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

Your Medicare Coverage Options in Franklin County, IL

Explore Medicare choices for residents of Franklin County, Illinois, from Original Medicare to Medicare Advantage, Part D drug plans, Medigap coverage, and local assistance programs.

Medicare Options at a Glance

Residents of Franklin 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 Franklin County.

Medicare Advantage Options in Franklin County

In Franklin 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 Franklin County
Total Medicare Advantage plans 21
$0 premium plans 16
HMO plans 5
PPO plans 15
Plans with drug coverage 14
Lowest MOOP $3,900
Highest MOOP $9,250
Highest Part B giveback $73.80

Top PPO Plans by Enrollments

Plan CMS Rating Enrollment
HumanaChoice Giveback H5216-403 3.5 ★ 12,500
Humana USAA Honor Giveback 3.5 ★ 12,181
Humana USAA Honor Giveback 4.5 ★ 10,570

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 from UHC IA-0002 4.0 ★ 14,674

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 Franklin County

Medicare Part D Options in Franklin County

For those using Original Medicare, Part D plans provide separate prescription drug coverage. Plan differences include premiums, deductibles, pharmacy access, and the list of covered drugs.

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 Franklin 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 Franklin 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

Many residents of Franklin consider Medigap when they want nationwide provider access under Original Medicare, rather than relying on the network restrictions of Medicare Advantage plans.

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 Franklin County

Special Needs Plans (SNPs) are a type of Medicare Advantage plan designed for individuals with specific eligibility criteria, such as dual eligibility for Medicaid, qualifying chronic conditions, or institutional care requirements.

SNP Snapshot Franklin County
Total SNP plans 5
D-SNP plans 4
C-SNP plans 1
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 IL-1A 4.5 ★ 39,835

Availability of SNPs in Franklin is tied to eligibility requirements. These plans are not available to all beneficiaries but can be especially valuable for those with Medicaid or qualifying chronic conditions.

See Special Needs Plans in Franklin County

VA Coverage and Local Medicare Help in Franklin County

Some beneficiaries may have coverage choices or support options outside standard Medicare plan categories, including VA health benefits, retiree coverage, and counseling programs.

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

Choosing the Best Medicare Coverage for You in Franklin County

Choosing the right Medicare coverage is based on how you want to access care, manage expenses, and select providers. Most decisions start with a choice between Medicare Advantage and Original Medicare.

Medicare Advantage plans offer all-in-one coverage that typically includes hospital, medical, and prescription drug benefits. These plans may have lower premiums and added services, but they generally operate within provider networks.

Original Medicare gives you the flexibility to see any provider nationwide who accepts Medicare. Many people pair it with a Part D plan and a Medigap policy to help control costs and improve coverage predictability.

Special Needs Plans (SNPs) may be an option for those with specific health or eligibility requirements, including Medicaid. These plans are specialized and only available to qualifying individuals.

Your ideal coverage will depend on your doctors, prescriptions, and how you prefer to balance premiums and out-of-pocket spending.

For a closer look, explore the plans and coverage types available in Franklin 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
  • NCOA.org, "5 Steps to Choosing the Right Medicare Plan for You" — Last accessed May 6, 2026
  • Medicare.gov, "What Is Medigap and How Does It Work?" — Last accessed May 6, 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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