- Entity
- county:illinois-madison-17119
- 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/madison/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-county-plan-index
- Total Standard Medicare Advantage Plans
- 49
- PPO Plans
- 27
- HMO Plans
- 12
- HMO-POS Plans
- 8
- PFFS Plans
- 2
- Average Monthly Premium
- 14.78
- Average MOOP
- 5275.51
- Average Part D Deductible
- 505
- $0 Premium Plans
- 39
- Plans Without Part D Coverage
- 7
- Average CMS Star Rating
- 3.57
- $0 Premium Plan Share
- 79.59
- 5-Star Plan Share
- 0
- 4+ Star Plan Share
- 33
- 3-Star Plan Share
- 67
- Below 3-Star Plan Share
- 0
- Not-Rated Plan Share
- 8
- PPO Average Monthly Premium
- 21.78
- PPO Average MOOP
- 5657.41
- PPO Enrollment
- 6227
- PPO $0 Premium Plans
- 20
- PPO Plans Without Part D Coverage
- 4
- HMO Average Monthly Premium
- 4.92
- HMO Average MOOP
- 4637.5
- HMO Enrollment
- 5175
- HMO $0 Premium Plans
- 11
- HMO Plans Without Part D Coverage
- 1
- HMO-POS Average Monthly Premium
- 5
- HMO-POS Average MOOP
- 4575
- HMO-POS Enrollment
- 10151
- HMO-POS $0 Premium Plans
- 7
- HMO-POS Plans Without Part D Coverage
- 1
- PFFS Average Monthly Premium
- 18.5
- PFFS Average MOOP
- 6750
- PFFS Enrollment
- 0
- PFFS $0 Premium Plans
- 1
- PFFS Plans Without Part D Coverage
- 1
- Entity
- county:illinois-madison-17119
- 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/madison/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-illinois-madison-17119-landscape-stats
- Plans Indexed
- 49
- Standard Medicare Advantage Plans
-
-
Essence Advantage
H2610-005-0 -
Essence Advantage Plus
H2610-006-0 -
Essence Advantage Select
H2610-016-0 -
Humana Full Access H7617-008
H7617-008-0 -
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 Enhanced Extra
H2663-006-0 -
Aetna Medicare Signature
H2663-103-0 -
Aetna Medicare Elite
H1608-050-0 -
Aetna Medicare Enhanced
H7301-009-0 -
Aetna Medicare Enhanced
H1608-013-0 -
Aetna Medicare Signature
H7301-007-0 -
Humana Full Access H5216-407
H5216-407-0 -
Humana Gold Choice H8145-006
H8145-006-0 -
Humana Gold Choice H8145-126
H8145-126-0 -
Humana Gold Plus Giveback H0028-065
H0028-065-0 -
Humana Gold Plus H0028-014
H0028-014-0 -
Humana USAA Honor Giveback
H5216-278-1 -
Humana Value Choice H5216-318
H5216-318-1 -
HumanaChoice Giveback H5216-403
H5216-403-0 -
HumanaChoice H5216-032
H5216-032-0 -
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 Savings
H7849-077-0 -
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
H1416-009-0 -
Wellcare Simple Essential
H5779-002-0 -
Wellcare Simple Essential Value
H5779-009-0 -
Wellcare Simple Value
H1416-082-0 -
Clear Spring Health BrightPath Advantage
H5454-001-0 -
DEVOTED CHOICE 005 IL
H8320-005-0 -
DEVOTED CHOICE GIVEBACK 006 IL
H8320-006-0 -
Molina Medicare Choice Care
H2715-003-0
-
Essence Advantage
- Total Standard Medicare Advantage Enrollment
- 21553
2026 Medicare Advantage Plans in Madison County, IL
Last update: .
In Madison County, IL, there are 49 Medicare Advantage plans available for 2026. Of these, 39 offer a $0 monthly premium, and about 33% are rated 4 stars or higher based on CMS quality ratings.
Medicare Advantage Special Needs Plans (SNPs) are not included in the figures shown above. View Special Needs Plans in Madison County, IL. Or explore all Medicare Options available in Madison County, IL.
Medicare Advantage PPO Plans
Preferred Provider Organization (PPO) plans allow access to both in-network and out-of-network providers. Out-of-network care usually costs more, but PPOs offer greater flexibility in choosing doctors and hospitals.
- Total PPO Plans 27
- Average Monthly Premium $21.78/mo
- Total PPO Enrollment 6,227
- $0 Premium PPO Plans 20
- Average MOOP $5,657
- Top PPO by Enrollment Humana Value Choice H7617-023 (PPO) — 1,093 enrollees
- PPO Plans Without Drug Coverage 4
What is the total number of PPO plans offered in Madison?
There are 27 PPO plans in 2026, covering 6,227 beneficiaries.
How much do PPO plans cost in Madison?
The average PPO premium in Madison is $21.78 per month, with 20 plans offering $0 premiums.
What is the most popular PPO plan in Madison?
Humana Value Choice H7617-023 (PPO) is the top PPO in Madison, with 1,093 enrollees.
What is the number of PPO plans without Part D coverage in Madison?
There are 4 PPO plans in Madison without prescription drug coverage.
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
- 12
- Average Monthly Premium
- $4.92/mo
- Total HMO Enrollment
- 5,175
- $0 Premium HMO Plans
- 11
- Average MOOP
- $4,638
- Top HMO by Enrollment
- Essence Advantage Select (HMO) — 1,873 enrollees
- HMO Plans Without Drug Coverage
- 1
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS 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 | |
| Humana Gold Plus Giveback H0028-065 | $0 | $4,200 | $615 | H0028-065-0 | |
| Humana Gold Plus H0028-014 | $0 | $2,700 | $615 | H0028-014-0 | |
| 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 average monthly premium for HMO plans?
HMO plans in Madison cost $4.92 per month on average.
Which HMO plan is most popular in Madison?
The most popular HMO plan in Madison is Essence Advantage Select (HMO), with 1,873 enrollees.
How many HMO plans in Madison do not include drug coverage?
There are 1 HMO plans in Madison without prescription drug coverage.
Medicare Advantage HMO-POS Plans
HMO Point-of-Service (HMO-POS) plans combine HMO network rules with limited out-of-network access. Care outside the network typically costs more, but HMO-POS plans provide added flexibility compared with standard HMOs.
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS 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 | |
| Aetna Medicare Enhanced Extra | $40 | $5,900 | $615 | H2663-006-0 | |
| Aetna Medicare Signature | $0 | $4,200 | $615 | H2663-103-0 | |
| Wellcare Simple | $0 | $3,900 | $615 | H1416-009-0 | |
| Wellcare Simple Value | $0 | $3,900 | $615 | H1416-082-0 |
What is the leading HMO-POS plan in Madison?
AARP Medicare Advantage Essentials from UHC ST-3 (HMO-POS) is the top HMO-POS in Madison, with 4,021 enrollees.
What is the number of HMO-POS plans without Part D coverage in Madison?
1 HMO-POS plans in Madison 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
- $18.50/mo
- Total PFFS Enrollment
- 0
- $0 Premium PFFS Plans
- 1
- Average MOOP
- $6,750
- 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 | $37 | $6,800 | $615 | H8145-006-0 | |
| Humana Gold Choice H8145-126 | $0 | $6,700 | N/A | H8145-126-0 |
What is the typical premium for PFFS plans in Madison?
PFFS plans in Madison cost $18.50 per month on average.
Which PFFS plan has the most enrollment in Madison?
The most popular PFFS plan in Madison is , with 0 enrollees.
How many PFFS options are available without prescription drug coverage in Madison?
There are 1 PFFS plans in Madison without prescription drug coverage.
The table below shows CMS star ratings for Medicare Advantage plans in Madison County, IL for 2026.
| Rating Category | Number of Plans | Percent of Plans |
|---|---|---|
| 5 Stars | No 5-star plans available. | 0% |
| 4 Stars (includes 5 Stars) | 15 | 33% |
| 3 Stars | 30 | 67% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 4 | 8% |
| Average Rating | 3.57 | |
* Medicare Advantage star ratings are determined by CMS each year using a standardized 5-star rating system.
- 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
County-level figures shown on this page, including plan counts, enrollment totals, averages, and percentage distributions, reflect standard Medicare Advantage (MA/MAPD) plans only and are derived from CMS datasets using a standardized aggregation methodology.
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
- Medicare.gov, "Joining a plan" — 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.
This page follows data provenance practices aligned with the 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.