- Entity
- county:illinois-macon-17115
- 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/macon/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-county-plan-index
- Total Standard Medicare Advantage Plans
- 16
- PPO Plans
- 13
- HMO Plans
- 2
- HMO-POS Plans
- 1
- PFFS Plans
- 0
- Average Monthly Premium
- 23.63
- Average MOOP
- 6125
- Average Part D Deductible
- 697.27
- $0 Premium Plans
- 10
- Plans Without Part D Coverage
- 5
- Average CMS Star Rating
- 3.94
- $0 Premium Plan Share
- 62.5
- 5-Star Plan Share
- 0
- 4+ Star Plan Share
- 75
- 3-Star Plan Share
- 25
- Below 3-Star Plan Share
- 0
- Not-Rated Plan Share
- 0
- PPO Average Monthly Premium
- 25.31
- PPO Average MOOP
- 6061.54
- PPO Enrollment
- 4478
- PPO $0 Premium Plans
- 8
- PPO Plans Without Part D Coverage
- 5
- HMO Average Monthly Premium
- 0
- HMO Average MOOP
- 6650
- HMO Enrollment
- 220
- HMO $0 Premium Plans
- 2
- HMO Plans Without Part D Coverage
- 0
- HMO-POS Average Monthly Premium
- 49
- HMO-POS Average MOOP
- 5900
- HMO-POS Enrollment
- 141
- HMO-POS $0 Premium Plans
- 0
- HMO-POS Plans Without Part D Coverage
- 0
- Entity
- county:illinois-macon-17115
- 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/macon/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-illinois-macon-17115-landscape-stats
- Plans Indexed
- 16
- 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 -
Aetna Medicare Eagle
H7301-023-0 -
Aetna Medicare Enhanced
H7301-009-0 -
Aetna Medicare Signature
H7301-007-0 -
Humana USAA Honor Giveback
H5216-355-0 -
HumanaChoice Giveback H5216-403
H5216-403-0 -
HumanaChoice H5216-013
H5216-013-0 -
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
-
Humana USAA Honor Giveback
- Total Standard Medicare Advantage Enrollment
- 4839
2027 Medicare Advantage Plans in Macon County, IL
Last update: .
For 2027, Macon County, IL includes 16 Medicare Advantage plans. Enrollment across these plans totals approximately 4,839, with 10 $0 premium options and 75% rated 4 stars or higher.
This page and its statistics exclude Medicare Advantage Special Needs Plans (SNPs). Special Needs Plans in Macon County, IL are summarized separately. Visit Medicare Options in Macon 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
- 13
- Average Monthly Premium
- $25.31/mo
- Total PPO Enrollment
- 4,478
- $0 Premium PPO Plans
- 8
- Average MOOP
- $6,062
- Top PPO by Enrollment
- Aetna Medicare Signature (PPO) — 1,803 enrollees
- PPO Plans Without Drug Coverage
- 5
| 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 | $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 | |
| Aetna Medicare Eagle | $0 | $4,900 | N/A | H7301-023-0 | |
| Aetna Medicare Enhanced | $58 | $4,900 | $700 | H7301-009-0 | |
| Aetna Medicare Signature | $0 | $5,900 | $700 | H7301-007-0 | |
| Humana USAA Honor Giveback | $0 | $6,000 | N/A | H5216-355-0 | |
| HumanaChoice Giveback H5216-403 | $0 | $5,000 | $700 | H5216-403-0 | |
| HumanaChoice H5216-013 | $92 | $6,550 | $700 | H5216-013-0 | |
| 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 average monthly premium for PPO plans in Macon?
PPO plans in Macon cost $25.31 per month on average.
Which PPO plan has the highest enrollment in Macon?
The most popular PPO plan in Macon is Aetna Medicare Signature (PPO), with 1,803 enrollees.
How many PPO plans in Macon do not include prescription drug coverage?
5 PPO plans in Macon 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 2
- Average Monthly Premium $0.00/mo
- Total HMO Enrollment 220
- $0 Premium HMO Plans 2
- Average MOOP $6,650
- Top HMO by Enrollment Wellcare Simple Essential (HMO) — 145 enrollees
- HMO Plans Without Drug Coverage 0
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| Wellcare Giveback | $0 | $7,800 | $700 | H5779-010-0 | |
| Wellcare Simple Essential | $0 | $5,500 | $700 | H5779-009-0 |
What is the top HMO by enrollment in Macon?
Wellcare Simple Essential (HMO) is the top HMO in Macon, with 145 enrollees.
What is the number of HMO plans without Part D coverage in Macon?
0 HMO plans in Macon 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
- 1
- Average Monthly Premium
- $49.00/mo
- Total HMO-POS Enrollment
- 141
- $0 Premium HMO-POS Plans
- 0
- Average MOOP
- $5,900
- Top HMO-POS by Enrollment
- AARP Medicare Advantage from UHC IA-0002 (HMO-POS) — 141 enrollees
- HMO-POS Plans Without Drug Coverage
- 0
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| AARP Medicare Advantage from UHC IA-0002 | $49 | $5,900 | $685 | H5253-108-1 |
What is the typical premium for HMO-POS plans in Macon?
HMO-POS plans in Macon cost $49.00 per month on average.
Which HMO-POS plan has the most members in Macon?
The most popular HMO-POS plan in Macon is AARP Medicare Advantage from UHC IA-0002 (HMO-POS), with 141 enrollees.
How many HMO-POS options are offered without prescription drug coverage in Macon?
There are 0 HMO-POS plans in Macon without prescription drug coverage.
CMS quality ratings for Medicare Advantage plans in Macon County, IL (2027) are summarized below.
| Rating Category | Number of Plans | Percent of Plans |
|---|---|---|
| 5 Stars | No 5-star plans available. | 0% |
| 4 Stars (includes 5 Stars) | 12 | 75% |
| 3 Stars | 4 | 25% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 0 | 0% |
| Average Rating | 3.94 | |
* CMS assigns Medicare Advantage star ratings annually based on plan quality and performance measures.
| 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 |
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.
| Publisher | Reference | Last Accessed |
|---|---|---|
| Medicare.gov | Understanding Medicare Advantage Plans | 25 May, 2025 |
| Medicare.gov | Compare Original Medicare & Medicare Advantage | 25 May, 2025 |
| NCOA.org | 5 Steps to Choosing the Right Medicare Plan for You | 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 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.