Medicare Plans

Open Medicare Plan Data.

2027 Medicare Advantage Plans in Sangamon County, IL

Last update: .

For 2027, Sangamon County, IL includes 22 Medicare Advantage plans. Enrollment across these plans totals approximately 8,788, with 15 $0 premium options and (2027 Star Ratings Coming Soon) rated 4 stars or higher.

This page and its statistics exclude Medicare Advantage Special Needs Plans (SNPs). Special Needs Plans in Sangamon County, IL are summarized separately. Visit Medicare Options in Sangamon County, IL to see more options.

At a Glance

  • Average Monthly Premium: $19.91/mo
  • $0 Premium Plans: 15
  • Average MOOP: $6,514 ($9,250 max. in 2027)
  • Star Ratings (Plan Mix): (2027 Star Ratings Coming Soon)
  • Average Part D Deductible: $668.50
  • Total MA/MAPD Enrollment: 8,788
  • Plans with the Highest Enrollment
    (as of October 5, 2026)
    1. Aetna Medicare Enhanced (PPO) — 3,063 enrollees
    2. Aetna Medicare Signature (PPO) — 2,545 enrollees
    3. HumanaChoice Giveback H5216-403 (PPO) — 1,076 enrollees

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
16
Average Monthly Premium
$20.56/mo
Total PPO Enrollment
8,217
$0 Premium PPO Plans
11
Average MOOP
$6,309
Top PPO by Enrollment
Aetna Medicare Enhanced (PPO) — 3,063 enrollees
PPO Plans Without Drug Coverage
5

2027 PPO Medicare Advantage plans in Sangamon County, Illinois (comparison chart)
Plan Name CMS Stars* Premium/Mo MOOP Rx Ded. CMS ID
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
DEVOTED CHOICE 001 IL
☆☆☆☆☆
 $0 $5,000 $465 H8320-001-0
DEVOTED CHOICE GIVEBACK 002 IL
☆☆☆☆☆
 $0 $9,850 $461 H8320-002-0
DEVOTED CHOICE GIVEBACK EXTRAS 018 IL
☆☆☆☆☆
 $0 $7,300 $700 H8320-018-0
Humana USAA Honor Giveback
☆☆☆☆☆
 $0 $6,000 N/A H7617-022-0
Humana USAA Honor Giveback
☆☆☆☆☆
 $0 $6,750 N/A R5361-001-0
Humana USAA Honor Giveback
☆☆☆☆☆
 $0 $6,000 N/A H5216-355-0
HumanaChoice Giveback H5216-403
☆☆☆☆☆
 $0 $5,000 $700 H5216-403-0
HumanaChoice Giveback H7617-013
☆☆☆☆☆
 $0 $5,000 $700 H7617-013-0
HumanaChoice H5216-013
☆☆☆☆☆
 $92 $6,550 $700 H5216-013-0
HumanaChoice H5216-399
☆☆☆☆☆
 $33 $6,250 $700 H5216-399-0
HumanaChoice R5361-002
☆☆☆☆☆
 $87 $7,700 $700 R5361-002-0
What is the average monthly premium for PPO plans in Sangamon?
PPO plans in Sangamon cost $20.56 per month on average.
Which PPO plan has the highest enrollment in Sangamon?
The most popular PPO plan in Sangamon is Aetna Medicare Enhanced (PPO), with 3,063 enrollees.
How many PPO plans in Sangamon do not include prescription drug coverage?
5 PPO plans in Sangamon do not include prescription drug coverage.

Medicare Advantage HMO Plans

Health Maintenance Organization (HMO) plans are built around a defined network of doctors and hospitals. Care is generally covered only within the network, except in emergencies, but this structure often results in lower premiums and out-of-pocket costs.

Total HMO Plans
2
Average Monthly Premium
$0.00/mo
Total HMO Enrollment
275
$0 Premium HMO Plans
2
Average MOOP
$6,650
Top HMO by Enrollment
Wellcare Simple Essential (HMO) — 191 enrollees
HMO Plans Without Drug Coverage
0

2027 HMO Medicare Advantage plans in Sangamon County, Illinois (comparison chart)
Plan Name CMS Stars* Premium/Mo MOOP Rx Ded. CMS ID
Wellcare Giveback
☆☆☆☆☆
 $0 $7,800 $700 H5779-010-0
Wellcare Simple Essential
☆☆☆☆☆
 $0 $5,500 $700 H5779-009-0
What is the total number of HMO plans offered in Sangamon?

There are 2 HMO plans in 2027, covering 275 enrollees.

How much do HMO plans cost in Sangamon?

The average HMO premium in Sangamon is $0.00 per month, with 2 plans offering $0 premiums.

What is the top HMO by enrollment in Sangamon?

Wellcare Simple Essential (HMO) is the top HMO in Sangamon, with 191 enrollees.

What is the number of HMO plans without Part D coverage in Sangamon?

0 HMO plans in Sangamon 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
2
Average Monthly Premium
$24.50/mo
Total HMO-POS Enrollment
195
$0 Premium HMO-POS Plans
1
Average MOOP
$5,700
Top HMO-POS by Enrollment
AARP Medicare Advantage from UHC IA-0002 (HMO-POS) — 195 enrollees
HMO-POS Plans Without Drug Coverage
0

2027 HMO-POS Medicare Advantage plans in Sangamon County, Illinois (comparison chart)
Plan Name CMS Stars* Premium/Mo MOOP Rx Ded. CMS 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 average monthly premium for HMO-POS plans?

HMO-POS plans in Sangamon cost $24.50 per month on average.

Which HMO-POS plan is most popular in Sangamon?

The most popular HMO-POS plan in Sangamon is AARP Medicare Advantage from UHC IA-0002 (HMO-POS), with 195 enrollees.

How many HMO-POS plans in Sangamon do not include drug coverage?

There are 0 HMO-POS plans in Sangamon without prescription drug coverage.

Medicare Advantage PFFS Plans

Private Fee-for-Service (PFFS) plans allow members to visit any Medicare-approved provider that accepts the plan’s payment terms. This provides flexibility in choosing doctors and hospitals, but provider acceptance should be confirmed before receiving care.

  • Total PFFS Plans 2
  • Average Monthly Premium $30.00/mo
  • Total PFFS Enrollment 101
  • $0 Premium PFFS Plans 1
  • Average MOOP $8,825
  • Top PFFS by Enrollment Humana Gold Choice H8145-006 (PFFS) — 80 enrollees
  • PFFS Plans Without Drug Coverage 1

2027 PFFS Medicare Advantage plans in Sangamon County, Illinois (comparison chart)
Plan Name CMS Stars* Premium/Mo MOOP Rx Ded. CMS 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 top PFFS plan in Sangamon?

Humana Gold Choice H8145-006 (PFFS) is the top PFFS in Sangamon, with 80 enrollees.

What is the number of PFFS plans without Part D coverage in Sangamon?

1 PFFS plans in Sangamon do not include prescription drug coverage.

CMS quality ratings for Medicare Advantage plans in Sangamon County, IL (2027) are summarized below.

Medicare Advantage Plan Ratings in Sangamon County, IL (2027)
Rating Category Number of Plans Percent of Plans
5 Stars (2027 Star Ratings Coming Soon) (2027 Star Ratings Coming Soon)
4 Stars (includes 5 Stars) (2027 Star Ratings Coming Soon) (2027 Star Ratings Coming Soon)
3 Stars (2027 Star Ratings Coming Soon) (2027 Star Ratings Coming Soon)
Below 3 Stars (2027 Star Ratings Coming Soon) (2027 Star Ratings Coming Soon)
Not Rated (2027 Star Ratings Coming Soon) (2027 Star Ratings Coming Soon)
Average Rating (2027 Star Ratings Coming Soon)

* CMS assigns Medicare Advantage star ratings annually based on plan quality and performance measures.

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 .

MedicarePlans.com is an independent informational resource and has no affiliation with, or endorsement from, 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 .