- Entity
- county:illinois-macoupin-17117
- Digest
- 2026-county-ma-aggregate
- Population Scope
- Standard Medicare Advantage plans only; Special Needs Plans (SNPs) excluded
- Source URL
- https://www.medicareplans.com/medicare-advantage/illinois/macoupin/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-county-plan-index
- Total Standard Medicare Advantage Plans
- 37
- PPO Plans
- 23
- HMO Plans
- 10
- HMO-POS Plans
- 4
- PFFS Plans
- 0
- Average Monthly Premium
- 14.16
- Average MOOP
- 5258.11
- Average Part D Deductible
- 475.33
- $0 Premium Plans
- 31
- Plans Without Part D Coverage
- 7
- Average CMS Star Rating
- 3.56
- $0 Premium Plan Share
- 83.78
- 5-Star Plan Share
- 0
- 4+ Star Plan Share
- 36
- 3-Star Plan Share
- 64
- Below 3-Star Plan Share
- 0
- Not-Rated Plan Share
- 11
- PPO Average Monthly Premium
- 20.22
- PPO Average MOOP
- 5526.09
- PPO Enrollment
- 1298
- PPO $0 Premium Plans
- 18
- PPO Plans Without Part D Coverage
- 5
- HMO Average Monthly Premium
- 5.9
- HMO Average MOOP
- 4875
- HMO Enrollment
- 146
- HMO $0 Premium Plans
- 9
- HMO Plans Without Part D Coverage
- 1
- HMO-POS Average Monthly Premium
- 0
- HMO-POS Average MOOP
- 4675
- HMO-POS Enrollment
- 1230
- HMO-POS $0 Premium Plans
- 4
- HMO-POS Plans Without Part D Coverage
- 1
- Entity
- county:illinois-macoupin-17117
- Digest
- 2026-county-ma-aggregate
- Population Scope
- Standard Medicare Advantage plans only; Special Needs Plans (SNPs) excluded
- Source URL
- https://www.medicareplans.com/medicare-advantage/illinois/macoupin/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-illinois-macoupin-17117-landscape-stats
- Plans Indexed
- 37
- Standard Medicare Advantage Plans
-
-
Essence Advantage
H2610-005-0 -
Essence Advantage Plus
H2610-006-0 -
Essence Advantage Select
H2610-016-0 -
Humana USAA Honor Giveback
H7617-012-0 -
Humana Value Choice H7617-023
H7617-023-0 -
HumanaChoice Giveback H7617-013
H7617-013-0 -
AARP Medicare Advantage CareFlex from UHC ST-6
H2802-073-0 -
AARP Medicare Advantage Essentials from UHC ST-3
H2802-028-0 -
AARP Medicare Advantage Extras from UHC ST-4
H2802-052-0 -
AARP Medicare Advantage from UHC ST-0001
H2406-043-0 -
AARP Medicare Advantage from UHC ST-2
H2406-069-0 -
AARP Medicare Advantage Patriot No Rx MO-MA01
H2802-050-0 -
Aetna Medicare Eagle
H7301-023-0 -
Aetna Medicare Enhanced
H7301-009-0 -
Aetna Medicare Signature
H7301-007-0 -
Humana USAA Honor Giveback
H5216-278-1 -
Humana Value Choice H5216-318
H5216-318-1 -
HumanaChoice Giveback H5216-403
H5216-403-0 -
HumanaChoice H5216-399
H5216-399-0 -
Blue Cross Medicare Advantage Dental Premier
H8634-021-0 -
Blue Cross Medicare Advantage Essential
H8634-012-0 -
Blue Cross Medicare Advantage Health Choice
H8634-018-0 -
Blue Cross Medicare Advantage Protect
H8634-019-0 -
Blue Cross Medicare Advantage Value
H3822-014-0 -
Essence Advantage Choice
H6200-001-0 -
Essence Advantage Premier Plus
H6200-008-0 -
HealthSpring True Choice
H7849-059-0 -
Humana USAA Honor Giveback
R5361-001-0 -
HumanaChoice R5361-002
R5361-002-0 -
Wellcare Giveback
H5779-010-0 -
Wellcare Patriot Giveback
H5779-011-0 -
Wellcare Simple Essential
H5779-002-0 -
Wellcare Simple Essential Value
H5779-009-0 -
Clear Spring Health BrightPath Advantage
H5454-001-0 -
DEVOTED CHOICE 001 IL
H8320-001-0 -
DEVOTED CHOICE GIVEBACK 002 IL
H8320-002-0 -
Molina Medicare Choice Care
H2715-003-0
-
Essence Advantage
- Total Standard Medicare Advantage Enrollment
- 2674
2026 Medicare Advantage Plans in Macoupin County, IL
Last update: .
For 2026, Macoupin County, IL includes 37 Medicare Advantage plans. Enrollment across these plans totals approximately 2,674, with 31 $0 premium options and 36% rated 4 stars or higher.
This page and its statistics exclude Medicare Advantage Special Needs Plans (SNPs). Special Needs Plans in Macoupin County, IL are summarized separately. Visit Medicare Options in Macoupin 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
- 23
- Average Monthly Premium
- $20.22/mo
- Total PPO Enrollment
- 1,298
- $0 Premium PPO Plans
- 18
- Average MOOP
- $5,526
- Top PPO by Enrollment
- Aetna Medicare Signature (PPO) — 403 enrollees
- PPO Plans Without Drug Coverage
- 5
What is the average monthly premium for PPO plans in Macoupin?
PPO plans in Macoupin cost $20.22 per month on average.
Which PPO plan has the highest enrollment in Macoupin?
The most popular PPO plan in Macoupin is Aetna Medicare Signature (PPO), with 403 enrollees.
How many PPO plans in Macoupin do not include prescription drug coverage?
5 PPO plans in Macoupin 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 10
- Average Monthly Premium $5.90/mo
- Total HMO Enrollment 146
- $0 Premium HMO Plans 9
- Average MOOP $4,875
- Top HMO by Enrollment Wellcare Simple Essential (HMO) — 46 enrollees
- HMO Plans Without Drug Coverage 1
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| Essence Advantage | $0 | $3,400 | $0 | H2610-005-0 | |
| Essence Advantage Plus | $59 | $2,900 | $0 | H2610-006-0 | |
| Essence Advantage Select | $0 | $3,900 | $340 | H2610-016-0 | |
| Blue Cross Medicare Advantage Value | $0 | $4,000 | $450 | H3822-014-0 | |
| 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 | $4,200 | $200 | H5454-001-0 | |
| Molina Medicare Choice Care | $0 | $9,250 | $0 | H2715-003-0 |
What is the top HMO by enrollment in Macoupin?
Wellcare Simple Essential (HMO) is the top HMO in Macoupin, with 46 enrollees.
What is the number of HMO plans without Part D coverage in Macoupin?
1 HMO plans in Macoupin 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
- 4
- Average Monthly Premium
- $0.00/mo
- Total HMO-POS Enrollment
- 1,230
- $0 Premium HMO-POS Plans
- 4
- Average MOOP
- $4,675
- Top HMO-POS by Enrollment
- AARP Medicare Advantage Extras from UHC ST-4 (HMO-POS) — 573 enrollees
- HMO-POS Plans Without Drug Coverage
- 1
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| AARP Medicare Advantage CareFlex from UHC ST-6 | $0 | $6,700 | $600 | H2802-073-0 | |
| AARP Medicare Advantage Essentials from UHC ST-3 | $0 | $3,200 | $440 | H2802-028-0 | |
| AARP Medicare Advantage Extras from UHC ST-4 | $0 | $3,900 | $520 | H2802-052-0 | |
| AARP Medicare Advantage Patriot No Rx MO-MA01 | $0 | $4,900 | N/A | H2802-050-0 |
What is the typical premium for HMO-POS plans in Macoupin?
HMO-POS plans in Macoupin cost $0.00 per month on average.
Which HMO-POS plan has the most members in Macoupin?
The most popular HMO-POS plan in Macoupin is AARP Medicare Advantage Extras from UHC ST-4 (HMO-POS), with 573 enrollees.
How many HMO-POS options are offered without prescription drug coverage in Macoupin?
There are 1 HMO-POS plans in Macoupin without prescription drug coverage.
CMS quality ratings for Medicare Advantage plans in Macoupin 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) | 12 | 36% |
| 3 Stars | 21 | 64% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 4 | 11% |
| Average Rating | 3.56 | |
* CMS assigns Medicare Advantage star ratings annually based on plan quality and performance measures.
- CMS.gov, Medicare Advantage & Special Needs Plan Landscape Source Files — Version: 202608
- CMS.gov, Medicare Part C & D Performance Data — Version: 2026
- CMS.gov, Medicare Advantage & Part D Contract and Enrollment Data — Version: 2026-08
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
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.