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2027 Medicare Advantage Plans in Hamilton County, IL

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In Hamilton County, IL, there are 13 Medicare Advantage plans available for 2027. Of these, 9 offer a $0 monthly premium, and about 62% are rated 4 stars or higher based on CMS quality ratings.

At a Glance

Average Monthly Premium
$17.54/mo
Plans with $0 Premium
9
Average MOOP Limit
$6,250 ($9,250 max. in 2027)
Star Ratings (Plan Mix)
4+ Stars: 62% · 3 Stars: 38% · Below 3: 0%
Average Part D Deductible
$696.67
Total MA/MAPD Enrollment
50
Plans with the Highest Enrollment
(as of November 10, 2026)
1. HumanaChoice Giveback H5216-403 (PPO) — 27 enrollees
2. AARP Medicare Advantage from UHC IL-6 (PPO) — 12 enrollees
3. Wellcare Simple Essential (HMO) — 11 enrollees

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. To understand how local plans fit into the broader market, visit our Illinois Medicare Advantage plan directory for statewide plan counts, premiums, out-of-pocket limits, CMS ratings, and enrollment data.

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.

Total PPO Plans
9
Average Monthly Premium
$19.89/mo
Total PPO Enrollment
39
$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

PPO Medicare Advantage plan comparison – Hamilton County, Illinois, 2027
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 total number of PPO plans offered in Hamilton?

Hamilton County has 9 PPO plans for 2027, with 39 enrolled.

How much do PPO plans cost in Hamilton?

The typical PPO premium in Hamilton is $19.89, and 6 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
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

HMO Medicare Advantage plan comparison – Hamilton County, Illinois, 2027
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 Hamilton cost $0.00 per month on average.
Which HMO plan is most popular in Hamilton?
The most popular HMO plan in Hamilton is Wellcare Simple Essential (HMO), with 11 enrollees.
How many HMO plans in Hamilton do not include drug coverage?
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

HMO-POS Medicare Advantage plan comparison – Hamilton County, Illinois, 2027
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?

There are 2 HMO-POS plans in 2027, covering 0 enrollees.

How much do HMO-POS plans cost in Hamilton?

The average HMO-POS premium in Hamilton is $24.50 per month, with 1 plans offering $0 premiums.

What is the leading HMO-POS plan in Hamilton?

is the top HMO-POS in Hamilton, with 0 enrollees.

What is the number of HMO-POS plans without Part D coverage in Hamilton?

0 HMO-POS plans in Hamilton do not include prescription drug coverage.

The table below shows CMS star ratings for Medicare Advantage plans in Hamilton County, IL for 2027.

CMS Star Ratings for Medicare Advantage Plans in Hamilton County, IL (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.

Medicare Advantage plans listed on this page are available to eligible beneficiaries residing in Hamilton County, Illinois, including communities such as Mc Leansboro, and other areas throughout the county. Plan availability is determined by county of residence, not by city.

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 .

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Data provenance documentation is maintained in alignment with the U.S. Core Data for Interoperability (USCDI) Provenance standard .