar County, IL

Last update: .

For 2026, Edgar County, IL includes 22 Medicare Advantage plans. Enrollment across these plans totals approximately 698, with 17 $0 premium options and 14% rated 4 stars or higher.

This page and its statistics exclude Medicare Advantage Special Needs Plans (SNPs). Special Needs Plans in Edgar County, IL are summarized separately. Visit Medicare Options in Edgar County, IL to see more options.

At a Glance

  • Average Monthly Premium: $11.27/mo
  • $0 Premium Plans: 17
  • Average MOOP: $5,955 ($9,250 max. in 2026)
  • Star Ratings (Plan Mix): 4+ Stars: 14% · 3 Stars: 86% · Below 3: 0%
  • Average Part D Deductible: $606.54
  • Total MA/MAPD Enrollment: 698
  • Plans with the Highest Enrollment
    (as of September 8, 2026)
    1. HumanaChoice Giveback H5216-403 (PPO) — 120 enrollees
    2. Aetna Medicare Signature (PPO) — 111 enrollees
    3. Aetna Medicare Enhanced (PPO) — 98 enrollees

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
16
Average Monthly Premium
$12.69/mo
Total PPO Enrollment
569
$0 Premium PPO Plans
12
Average MOOP
$6,144
Top PPO by Enrollment
HumanaChoice Giveback H5216-403 (PPO) — 120 enrollees
PPO Plans Without Drug Coverage
7

2026 PPO Medicare Advantage plans in Edgar County, Illinois (comparison chart)
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
Aetna Medicare Eagle
☆☆☆☆☆
 $0 $4,500 N/A H7301-023-0
Aetna Medicare Enhanced
☆☆☆☆☆
 $37 $4,700 $615 H7301-009-0
Aetna Medicare Signature
☆☆☆☆☆
 $0 $5,500 $615 H7301-007-0
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 Dental Premier
☆☆☆☆☆
 $0 $7,500 $615 H8634-021-0
Blue Cross Medicare Advantage Health Choice
☆☆☆☆☆
 $0 $9,000 $615 H8634-018-0
Blue Cross Medicare Advantage Protect
☆☆☆☆☆
 $0 $6,750 N/A H8634-019-0
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 Edgar?

PPO plans in Edgar cost $12.69 per month on average.

Which PPO plan has the highest enrollment in Edgar?

The most popular PPO plan in Edgar is HumanaChoice Giveback H5216-403 (PPO), with 120 enrollees.

How many PPO plans in Edgar do not include prescription drug coverage?

7 PPO plans in Edgar 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 4
  • Average Monthly Premium $0.00/mo
  • Total HMO Enrollment 129
  • $0 Premium HMO Plans 4
  • Average MOOP $5,275
  • Top HMO by Enrollment Wellcare Simple Essential (HMO) — 51 enrollees
  • HMO Plans Without Drug Coverage 1

2026 HMO Medicare Advantage plans in Edgar County, Illinois (comparison chart)
Plan Name Rating* Premium MOOP Rx Ded. Plan-ID
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 top HMO by enrollment in Edgar?

Wellcare Simple Essential (HMO) is the top HMO in Edgar, with 51 enrollees.

What is the number of HMO plans without Part D coverage in Edgar?

1 HMO plans in Edgar 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
0
$0 Premium HMO-POS Plans
0
Average MOOP
$4,900
Top HMO-POS by Enrollment
— 0 enrollees
HMO-POS Plans Without Drug Coverage
0

2026 HMO-POS Medicare Advantage plans in Edgar County, Illinois (comparison chart)
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 Edgar?

HMO-POS plans in Edgar cost $45.00 per month on average.

Which HMO-POS plan has the most members in Edgar?

The most popular HMO-POS plan in Edgar is , with 0 enrollees.

How many HMO-POS options are offered without prescription drug coverage in Edgar?

There are 0 HMO-POS plans in Edgar 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.

Total PFFS Plans
1
Average Monthly Premium
$0.00/mo
Beneficiaries Enrolled
0
$0 Premium PFFS
1
Average MOOP
$6,700
PFFS with the Highest Enrollment
with 0 enrollees
PFFS Without Drug Coverage
1

2026 PFFS Medicare Advantage plans in Edgar County, Illinois (comparison chart)
Plan Name Rating* Premium MOOP Rx Ded. Plan-ID
Humana Gold Choice H8145-126
☆☆☆☆☆
 $0 $6,700 N/A H8145-126-0
What is the total number of PFFS plans in Edgar?

In 2026, Edgar has 1 PFFS plans with 0 enrollees.

How much do PFFS plans cost in Edgar?

The typical PFFS premium in Edgar is $0.00, and 1 plans have no monthly premium.

CMS quality ratings for Medicare Advantage plans in Edgar County, IL (2026) are summarized below.

Medicare Advantage Plan Ratings in Edgar County, IL (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 19 86%
Below 3 Stars 0 0%
Not Rated 0 0%
Average Rating 3.41

* CMS assigns Medicare Advantage star ratings annually based on plan quality and performance measures.

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 .

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Data provenance is documented in accordance with the U.S. Core Data for Interoperability (USCDI) Provenance standard .