- Entity
- county:illinois-wayne-17191
- 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/wayne/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-county-plan-index
- Total Standard Medicare Advantage Plans
- 15
- PPO Plans
- 9
- HMO Plans
- 2
- HMO-POS Plans
- 2
- PFFS Plans
- 2
- Average Monthly Premium
- 19.2
- Average MOOP
- 6593.33
- Average Part D Deductible
- 697
- $0 Premium Plans
- 10
- Plans Without Part D Coverage
- 5
- Average CMS Star Rating
- 3.87
- $0 Premium Plan Share
- 66.67
- 5-Star Plan Share
- 0
- 4+ Star Plan Share
- 67
- 3-Star Plan Share
- 33
- Below 3-Star Plan Share
- 0
- Not-Rated Plan Share
- 0
- PPO Average Monthly Premium
- 19.89
- PPO Average MOOP
- 6283.33
- PPO Enrollment
- 149
- PPO $0 Premium Plans
- 6
- PPO Plans Without Part D Coverage
- 4
- HMO Average Monthly Premium
- 0
- HMO Average MOOP
- 6650
- HMO Enrollment
- 24
- HMO $0 Premium Plans
- 2
- HMO Plans Without Part D Coverage
- 0
- HMO-POS Average Monthly Premium
- 24.5
- HMO-POS Average MOOP
- 5700
- HMO-POS Enrollment
- 11
- HMO-POS $0 Premium Plans
- 1
- HMO-POS Plans Without Part D Coverage
- 0
- PFFS Average Monthly Premium
- 30
- PFFS Average MOOP
- 8825
- PFFS Enrollment
- 15
- PFFS $0 Premium Plans
- 1
- PFFS Plans Without Part D Coverage
- 1
- Entity
- county:illinois-wayne-17191
- 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/wayne/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-illinois-wayne-17191-landscape-stats
- Plans Indexed
- 15
- 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 -
Humana Gold Choice H8145-006
H8145-006-0 -
Humana Gold Choice H8145-126
H8145-126-0 -
Humana USAA Honor Giveback
H5216-355-0 -
HumanaChoice Giveback H5216-403
H5216-403-0 -
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 -
Wellcare Simple Value
H1416-084-0
-
Humana USAA Honor Giveback
- Total Standard Medicare Advantage Enrollment
- 199
2027 Medicare Advantage Plans in Wayne County, IL
Last update: .
For 2027, Wayne County, IL includes 15 Medicare Advantage plans. Enrollment across these plans totals approximately 199, with 10 $0 premium options and 67% rated 4 stars or higher.
This page and its statistics exclude Medicare Advantage Special Needs Plans (SNPs). Special Needs Plans in Wayne County, IL are summarized separately. Visit Medicare Options in Wayne 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
- 9
- Average Monthly Premium
- $19.89/mo
- Total PPO Enrollment
- 149
- $0 Premium PPO Plans
- 6
- Average MOOP
- $6,283
- Top PPO by Enrollment
- HumanaChoice Giveback H5216-403 (PPO) — 75 enrollees
- PPO Plans Without Drug Coverage
- 4
| Plan Name | CMS Stars* | Premium/Mo | MOOP | Rx Ded. | CMS 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 | |
| Humana USAA Honor Giveback | $0 | $6,000 | N/A | H5216-355-0 | |
| HumanaChoice Giveback H5216-403 | $0 | $5,000 | $700 | H5216-403-0 | |
| HumanaChoice H5216-399 | $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 Wayne?
- PPO plans in Wayne cost $19.89 per month on average.
- Which PPO plan has the highest enrollment in Wayne?
- The most popular PPO plan in Wayne is HumanaChoice Giveback H5216-403 (PPO), with 75 enrollees.
- How many PPO plans in Wayne do not include prescription drug coverage?
- 4 PPO plans in Wayne 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.
| 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 Wayne?
There are 2 HMO plans in 2027, covering 24 enrollees.
How much do HMO plans cost in Wayne?
The average HMO premium in Wayne is $0.00 per month, with 2 plans offering $0 premiums.
What is the top HMO by enrollment in Wayne?
Wellcare Giveback (HMO) is the top HMO in Wayne, with 12 enrollees.
What is the number of HMO plans without Part D coverage in Wayne?
0 HMO plans in Wayne 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
- 11
- $0 Premium HMO-POS Plans
- 1
- Average MOOP
- $5,700
- Top HMO-POS by Enrollment
- AARP Medicare Advantage from UHC IA-0002 (HMO-POS) — 11 enrollees
- HMO-POS Plans Without Drug Coverage
- 0
| 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 Wayne cost $24.50 per month on average.
Which HMO-POS plan is most popular in Wayne?
The most popular HMO-POS plan in Wayne is AARP Medicare Advantage from UHC IA-0002 (HMO-POS), with 11 enrollees.
How many HMO-POS plans in Wayne do not include drug coverage?
There are 0 HMO-POS plans in Wayne 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 15
- $0 Premium PFFS Plans 1
- Average MOOP $8,825
- Top PFFS by Enrollment Humana Gold Choice H8145-006 (PFFS) — 15 enrollees
- PFFS Plans Without Drug Coverage 1
| 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 Wayne?
Humana Gold Choice H8145-006 (PFFS) is the top PFFS in Wayne, with 15 enrollees.
What is the number of PFFS plans without Part D coverage in Wayne?
1 PFFS plans in Wayne do not include prescription drug coverage.
CMS quality ratings for Medicare Advantage plans in Wayne 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) | 10 | 67% |
| 3 Stars | 5 | 33% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 0 | 0% |
| Average Rating | 3.87 | |
* 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 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 .
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.