2026 Medicare Advantage Plans in Monroe County, IL
Last update: . Enrollment data updated: May 2, 2026
Monroe County, IL has 40 Medicare Advantage plans available in 2026. These include 31 plans with no monthly premium, and roughly 41% are rated at least 4 stars based on CMS data.
Medicare Advantage Special Needs Plans (SNPs) are not included in the figures shown above. View Special Needs Plans in Monroe County, IL. Or explore all Medicare Options available in Monroe 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 25
- Average Monthly Premium $23.52/mo
- Total PPO Enrollment 798
- $0 Premium PPO Plans 18
- Average MOOP $5,710
- Top PPO by Enrollment Humana Value Choice H7617-023 (PPO) — 149 enrollees
- PPO Plans Without Drug Coverage 4
What is the most popular PPO plan in Monroe?
Humana Value Choice H7617-023 (PPO) is the top PPO in Monroe, with 149 enrollees.
What is the number of PPO plans without Part D coverage in Monroe?
There are 4 PPO plans in Monroe 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
- 8
- Average Monthly Premium
- $7.38/mo
- Total HMO Enrollment
- 864
- $0 Premium HMO Plans
- 7
- Average MOOP
- $5,069
- Top HMO by Enrollment
- Essence Advantage Select (HMO) — 433 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 | |
| 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 | |
| Molina Medicare Choice Care | $0 | $9,250 | $0 | H2715-003-0 |
What is the typical premium for HMO plans in Monroe?
HMO plans in Monroe cost $7.38 per month on average.
Which HMO plan do most beneficiaries choose in Monroe?
The most popular HMO plan in Monroe is Essence Advantage Select (HMO), with 433 enrollees.
How many HMO options are offered without prescription drug coverage in Monroe?
There are 1 HMO plans in Monroe 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 7
- Average Monthly Premium $5.71/mo
- Total HMO-POS Enrollment 1,735
- $0 Premium HMO-POS Plans 6
- Average MOOP $4,529
- Top HMO-POS by Enrollment Aetna Medicare Enhanced Extra (HMO-POS) — 585 enrollees
- HMO-POS Plans Without Drug Coverage 1
| 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 from UHC ST-1P | $0 | $2,900 | $355 | H2802-071-0 | |
| 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 |
What is the total number of HMO-POS plans in Monroe?
In 2026, Monroe has 7 HMO-POS plans with 1,735 enrollees.
How much do HMO-POS plans cost in Monroe?
The typical HMO-POS premium in Monroe is $5.71, and 6 plans have no monthly premium.
Below is a breakdown of CMS star ratings for Medicare Advantage plans available in Monroe 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 | 41% |
| 3 Stars | 22 | 59% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 3 | 8% |
| Average Rating | 3.61 | |
* Medicare Advantage star ratings are determined by CMS each year using a standardized 5-star rating system.
- CMS.gov, Medicare Advantage Landscape Source Files — Last accessed May 2, 2026
- CMS.gov, Medicare Part C & D Performance Data — Last accessed May 2, 2026
- CMS.gov, Medicare Advantage & Part D Contract and Enrollment Data — Last accessed May 2, 2026
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 .
- CMS.gov, "Medicare Advantage Plan Fact Sheet" — 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
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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.