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  1. 🏠
  2. Medicare Options
  3. Illinois
  4. Fayette County

Your Medicare Coverage Options in Fayette County, IL

This page explains all Medicare coverage options available to residents of Fayette County, Illinois, including Original Medicare, Medicare Advantage, Part D, Medigap, and local assistance.

Medicare Options at a Glance

Residents of Fayette County, Illinois can choose from several Medicare coverage types, each offering a different balance of access, cost, and benefits. The main options are:

  • Original Medicare: Provides broad access to providers across the country.
  • Medicare Advantage: Offers all-in-one coverage, often with lower upfront costs.
  • Part D: Covers prescription drugs when paired with Original Medicare.
  • Medigap: Reduces gaps in coverage and limits out-of-pocket expenses.
  • SNPs: Tailored plans for individuals with qualifying health or financial needs.
  • Other Options: Includes VA coverage, employer-sponsored plans, and local support programs.

Because each option works in a different way, understanding the differences is critical when choosing Medicare coverage in Fayette County.

Medicare Advantage Options in Fayette County

In Fayette County, Medicare Advantage plans offer a bundled alternative to Original Medicare, combining hospital and medical coverage, frequently including drug benefits and added services. Plan options, networks, and out-of-pocket limits differ by location.

Medicare Advantage Snapshot Fayette County
Total Medicare Advantage plans 26
$0 premium plans 22
HMO plans 5
PPO plans 17
Plans with drug coverage 19
Lowest MOOP $3,200
Highest MOOP $9,250
Highest Part B giveback $73.80

Top PPO Plans by Enrollments

Plan CMS Rating Enrollment
Aetna Medicare Enhanced 3.5 ★ 21,414
Aetna Medicare Signature 3.5 ★ 18,793
HumanaChoice Giveback H5216-403 3.5 ★ 12,500

Top HMO Plans by Enrollments

Plan CMS Rating Enrollment
Wellcare Simple Essential 3.0 ★ 5,679
Wellcare Simple Essential Value 3.0 ★ 2,712
Wellcare Giveback 3.0 ★ 1,499

Top HMO-POS Plans by Enrollments

Plan CMS Rating Enrollment
AARP Medicare Advantage Essentials from UHC ST-3 4.0 ★ 52,956
AARP Medicare Advantage Extras from UHC ST-4 4.0 ★ 42,779
AARP Medicare Advantage Patriot No Rx MO-MA01 4.0 ★ 12,167

Medicare Advantage plans are primarily defined by their provider networks, whether prescription drug coverage is included, and their annual out-of-pocket limits. For those seeking bundled benefits and lower premiums, these plans are often the starting point, though network access and plan requirements should be considered.

See Medicare Advantage plans in Fayette County

Medicare Part D Plans in Fayette County

Medicare Part D plans offer standalone prescription drug coverage for individuals enrolled in Original Medicare. Costs and coverage vary based on premiums, deductibles, pharmacy networks, and covered medications.

Top Basic Coverage Plans by Enrollments

Plan Premium Deductible Enrollment
Wellcare Classic $0.00 $615 169,785
SilverScript Choice $94.90 $615 55,378
Blue Cross MedicareRx Basic $89.70 $615 27,216

Top Enhanced Coverage Plans by Enrollments

Plan Premium Deductible Enrollment
Wellcare Value Script $0.00 $615 277,353
Humana Value Rx Plan $0.00 $601 138,281
AARP Medicare Rx Preferred from UHC $103.90 $130 73,031

Part D plan choice depends less on the number of plans and more on whether your drugs are covered at your preferred pharmacy at a reasonable cost.

See Medicare Part D plans in Illinois

Medigap Plans in Fayette County

Medicare Supplement (Medigap) plans are designed to fill gaps in Original Medicare by helping with deductibles, copayments, and coinsurance. These plans work alongside Original Medicare and generally require separate prescription drug coverage through Part D.

Data from 41 insurers indicates premiums beginning around $40 and exceeding $968, depending on plan type and how rates are set. Although coverage is standardized, pricing differences across insurers can be substantial.

Medigap Snapshot Fayette County
Works with Original Medicare Yes
Includes prescription drug coverage No
Requires separate Part D plan Usually yes
Best fit for Beneficiaries who want broad provider access and predictable cost sharing

For residents of Fayette, Medigap is often considered by people who want the flexibility to use providers nationwide who accept Medicare without relying on local Medicare Advantage networks.

Sample Plan G Pricing in Illinois

Plan G typically ranges from $116 to $830.

Carrier Plan Low High
AARP - UnitedHealthcare G $140 $607
Aetna G $167 $530
Allstate G $144 $434
Cigna G $137 $686
Humana G $140 $513
Mutual of Omaha G $144 $560
Wellcare G $116 $414

Sample Plan N Pricing in Illinois

Plan N typically ranges from $88 to $590.

Carrier Plan Low High
AARP - UnitedHealthcare N $97 $542
Aetna N $113 $378
Allstate N $118 $356
Cigna N $91 $493
Humana N $105 $452
Mutual of Omaha N $99 $384
Wellcare N $88 $346

Explore all Medicare Supplement plans in Illinois for more details.

SNP Coverage Options in Fayette County

SNPs are Medicare Advantage plans tailored for people with defined eligibility profiles, including those enrolled in Medicaid, living with certain chronic conditions, or receiving long-term or institutional care.

SNP Snapshot Fayette County
Total SNP plans 7
D-SNP plans 4
C-SNP plans 3
I-SNP plans 0

Top D-SNP Plans by Enrollments

Plan CMS Rating Enrollment
Humana Dual Fully Integrated 0.0 ★ 27,966
Aetna Medicare FIDE 0.0 ★ 25,224
Wellcare Meridian Dual Align 0.0 ★ 15,923

Top C-SNP Plans by Enrollments

Plan CMS Rating Enrollment
UHC Complete Care Support ST-1A 4.5 ★ 9,038
DEVOTED C-SNP CHOICE PLUS 012 IL 0.0 ★ 226
DEVOTED C-SNP CHOICE PREMIUM 011 IL 0.0 ★ 29

In Fayette, SNP options are limited to individuals who meet specific eligibility criteria. While not a general option, they play an important role for beneficiaries with Medicaid or certain chronic health needs.

See Special Needs Plans in Fayette County

VA Coverage and Local Medicare Help in Fayette County

Some beneficiaries may have additional coverage or support beyond standard Medicare plans, including VA health benefits, retiree coverage, and local counseling programs.

Additional Support Options Fayette County
VA health coverage may coordinate with Medicare Yes
SHIP / local counseling availability Illinois SHIP
Local help resource State Health Insurance Assistance Program

Finding the Right Medicare Plan for You in Fayette County

Selecting Medicare coverage depends on how you prefer to receive care, control costs, and access providers. Most people begin by deciding between Medicare Advantage and Original Medicare.

Medicare Advantage plans bundle hospital, medical, and often prescription drug coverage into one plan. They may offer lower premiums and extra benefits, but usually require you to stay within a provider network.

Original Medicare provides access to providers nationwide who accept Medicare. Many beneficiaries add a Part D drug plan and a Medigap policy to help manage costs and reduce out-of-pocket expenses.

Special Needs Plans (SNPs) are designed for individuals with qualifying health conditions or eligibility, including those with Medicaid. While not available to everyone, they can provide focused coverage when you meet the criteria.

The best option depends on your preferred doctors, medication needs, and how you balance monthly premiums with potential out-of-pocket costs.

To take the next step, review available plans and coverage options in Fayette County.

  • CMS.gov, Medicare Advantage & Special Needs Plan 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) are derived from CMS-published datasets using a standardized aggregation methodology.

Data sources and methodology documentation .

  • Medicare.gov, "What's Medicare Drug Coverage (Part D)?" — Last accessed May 1, 2026
  • Medicare.gov, "Understanding Medicare Advantage Plans" — Last accessed May 6, 2026
  • Medicare.gov, "Joining a plan" — Last accessed May 7, 2026
  • Medicare.gov, "Get Medigap Basics" — Last accessed May 5, 2026

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 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.

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