2026 Medicare Advantage Plans in La Salle County, IL
Last update: . Enrollment data updated: June 13, 2026
For 2026, La Salle County, IL includes 29 Medicare Advantage plans. Enrollment across these plans totals approximately 4,103, with 22 $0 premium options and 14% rated 4 stars or higher.
This page and its statistics exclude Medicare Advantage Special Needs Plans (SNPs). Special Needs Plans in La Salle County, IL are summarized separately. Visit Medicare Options in La Salle 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
- 19
- Average Monthly Premium
- $15.05/mo
- Total PPO Enrollment
- 2,808
- $0 Premium PPO Plans
- 14
- Average MOOP
- $6,142
- Top PPO by Enrollment
- Aetna Medicare Signature (PPO) — 688 enrollees
- PPO Plans Without Drug Coverage
- 7
What is the average monthly premium for PPO plans in La Salle?
PPO plans in La Salle cost $15.05 per month on average.
Which PPO plan has the highest enrollment in La Salle?
The most popular PPO plan in La Salle is Aetna Medicare Signature (PPO), with 688 enrollees.
How many PPO plans in La Salle do not include prescription drug coverage?
7 PPO plans in La Salle 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 6
- Average Monthly Premium $0.00/mo
- Total HMO Enrollment 910
- $0 Premium HMO Plans 6
- Average MOOP $4,500
- Top HMO by Enrollment Humana Gold Plus H1468-007 (HMO) — 671 enrollees
- HMO Plans Without Drug Coverage 1
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| Humana Gold Plus H1468-007 | $0 | $3,000 | $615 | H1468-007-0 | |
| 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 | |
| Clear Spring Health BrightPath Advantage | $0 | $2,900 | $200 | H5454-002-0 |
What is the top HMO by enrollment in La Salle?
Humana Gold Plus H1468-007 (HMO) is the top HMO in La Salle, with 671 enrollees.
What is the number of HMO plans without Part D coverage in La Salle?
1 HMO plans in La Salle 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
- 2
- Average Monthly Premium
- $18.50/mo
- Total HMO-POS Enrollment
- 346
- $0 Premium HMO-POS Plans
- 1
- Average MOOP
- $3,400
- Top HMO-POS by Enrollment
- AARP Medicare Advantage from UHC IL-2 (HMO-POS) — 264 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 |
What is the typical premium for HMO-POS plans in La Salle?
HMO-POS plans in La Salle cost $18.50 per month on average.
Which HMO-POS plan has the most members in La Salle?
The most popular HMO-POS plan in La Salle is AARP Medicare Advantage from UHC IL-2 (HMO-POS), with 264 enrollees.
How many HMO-POS options are offered without prescription drug coverage in La Salle?
There are 0 HMO-POS plans in La Salle 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 La Salle?
In 2026, La Salle has 2 PFFS plans with 39 enrollees.
How much do PFFS plans cost in La Salle?
The typical PFFS premium in La Salle is $18.50, and 1 plans have no monthly premium.
CMS quality ratings for Medicare Advantage plans in La Salle 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) | 4 | 14% |
| 3 Stars | 24 | 86% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 1 | 3% |
| Average Rating | 3.43 | |
* CMS assigns Medicare Advantage star ratings annually based on plan quality and performance measures.
- CMS.gov, Medicare Advantage Landscape Source Files — Last accessed June 13, 2026
- CMS.gov, Medicare Part C & D Performance Data — Last accessed June 13, 2026
- CMS.gov, Medicare Advantage & Part D Contract and Enrollment Data — Last accessed June 13, 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
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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.