- Entity
- county:illinois-hamilton-17065
- 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/hamilton/
- 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
- 9
- HMO Plans
- 2
- HMO-POS Plans
- 2
- PFFS Plans
- 0
- Average Monthly Premium
- 17.54
- Average MOOP
- 6250
- Average Part D Deductible
- 696.67
- $0 Premium Plans
- 9
- Plans Without Part D Coverage
- 4
- Average CMS Star Rating
- 3.85
- $0 Premium Plan Share
- 69.23
- 5-Star Plan Share
- 0
- 4+ Star Plan Share
- 62
- 3-Star Plan Share
- 38
- Below 3-Star Plan Share
- 0
- Not-Rated Plan Share
- 0
- PPO Average Monthly Premium
- 19.89
- PPO Average MOOP
- 6283.33
- PPO Enrollment
- 38
- PPO $0 Premium Plans
- 6
- PPO Plans Without Part D Coverage
- 4
- HMO Average Monthly Premium
- 0
- HMO Average MOOP
- 6650
- HMO Enrollment
- 11
- HMO $0 Premium Plans
- 2
- HMO Plans Without Part D Coverage
- 0
- HMO-POS Average Monthly Premium
- 24.5
- HMO-POS Average MOOP
- 5700
- HMO-POS Enrollment
- 0
- HMO-POS $0 Premium Plans
- 1
- HMO-POS Plans Without Part D Coverage
- 0
- Entity
- county:illinois-hamilton-17065
- 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/hamilton/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-illinois-hamilton-17065-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 -
AARP Medicare Advantage from UHC IL-6
H8768-011-0 -
AARP Medicare Advantage Patriot No Rx IL-MA01
H8768-019-0 -
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 -
Wellcare Simple Value
H1416-084-0
-
Humana USAA Honor Giveback
- Total Standard Medicare Advantage Enrollment
- 49
2027 Medicare Advantage Plans in Hamilton County, IL
Last update: .
Hamilton County, IL has 13 Medicare Advantage plans available in 2027. These include 9 plans with no monthly premium, and roughly 62% are rated at least 4 stars based on CMS data.
Medicare Advantage Special Needs Plans (SNPs) are not included in the figures shown above. View Special Needs Plans in Hamilton County, IL. Or explore all Medicare Options available in Hamilton 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 9
- Average Monthly Premium $19.89/mo
- Total PPO Enrollment 38
- $0 Premium PPO Plans 6
- Average MOOP $6,283
- Top PPO by Enrollment HumanaChoice Giveback H5216-403 (PPO) — 27 enrollees
- PPO Plans Without Drug Coverage 4
| 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 | |
| AARP Medicare Advantage from UHC IL-6 | $59 | $6,700 | $685 | H8768-011-0 | |
| AARP Medicare Advantage Patriot No Rx IL-MA01 | $0 | $7,150 | N/A | H8768-019-0 | |
| 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 most popular PPO plan in Hamilton?
HumanaChoice Giveback H5216-403 (PPO) is the top PPO in Hamilton, with 27 enrollees.
What is the number of PPO plans without Part D coverage in Hamilton?
There are 4 PPO plans in Hamilton 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
- 2
- Average Monthly Premium
- $0.00/mo
- Total HMO Enrollment
- 11
- $0 Premium HMO Plans
- 2
- Average MOOP
- $6,650
- Top HMO by Enrollment
- Wellcare Simple Essential (HMO) — 11 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 typical premium for HMO plans in Hamilton?
HMO plans in Hamilton cost $0.00 per month on average.
Which HMO plan do most beneficiaries choose in Hamilton?
The most popular HMO plan in Hamilton is Wellcare Simple Essential (HMO), with 11 enrollees.
How many HMO options are offered without prescription drug coverage in Hamilton?
There are 0 HMO plans in Hamilton 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 2
- Average Monthly Premium $24.50/mo
- Total HMO-POS Enrollment 0
- $0 Premium HMO-POS Plans 1
- Average MOOP $5,700
- Top HMO-POS by Enrollment — 0 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 | |
| Wellcare Simple Value | $0 | $5,500 | $700 | H1416-084-0 |
What is the total number of HMO-POS plans in Hamilton?
In 2027, Hamilton has 2 HMO-POS plans with 0 enrollees.
How much do HMO-POS plans cost in Hamilton?
The typical HMO-POS premium in Hamilton is $24.50, and 1 plans have no monthly premium.
Below is a breakdown of CMS star ratings for Medicare Advantage plans available in Hamilton 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) | 8 | 62% |
| 3 Stars | 5 | 38% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 0 | 0% |
| Average Rating | 3.85 | |
* 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 |
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.
| Publisher | Reference | Last Accessed |
|---|---|---|
| CMS.gov | Medicare Advantage Plan Fact Sheet | 25 May, 2025 |
| Medicare.gov | Your coverage options | 25 May, 2025 |
| Medicare.gov | Joining a plan | 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 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.