- Entity
- county:illinois-lawrence-17101
- 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/lawrence/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-county-plan-index
- Total Standard Medicare Advantage Plans
- 15
- PPO Plans
- 9
- HMO Plans
- 2
- HMO-POS Plans
- 2
- PFFS Plans
- 2
- Average Monthly Premium
- 19.2
- Average MOOP
- 6593.33
- Average Part D Deductible
- 697
- $0 Premium Plans
- 10
- Plans Without Part D Coverage
- 5
- Average CMS Star Rating
- 3.87
- $0 Premium Plan Share
- 66.67
- 5-Star Plan Share
- 0
- 4+ Star Plan Share
- 67
- 3-Star Plan Share
- 33
- Below 3-Star Plan Share
- 0
- Not-Rated Plan Share
- 0
- PPO Average Monthly Premium
- 19.89
- PPO Average MOOP
- 6283.33
- PPO Enrollment
- 122
- PPO $0 Premium Plans
- 6
- PPO Plans Without Part D Coverage
- 4
- HMO Average Monthly Premium
- 0
- HMO Average MOOP
- 6650
- HMO Enrollment
- 0
- 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
- 29
- HMO-POS $0 Premium Plans
- 1
- HMO-POS Plans Without Part D Coverage
- 0
- PFFS Average Monthly Premium
- 30
- PFFS Average MOOP
- 8825
- PFFS Enrollment
- 0
- PFFS $0 Premium Plans
- 1
- PFFS Plans Without Part D Coverage
- 1
- Entity
- county:illinois-lawrence-17101
- 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/lawrence/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-illinois-lawrence-17101-landscape-stats
- Plans Indexed
- 15
- 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 Gold Choice H8145-006
H8145-006-0 -
Humana Gold Choice H8145-126
H8145-126-0 -
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
- 151
2027 Medicare Advantage Plans in Lawrence County, IL
Last update: .
In Lawrence County, IL, there are 15 Medicare Advantage plans available for 2027. Of these, 10 offer a $0 monthly premium, and about 67% are rated 4 stars or higher based on CMS quality ratings.
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.
| 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 Lawrence?
Lawrence County has 9 PPO plans for 2027, with 122 enrolled.
How much do PPO plans cost in Lawrence?
The typical PPO premium in Lawrence 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
- 0
- $0 Premium HMO Plans
- 2
- Average MOOP
- $6,650
- Top HMO by Enrollment
- — 0 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 average monthly premium for HMO plans?
- HMO plans in Lawrence cost $0.00 per month on average.
- Which HMO plan is most popular in Lawrence?
- The most popular HMO plan in Lawrence is , with 0 enrollees.
- How many HMO plans in Lawrence do not include drug coverage?
- There are 0 HMO plans in Lawrence 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 29
- $0 Premium HMO-POS Plans 1
- Average MOOP $5,700
- Top HMO-POS by Enrollment AARP Medicare Advantage from UHC IA-0002 (HMO-POS) — 29 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 Lawrence?
There are 2 HMO-POS plans in 2027, covering 29 enrollees.
How much do HMO-POS plans cost in Lawrence?
The average HMO-POS premium in Lawrence is $24.50 per month, with 1 plans offering $0 premiums.
What is the leading HMO-POS plan in Lawrence?
AARP Medicare Advantage from UHC IA-0002 (HMO-POS) is the top HMO-POS in Lawrence, with 29 enrollees.
What is the number of HMO-POS plans without Part D coverage in Lawrence?
0 HMO-POS plans in Lawrence do not include prescription drug coverage.
Medicare Advantage PFFS Plans
PFFS plans allow members to visit any Medicare-approved provider who accepts the plan’s payment terms. This offers broader choice than network-based plans, but coverage depends on provider participation, so acceptance should be confirmed in advance.
- Total PFFS Plans
- 2
- Average Monthly Premium
- $30.00/mo
- Total PFFS Enrollment
- 0
- $0 Premium PFFS Plans
- 1
- Average MOOP
- $8,825
- Top PFFS by Enrollment
- — 0 enrollees
- PFFS Plans Without Drug Coverage
- 1
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| Humana Gold Choice H8145-006 | $60 | $7,800 | $700 | H8145-006-0 | |
| Humana Gold Choice H8145-126 | $0 | $9,850 | N/A | H8145-126-0 |
What is the average monthly premium for PFFS plans?
PFFS plans in Lawrence cost $30.00 per month on average.
Which PFFS plan is most popular in Lawrence?
The most popular PFFS plan in Lawrence is , with 0 enrollees.
How many PFFS plans in Lawrence do not include drug coverage?
There are 1 PFFS plans in Lawrence without prescription drug coverage.
The table below shows CMS star ratings for Medicare Advantage plans in Lawrence 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) | 10 | 67% |
| 3 Stars | 5 | 33% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 0 | 0% |
| Average Rating | 3.87 | |
* 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 Lawrence County, Illinois, including communities such as Bridgeport, Lawrenceville, Sumner, and other areas throughout the county. Plan availability is determined by county of residence, not by city.
- CMS.gov, Medicare Advantage & Special Needs Plan Landscape Source Files — Version: 202609
- CMS.gov, Medicare Part C & D Performance Data — Version: 2026
- CMS.gov, Medicare Advantage & Part D Contract and Enrollment Data — Version: 2026-09
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 .
- Medicare.gov, "Compare types of Medicare Advantage Plans" — Last accessed 25 May, 2025
- Medicare.gov, "Your coverage options" — Last accessed 25 May, 2025
- AARP.org, "The Big Choice: Original Medicare vs. Medicare Advantage" — 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 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.