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2026 Medicare Advantage Plans in Hamilton County, IL

Last update: .

For 2026, Hamilton County, IL includes 21 Medicare Advantage plans. Enrollment across these plans totals approximately 93, with 16 $0 premium options and 14% rated 4 stars or higher.

Totals on this page exclude Medicare Advantage Special Needs Plans (SNPs). SNP plans for Hamilton County, IL are provided separately. Or you can discover all Medicare Options in Hamilton County, IL.

At a Glance

  • Average Monthly Premium: $13.33/mo
  • $0 Premium Plans: 16
  • Average MOOP: $6,267 ($9,250 max. in 2026)
  • Star Ratings (Plan Mix): 4+ Stars: 14% · 3 Stars: 86% · Below 3: 0%
  • Average Part D Deductible: $595.36
  • Total MA/MAPD Enrollment: 93
  • Plans with the Highest Enrollment
    (as of September 8, 2026)
    1. HumanaChoice Giveback H5216-403 (PPO) — 29 enrollees
    2. Wellcare Simple Essential (HMO) — 23 enrollees
    3. Aetna Medicare Signature (PPO) — 19 enrollees

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
15
Average Monthly Premium
$15.67/mo
Total PPO Enrollment
59
$0 Premium PPO Plans
11
Average MOOP
$6,673
Top PPO by Enrollment
HumanaChoice Giveback H5216-403 (PPO) — 29 enrollees
PPO Plans Without Drug Coverage
6

2026 PPO Medicare Advantage plans in Hamilton County, Illinois (comparison chart)
PPO Plan Name Rating* Premium MOOP Rx Ded. 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
☆☆☆☆☆
 $69 $8,750 $615 H7301-034-0
Aetna Medicare Signature
☆☆☆☆☆
 $0 $9,250 $615 H7301-027-0
Humana USAA Honor Giveback
☆☆☆☆☆
 $0 $6,000 N/A H5216-355-0
HumanaChoice Giveback H5216-403
☆☆☆☆☆
 $0 $4,500 $615 H5216-403-0
HumanaChoice H5216-399
☆☆☆☆☆
 $18 $6,000 $615 H5216-399-0
Blue Cross Medicare Advantage Dental Premier
☆☆☆☆☆
 $0 $7,500 $615 H8634-021-0
Blue Cross Medicare Advantage Health Choice
☆☆☆☆☆
 $0 $9,000 $615 H8634-018-0
Blue Cross Medicare Advantage Protect
☆☆☆☆☆
 $0 $6,750 N/A H8634-019-0
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 typical premium for PPO plans available in Hamilton?

PPO plans in Hamilton cost $15.67 per month on average.

Which PPO plan do most beneficiaries choose in Hamilton?

The most popular PPO plan in Hamilton is HumanaChoice Giveback H5216-403 (PPO), with 29 enrollees.

How many PPO options are offered without drug coverage in Hamilton?

6 PPO plans in Hamilton 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 5
  • Average Monthly Premium $0.00/mo
  • Total HMO Enrollment 34
  • $0 Premium HMO Plans 5
  • Average MOOP $5,320
  • Top HMO by Enrollment Wellcare Simple Essential (HMO) — 23 enrollees
  • HMO Plans Without Drug Coverage 1

2026 HMO Medicare Advantage plans in Hamilton County, Illinois (comparison chart)
Plan Name Rating* Premium MOOP Rx Ded. Plan-ID
Blue Cross Medicare Advantage Basic
☆☆☆☆☆
 $0 $5,500 $450 H3822-012-0
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 total number of HMO plans offered in Hamilton?

In 2026, Hamilton County has 5 HMO plans with 34 enrollees.

How much do HMO plans cost in Hamilton?

The typical HMO premium in Hamilton is $0.00, and 5 plans have no monthly premium.

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
1
Average Monthly Premium
$45.00/mo
Total HMO-POS Enrollment
0
$0 Premium HMO-POS Plans
0
Average MOOP
$4,900
Top HMO-POS by Enrollment
— 0 enrollees
HMO-POS Plans Without Drug Coverage
0

2026 HMO-POS Medicare Advantage plans in Hamilton County, Illinois (comparison chart)
Plan Name Rating* Premium MOOP Rx Ded. Plan-ID
AARP Medicare Advantage from UHC IA-0002
☆☆☆☆☆
 $45 $4,900 $520 H5253-108-1
What is the average monthly premium for HMO-POS plans?
HMO-POS plans in Hamilton cost $45.00 per month on average.
Which HMO-POS plan is most popular in Hamilton?
The most popular HMO-POS plan in Hamilton is , with 0 enrollees.
How many HMO-POS plans in Hamilton do not include drug coverage?
There are 0 HMO-POS plans in Hamilton without prescription drug coverage.

CMS quality ratings for Medicare Advantage plans in Hamilton County, IL (2026) are summarized below.

Quality Ratings for Medicare Advantage Plans in Hamilton County, IL (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 3.38

* Star ratings are based on CMS quality measures and reflect plan performance for the 2026 rating period.

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 .

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Data provenance is documented in accordance with the U.S. Core Data for Interoperability (USCDI) Provenance standard .