2026 Medicare Advantage Plans in Fulton County, IL
Last update: . Enrollment data updated: May 2, 2026
In Fulton County, IL, there are 21 Medicare Advantage plans available for 2026. Of these, 14 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 Fulton County, IL. Or explore all Medicare Options available in Fulton 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 | $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 | |
| HumanaChoice H5525-004 | $60 | $6,300 | $615 | H5525-004-0 | |
| 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 total number of PPO plans offered in Fulton?
Fulton County has 15 PPO plans for 2026, with 1,752 enrolled.
How much do PPO plans cost in Fulton?
The typical PPO premium in Fulton is $27.87, and 9 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
- 5
- Average Monthly Premium
- $0.00/mo
- Total HMO Enrollment
- 221
- $0 Premium HMO Plans
- 5
- Average MOOP
- $5,020
- Top HMO by Enrollment
- Wellcare Simple Essential (HMO) — 90 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 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 |
- What is the average monthly premium for HMO plans?
- HMO plans in Fulton cost $0.00 per month on average.
- Which HMO plan is most popular in Fulton?
- The most popular HMO plan in Fulton is Wellcare Simple Essential (HMO), with 90 enrollees.
- How many HMO plans in Fulton do not include drug coverage?
- There are 1 HMO plans in Fulton 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 $45.00/mo
- Total HMO-POS Enrollment 67
- $0 Premium HMO-POS Plans 0
- Average MOOP $4,900
- Top HMO-POS by Enrollment AARP Medicare Advantage from UHC IA-0002 (HMO-POS) — 67 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 | $45 | $4,900 | $520 | H5253-108-1 |
What is the total number of HMO-POS plans in Fulton?
There are 1 HMO-POS plans in 2026, covering 67 enrollees.
How much do HMO-POS plans cost in Fulton?
The average HMO-POS premium in Fulton is $45.00 per month, with 0 plans offering $0 premiums.
What is the leading HMO-POS plan in Fulton?
AARP Medicare Advantage from UHC IA-0002 (HMO-POS) is the top HMO-POS in Fulton, with 67 enrollees.
What is the number of HMO-POS plans without Part D coverage in Fulton?
0 HMO-POS plans in Fulton do not include prescription drug coverage.
The table below shows CMS star ratings for Medicare Advantage plans in Fulton 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 | 3.43 | |
* 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 May 2, 2026
- CMS.gov, Medicare Part C & D Performance Data — Last accessed May 2, 2026
- CMS.gov, Medicare Advantage & Part D Contract and Enrollment Data — Last accessed May 2, 2026
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 .
- Medicare.gov, "Compare types of Medicare Advantage Plans" — Last accessed 25 May, 2025
- Medicare.gov, "Your coverage options" — Last accessed 25 May, 2025
- AARP.org, "The Big Choice: Original Medicare vs. Medicare Advantage" — Last accessed 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.