- Entity
- county:illinois-effingham-17049
- Digest
- 2027-county-ma-aggregate
- Population Scope
- Standard Medicare Advantage plans only; Special Needs Plans (SNPs) excluded
- Source URL
- https://www.medicareplans.com/medicare-advantage/illinois/effingham/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-county-plan-index
- Total Standard Medicare Advantage Plans
- 13
- PPO Plans
- 10
- HMO Plans
- 2
- HMO-POS Plans
- 1
- PFFS Plans
- 0
- Average Monthly Premium
- 17.46
- Average MOOP
- 5969.23
- Average Part D Deductible
- 698.33
- $0 Premium Plans
- 9
- Plans Without Part D Coverage
- 4
- Average CMS Star Rating
- 3.92
- $0 Premium Plan Share
- 69.23
- 5-Star Plan Share
- 0
- 4+ Star Plan Share
- 69
- 3-Star Plan Share
- 31
- Below 3-Star Plan Share
- 0
- Not-Rated Plan Share
- 0
- PPO Average Monthly Premium
- 17.8
- PPO Average MOOP
- 5840
- PPO Enrollment
- 847
- PPO $0 Premium Plans
- 7
- PPO Plans Without Part D Coverage
- 4
- HMO Average Monthly Premium
- 0
- HMO Average MOOP
- 6650
- HMO Enrollment
- 44
- HMO $0 Premium Plans
- 2
- HMO Plans Without Part D Coverage
- 0
- HMO-POS Average Monthly Premium
- 49
- HMO-POS Average MOOP
- 5900
- HMO-POS Enrollment
- 46
- HMO-POS $0 Premium Plans
- 0
- HMO-POS Plans Without Part D Coverage
- 0
- Entity
- county:illinois-effingham-17049
- Digest
- 2027-county-ma-aggregate
- Population Scope
- Standard Medicare Advantage plans only; Special Needs Plans (SNPs) excluded
- Source URL
- https://www.medicareplans.com/medicare-advantage/illinois/effingham/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-illinois-effingham-17049-landscape-stats
- Plans Indexed
- 13
- Standard Medicare Advantage Plans
-
-
Humana USAA Honor Giveback
H7617-022-0 -
HumanaChoice Giveback H7617-013
H7617-013-0 -
AARP Medicare Advantage from UHC IA-0002
H5253-108-1 -
Aetna Medicare Eagle
H7301-023-0 -
Aetna Medicare Enhanced
H7301-009-0 -
Aetna Medicare Signature
H7301-007-0 -
Humana USAA Honor Giveback
H5216-355-0 -
HumanaChoice Giveback H5216-403
H5216-403-0 -
HumanaChoice H5216-399
H5216-399-0 -
Humana USAA Honor Giveback
R5361-001-0 -
HumanaChoice R5361-002
R5361-002-0 -
Wellcare Giveback
H5779-010-0 -
Wellcare Simple Essential
H5779-009-0
-
Humana USAA Honor Giveback
- Total Standard Medicare Advantage Enrollment
- 937
2027 Medicare Advantage Plans in Effingham County, IL
Last update: .
In Effingham County, IL, there are 13 Medicare Advantage plans available for 2027. Of these, 9 offer a $0 monthly premium, and about 69% 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 Effingham County, IL. Or explore all Medicare Options available in Effingham County, IL.
Medicare Advantage PPO Plans
Preferred Provider Organization (PPO) plans allow members to use both in-network and out-of-network providers. Out-of-network care typically costs more, but PPOs offer greater flexibility in how care is accessed.
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| Humana USAA Honor Giveback | $0 | $6,000 | N/A | H7617-022-0 | |
| HumanaChoice Giveback H7617-013 | $0 | $5,000 | $700 | H7617-013-0 | |
| Aetna Medicare Eagle | $0 | $4,900 | N/A | H7301-023-0 | |
| Aetna Medicare Enhanced | $58 | $4,900 | $700 | H7301-009-0 | |
| Aetna Medicare Signature | $0 | $5,900 | $700 | H7301-007-0 | |
| Humana USAA Honor Giveback | $0 | $6,000 | N/A | H5216-355-0 | |
| HumanaChoice Giveback H5216-403 | $0 | $5,000 | $700 | H5216-403-0 | |
| HumanaChoice H5216-399 | $33 | $6,250 | $700 | H5216-399-0 | |
| Humana USAA Honor Giveback | $0 | $6,750 | N/A | R5361-001-0 | |
| HumanaChoice R5361-002 | $87 | $7,700 | $700 | R5361-002-0 |
What is the total number of PPO plans offered in Effingham?
Effingham County has 10 PPO plans for 2027, with 847 enrolled.
How much do PPO plans cost in Effingham?
The typical PPO premium in Effingham is $17.80, and 7 plans have no monthly premium.
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
- 2
- Average Monthly Premium
- $0.00/mo
- Total HMO Enrollment
- 44
- $0 Premium HMO Plans
- 2
- Average MOOP
- $6,650
- Top HMO by Enrollment
- Wellcare Simple Essential (HMO) — 31 enrollees
- HMO Plans Without Drug Coverage
- 0
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| Wellcare Giveback | $0 | $7,800 | $700 | H5779-010-0 | |
| Wellcare Simple Essential | $0 | $5,500 | $700 | H5779-009-0 |
- What is the average monthly premium for HMO plans?
- HMO plans in Effingham cost $0.00 per month on average.
- Which HMO plan is most popular in Effingham?
- The most popular HMO plan in Effingham is Wellcare Simple Essential (HMO), with 31 enrollees.
- How many HMO plans in Effingham do not include drug coverage?
- There are 0 HMO plans in Effingham without prescription drug coverage.
Medicare Advantage HMO-POS Plans
HMO Point-of-Service (HMO-POS) plans combine HMO network requirements with limited out-of-network access. Care outside the network typically costs more, but HMO-POS plans provide added flexibility compared with standard HMOs.
- Total HMO-POS Plans 1
- Average Monthly Premium $49.00/mo
- Total HMO-POS Enrollment 46
- $0 Premium HMO-POS Plans 0
- Average MOOP $5,900
- Top HMO-POS by Enrollment AARP Medicare Advantage from UHC IA-0002 (HMO-POS) — 46 enrollees
- HMO-POS Plans Without Drug Coverage 0
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| AARP Medicare Advantage from UHC IA-0002 | $49 | $5,900 | $685 | H5253-108-1 |
What is the total number of HMO-POS plans in Effingham?
There are 1 HMO-POS plans in 2027, covering 46 enrollees.
How much do HMO-POS plans cost in Effingham?
The average HMO-POS premium in Effingham is $49.00 per month, with 0 plans offering $0 premiums.
What is the leading HMO-POS plan in Effingham?
AARP Medicare Advantage from UHC IA-0002 (HMO-POS) is the top HMO-POS in Effingham, with 46 enrollees.
What is the number of HMO-POS plans without Part D coverage in Effingham?
0 HMO-POS plans in Effingham do not include prescription drug coverage.
The table below shows CMS star ratings for Medicare Advantage plans in Effingham County, IL for 2027.
| Rating Category | Number of Plans | Percent of Plans |
|---|---|---|
| 5 Stars | No 5-star plans available. | 0% |
| 4 Stars (includes 5 Stars) | 9 | 69% |
| 3 Stars | 4 | 31% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 0 | 0% |
| Average Rating | 3.92 | |
* Medicare Advantage star ratings are determined by CMS each year using a standardized 5-star rating system.
| Data Source | Publisher | CMS Version |
|---|---|---|
| Landscape Source Files | Centers for Medicare & Medicaid Services | CY2027 Landscape (202609.1) |
| Medicare Part C & D Performance | Centers for Medicare & Medicaid Services | 2027 Star Ratings Data Tables |
| Plan Benefits Package | Centers for Medicare & Medicaid Services | PBP Benefits-2027 |
| Monthly Enrollment by Contract/Plan/State/County | Centers for Medicare & Medicaid Services | 2026-09 |
This page presents county-level Medicare Advantage (MA/MAPD) data, including plan counts, enrollment totals, averages, and percentage distributions, derived from CMS datasets using a standardized aggregation approach.
Data sources and methodology documentation.
| Publisher | Reference | Last Accessed |
|---|---|---|
| Medicare.gov | Compare types of Medicare Advantage Plans | 25 May, 2025 |
| Medicare.gov | Your coverage options | 25 May, 2025 |
| AARP.org | The Big Choice: Original Medicare vs. Medicare Advantage | 25 May, 2025 |
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Data provenance documentation is maintained in alignment 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.