Average Cost of Medicare Advantage Plans in Lake County, Illinois
| Average Monthly Premium | $69.95 |
| Average in-network out-of-pocket spendin ... | $4,491.17 |
| Average drug deductible in 2022 (weighte ... | $296.36 |
| Percentage of plans rated 4 stars or hig ... | 41.9% |
Full Answer
What company has the best Medicare Advantage program?
Best Medicare Advantage Providers RatingsProviderForbes Health RatingsCoverage areaBlue Cross Blue Shield5.0Offers plans in 48 statesCigna4.5Offers plans in 26 states and Washington, D.C.United Healthcare4.0Offers plans in all 50 statesAetna3.5Offers plans in 44 states1 more row•Jun 8, 2022
Who sells the most Medicare Advantage plans?
UnitedHealthcareStandout feature: UnitedHealthcare offers the largest Medicare Advantage network of all companies, with more than 1 million network care providers. UnitedHealthcare is the largest provider of Medicare Advantage plans and offers plans in nearly three-quarters of U.S. counties.
What is the most widely accepted Medicare Advantage plan?
AARP/UnitedHealthcare is the most popular Medicare Advantage provider with many enrollees valuing its combination of good ratings, affordable premiums and add-on benefits. For many people, AARP/UnitedHealthcare Medicare Advantage plans fall into the sweet spot for having good benefits at an affordable price.
Are Medicare Advantage plans available in Illinois?
There are 166 Medicare Advantage plans available in Illinois for 2022, compared to 145 plans in 2021. All Illinois residents with Medicare have access to buy a Medicare Advantage plan, including plans with $0 premiums. There are 31 stand-alone Medicare Part D plans available in Illinois for 2022.
What is the biggest disadvantage of Medicare Advantage?
Medicare Advantage can become expensive if you're sick, due to uncovered copays. Additionally, a plan may offer only a limited network of doctors, which can interfere with a patient's choice. It's not easy to change to another plan. If you decide to switch to a Medigap policy, there often are lifetime penalties.
What are the top 3 Medicare Advantage plans?
The Best Medicare Advantage Provider by State Local plans can be high-quality and reasonably priced. Blue Cross Blue Shield, Humana and United Healthcare earn the highest rankings among the national carriers in many states.
Are there disadvantages to a Medicare Advantage plan?
Medicare Advantage offers many benefits to original Medicare, including convenient coverage, multiple plan options, and long-term savings. There are some disadvantages as well, including provider limitations, additional costs, and lack of coverage while traveling.
Do you still pay Medicare Part B with an Advantage plan?
If you join a Medicare Advantage Plan, you'll still have Medicare but you'll get most of your Part A and Part B coverage from your Medicare Advantage Plan, not Original Medicare. Part A covers inpatient hospital stays, care in a skilled nursing facility, hospice care, and some home health care.
What are 4 types of Medicare Advantage plans?
Below are the most common types of Medicare Advantage Plans.Health Maintenance Organization (HMO) Plans.Preferred Provider Organization (PPO) Plans.Private Fee-for-Service (PFFS) Plans.Special Needs Plans (SNPs)
What is Illinois Medicare PPO?
Preferred Provider Organization (PPO) plans offer members access to a network of contracted physicians and hospitals, but also allow them the flexibility to seek covered services from outside of the contracted network, usually at a higher cost. Members do not need a referral for specialty care.
What is the average cost of Medicare in Illinois?
What is the average cost of Medicare Part D in 2022 by state?StateAverage PremiumAverage DeductibleGeorgia$46.05$368.04Hawaii$42.97$380.50Idaho$48.91$364.55Illinois$42.59$393.4847 more rows•Feb 15, 2022
What are the Illinois Medicaid plans?
HealthChoice Illinois Health Plan Contact Information:www.ilyouthcare.com |1-844-289-2264.Blue Cross Community Health Plan. www.bcbsil.com/bcchp/ | 1-877-860-2837.CountyCare Health Plan (Cook County only) ... IlliniCare Health. ... Meridian Health Plan (Former Youth in Care Only) ... Molina Healthcare.
Medicare Advantage plan benefits
Medicare Advantage plans are required to cover inpatient (Medicare Part A) and outpatient (Part B) treatment like Original Medicare does. But most Medicare Advantage plans include additional benefits. Most commonly, Medicare Advantage plans also cover the following: 2
Medicare Advantage plan costs in Illinois
The chart below shows that the average cost of a Medicare Advantage plan in Illinois is $5,860 annually. Monthly premiums average about $60 in Illinois but could be higher or lower, depending on which county you reside in. The average prescription drug deductible in Illinois is only $76, which is quite a bit lower than other states.
Medicare Advantage insurers in Illinois
Here are insurance providers that offer Medicare Advantage plans in Illinois:
Top-rated Medicare Advantage providers
Each year, the Centers for Medicare and Medicaid Services (CMS) rates Medicare Advantage plans to help beneficiaries decide on which plan might be best for them. CMS takes into account 45 quality and performance factors—including how quickly plan participants receive care and customer complaints—and rates each plan on a scale of 1 to 5. 3
Find the Medicare Advantage plan that fits you best
When it comes to selecting a Medicare Advantage plan, Illinoisans have choices. Most plans are either health maintenance organization (HMO) or preferred provider organization (PPO) plans. 5
Local resources in Illinois
Senior Health Insurance Program: A free health insurance counseling service that provides Medicare beneficiaries information on health insurance and assistance applying for coverage.
What is the Medicare Advantage rate in Illinois?
The popularity of Medicare Advantage varies widely between states. The rate of Medicare Advantage participants across the 50 states ranges from 1% of total Medicare recipients in Alaska to 44% in Hawaii. The rate in Illinois is 23%, which is lower than nearby Wisconsin and Minnesota, which have rates of 41% and 43% respectively.
What is Medicare Advantage?
Medicare Advantage is privately offered health insurance, also known as Medicare Part C. It is an all-in-one alternative option to the federal Medicare Parts A and B, or Original Medicare, program. Unlike Original Medicare, where all participants receive the same coverage, Medicare Advantage plans have different levels of coverage and cost. All Medicare Advantage plans have to provide the same level of coverage as Original Medicare, but many have additional benefits for members, such as hearing, dental and prescription drug coverage. The out-of-pocket costs for Medicare Advantage participants also tend to be lower than the Original Medicare costs. The downside is that Medicare Advantage plans tend to limit the options participants have when choosing their health care providers.
What is PFFS in Medicare?
Private Fee-For-Service (PFFS) Private Fee-For-Service, or PFFS, plans offer flexible coverage to Medicare Advantage members. Some plans do use a network of providers that have lower costs for members, but enrollees can receive care from any health care professional that agrees to the plan’s payment terms.
What is an HMO plan?
Health Maintenance Organizations, or HMOs, are plans centered around a network of doctors and other health care providers. Plan participants must use providers in the plan’s networks in order to have their care covered. Receiving care from out-of-network providers may mean that members have to pay for the full cost of care. Members of HMOs also need a referral to see a specialist and generally need to nominate a primary care physician. Despite the restrictions, HMO plans remain appealing as the premiums tend to be lower than other Medicare Advantage plans.
How long does Medicare Advantage coverage last?
Initial Coverage Election Period: This is the 7-month period during which everyone is eligible to enroll in a Medicare Advantage plan. The period spans from 3 months before the month of one’s 65th birthday to 3 months after one’s birthday month.
What is CIAOA in Illinois?
The Central Illinois Agency on Aging (CIAOA) is an independent nonprofit organization serving people in the central Illinois region. Its mission to empower older adults to control their own lives is furthered by the Information and Assistance program. The service provides information about benefits and services available in the area and connects seniors to community resources that meet their needs. CIAOA also conducts education programs about Medicare fraud and helps seniors with Medicare Part D. The staff are specialists, certified by the Alliance of Information & Referral Systems, and are available Monday through Friday, 8.30 a.m. to 5.00 p.m.
What is the Northwestern Illinois Area Agency on Aging?
Northwestern Illinois Area Agency on Aging (NIAAA) has an Information and Assistance service that provides free information to older adults and their caregivers. Individual consultations can provide seniors with advice about Medicare and Medicaid programs and eligibility.
Aetna Inc. Medicare Advantage Plans in Lee County, IL
The following table includes cost information and other plan details for Aetna Inc. Medicare Advantage plans available in Illinois in 2022.
Health Care Service Corporation Medicare Advantage Plans in Lee County, IL
The following table includes cost information and other plan details for Health Care Service Corporation Medicare Advantage plans available in Illinois in 2022.
Humana Inc. Medicare Advantage Plans in Lee County, IL
The following table includes cost information and other plan details for Humana Inc. Medicare Advantage plans available in Illinois in 2022.
The Carle Foundation Medicare Advantage Plans in Lee County, IL
The following table includes cost information and other plan details for The Carle Foundation Medicare Advantage plans available in Illinois in 2022.
UnitedHealthcare Medicare Advantage Plans in Lee County, IL
The following table includes cost information and other plan details for UnitedHealthcare Medicare Advantage plans available in Illinois in 2022.
WellCare Health Plans, Inc. Medicare Advantage Plans in Lee County, IL
The following table includes cost information and other plan details for WellCare Health Plans, Inc. Medicare Advantage plans available in Illinois in 2022.
Types of Medicare Advantage Plans
- There is a wide range of plans available to enrollees of Medicare Advantage. In Illinois, the four types of plans available are Health Maintenance Organizations (HMOs), Preferred Provider Organizations (PPOs), Private Fee-For-Service (PFFS) and Special Needs Plans (SNPs). Health Maintenance Organizations (HMOs) Health Maintenance Organizations, or ...
Enrollment and Eligibility For Medicare Advantage in Illinois
- Prior to enrolling in Medicare Advantage, seniors must first be enrolled in Original Medicare. Anyone who is eligible for Medicare Parts A and B is also eligible to enroll in Medicare Advantage. However, certain Medicare Advantage plans, such as SNPs, may have additional eligibility requirements. Medicare Advantage has specific enrollment periods. One can only join a Medicar…
Prescription Drug Coverage
- Many seniors look for plans that have coverage for prescription drugs. Medicare Advantage plans can include Medicare Prescription Drug Coverage, also known as Medicare Part D. HMO and PPO plans often include this coverage, but there may be an additional charge. People on these plans cannot purchase stand-alone Part D coverage; if they do, they’re removed from their Medicare A…