2026 Medicare Advantage Plans in Grundy County, IL
Last update: . Enrollment data updated: May 2, 2026
For 2026, Grundy County, IL includes 33 Medicare Advantage plans. Enrollment across these plans totals approximately 1,468, with 23 $0 premium options and 27% rated 4 stars or higher.
This page and its statistics exclude Medicare Advantage Special Needs Plans (SNPs). Special Needs Plans in Grundy County, IL are summarized separately. Visit Medicare Options in Grundy 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
- 22
- Average Monthly Premium
- $25.10/mo
- Total PPO Enrollment
- 1,246
- $0 Premium PPO Plans
- 15
- Average MOOP
- $5,657
- Top PPO by Enrollment
- HumanaChoice H5216-251 (PPO) — 377 enrollees
- PPO Plans Without Drug Coverage
- 6
What is the average monthly premium for PPO plans in Grundy?
PPO plans in Grundy cost $25.10 per month on average.
Which PPO plan has the highest enrollment in Grundy?
The most popular PPO plan in Grundy is HumanaChoice H5216-251 (PPO), with 377 enrollees.
How many PPO plans in Grundy do not include prescription drug coverage?
6 PPO plans in Grundy 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 55
- $0 Premium HMO Plans 4
- Average MOOP $5,275
- Top HMO by Enrollment Wellcare Simple Essential (HMO) — 43 enrollees
- HMO Plans Without Drug Coverage 1
| 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 Grundy?
Wellcare Simple Essential (HMO) is the top HMO in Grundy, with 43 enrollees.
What is the number of HMO plans without Part D coverage in Grundy?
1 HMO plans in Grundy 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
- 5
- Average Monthly Premium
- $24.00/mo
- Total HMO-POS Enrollment
- 134
- $0 Premium HMO-POS Plans
- 3
- Average MOOP
- $4,420
- Top HMO-POS by Enrollment
- AARP Medicare Advantage from UHC IL-2 (HMO-POS) — 85 enrollees
- HMO-POS Plans Without Drug Coverage
- 0
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| AARP Medicare Advantage from UHC IL-0001 | $37 | $2,900 | $440 | H2802-025-0 | |
| AARP Medicare Advantage from UHC IL-2 | $0 | $3,900 | $520 | H2802-054-0 | |
| Aetna Medicare Prime | $0 | $5,900 | $615 | H3192-001-0 | |
| Blue Cross Medicare Advantage Premier Plus | $83 | $3,500 | $450 | H3822-008-0 | |
| Aetna Medicare Signature | $0 | $5,900 | $615 | H1206-003-0 |
What is the typical premium for HMO-POS plans in Grundy?
HMO-POS plans in Grundy cost $24.00 per month on average.
Which HMO-POS plan has the most members in Grundy?
The most popular HMO-POS plan in Grundy is AARP Medicare Advantage from UHC IL-2 (HMO-POS), with 85 enrollees.
How many HMO-POS options are offered without prescription drug coverage in Grundy?
There are 0 HMO-POS plans in Grundy 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 Grundy?
In 2026, Grundy has 2 PFFS plans with 33 enrollees.
How much do PFFS plans cost in Grundy?
The typical PFFS premium in Grundy is $18.50, and 1 plans have no monthly premium.
CMS quality ratings for Medicare Advantage plans in Grundy 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) | 8 | 27% |
| 3 Stars | 22 | 73% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 3 | 9% |
| Average Rating | 3.57 | |
* CMS assigns Medicare Advantage star ratings annually based on plan quality and performance measures.
- 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
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
MedicarePlans.com is an independent, non-government informational resource and is not affiliated with or endorsed by the U.S. Government or the federal Medicare program.
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.