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2020 Illinois Medicare Advantage Plans and Cost PlansNotes: Data are subject to change as contracts are finalized. For 2020, enhanced alternative plans may offer additional cost sharing reductions in the gap on a sub-set ofthe formulary drugs, beyond the standard Part D benefit.* Indicates plan does not offer Part D drug coverage.** MOOP is defined as: Maximum Out-of-Pocket (MOOP) limit on enrollee spending that includes costs for all in-network Part A and Part B Services. N/A is defined asNot ApplicableMonthlyStateCountyType of Consolidated AnnualOrganizationPremiumPlan Name MedicareDrugName(IncludesHealth PlanDeductiblePart C edicareValueAdvantra(PPO)HumanaChoiceH5216013 CoverageBenefit Contract IDOffered in Type Detailthe GapPlan IDSegment IDIn-networkOverallMOOPStar RatingAmount **Local PPO 25.00 - EnhancedYesEAH73010090 5,5004.5 StarsLocal PPO - EnhancedYesEAH73010070 4,6504.5 Stars - EnhancedNoEAH52160130 6,7004 StarsR53610010 6,7003.5 StarsR53610020 6,7003.5 Stars -Local PPO 88.00RegionalPPO * -Regional 139.00 420.00PPOBasicNoBA
sBondIllinoisBondLassoLassoHealthcar Healthcaree (MSA)AetnaAetna MedicareMedicare PremierPlus ar Healthcaree (MSA)AetnaMedicareAetnaAdvantraMedicare1 (HMOPOS)AetnaAetna MedicareMedicare Advantra2 (HMO)AetnaAetna MedicareMedicareElite(PPO)MSA *Local PPO -RegionalPPO * - 150.00 EnhancedRegional 139.00 420.00PPOBasicYesNoEABAMSA *-Plan toonew to bemeasuredH19240010 H16080560 5,9003.5 StarsR53610010 6,7003.5 StarsR53610020 6,7003.5 StarsH19240030 Plan toonew to bemeasured-LocalHMO 33.00 - EnhancedYesEAH26630060 5,2004 StarsLocalHMO 81.00 - EnhancedYesEAH26630020 2,9004 Stars - EnhancedYesEAH16080500 3,4003.5 StarsLocal PPO -
reAetnaMedicarePremier Local HumanaGoldChoicePFFS *H8145121(PFFS)HumanaChoiceR5361- Regional001PPO *(RegionalPPO)HumanaChoiceR5361- Regional002PPO(RegionalPPO)LassoHealthcar MSA *e (MSA)AARPMedicareLocalAdvantagHMOe (HMOPOS) 51.00 200.00 EnhancedYesEAH16080130 6,0003.5 Stars 166.00 380.00 EnhancedNoEAH81450080 -3.5 StarsH81451210 -3.5 StarsR53610010 6,7003.5 StarsR53610020 6,7003.5 StarsPlan toonew to bemeasured 75.00 - 139.00 420.00 - Basic- EnhancedNoNoBAEAH19240010 -H28020280 2,9004 Stars
dicareAdvantage ChoicePlan 1(PPO)AARPMedicareAdvantageWalgreens sentialPlus(HMO)Local PPO 29.00 150.00 EnhancedNoEAH22280300 4,4004 StarsLocal PPO - - EnhancedNoEAH22280830 3,9004 StarsLocal PPO - - EnhancedYesEAH55212280 5,9004.5 StarsLocal PPO 23.00 - EnhancedYesEAH73010020 5,5004.5 StarsLocal PPO - - EnhancedYesEAH73010060 5,9004.5 StarsLocalHMO - - EnhancedNoEAH54540010Plan too 2,900 new to bemeasured0Plan too 2,500 new to bemeasuredLocalHMO 49.00 - EnhancedNoEAH5454003
neIllinoisBooneIllinoisBooneIllinoisBooneCommuni Community CaretyAlliance Advantagof Illinois e (HMO)CommuniCommunity Flexty CarePlanAlliance(HMOof IllinoisPOS)HealthHealthAllianceAlliance MedicareMedicare HMO 20Rx (HMO)HealthHealthAllianceAlliance MedicareMedicare HMO 40Rx OMedicareBasic Rx(HMO)HealthAllianceHealthMedicareAlliancePOS 10 RxMedicare(HMOPOS)LocalHMO - - EnhancedNoEAH30710020 3,9502.5 StarsNoDSH30710030 3,9502.5 StarsLocalHMO 26.00 435.00LocalHMO 120.00 - EnhancedNoEAH14630030 4,0003.5 StarsLocalHMO 71.00 - EnhancedNoEAH14630100 4,7003.5 StarsH14630080 6,7003.5 StarsLocalHMO * Basic-LocalHMO 32.00 - EnhancedNoEAH14630090 6,7003.5 StarsLocalHMO 160.00 - EnhancedNoEAH14630190 4,5003.5 Stars
hAllianceMedicareLocalPOS 30 Rx HMO(HMOPOS)HealthAllianceMedicareLocalPOS Basic HMO *(HMOPOS)HealthAllianceMedicareLocalPOS Basic HMORx ntageLocalOpenHMO(HMOPOS)OSFMedAdvaLocalntage PlusHMO(HMOPOS)OSFMedAdvaLocalntageHMOSelect(HMO) 100.00 - EnhancedNoEA 23.00 51.00H14630170 5,5003.5 StarsH14630140 6,7003.5 Stars - EnhancedNoEAH14630150 6,7003.5 Stars - EnhancedNoEAH14630350 4,0003.5 Stars 35.00 - EnhancedNoEAH14630360 4,5003.5 Stars 135.00 - EnhancedNoEAH14630370 3,4003.5 Stars 110.00 - EnhancedNoEAH14630380 3,4003.5 Stars -
dChoicePFFSH8145008(PFFS)HumanaGold PlusLocalH1468HMO007(HMO)HumanaChoiceLocal PPOH5525004 (PPO)HumanaChoiceR5361- Regional001PPO *(RegionalPPO)HumanaChoiceR5361- tagHMOe Plan(HMO)LassoHealthcar MSA *e (MSA) 166.00 380.00 EnhancedNoEAH81450080 200.00 EnhancedNoEAH14680070 4,5004.5 Stars 106.00 250.00 EnhancedNoEAH55250040 5,5004 StarsR53610010 6,7003.5 Stars ---3.5 Stars 139.00 420.00BasicNoBAR53610020 6,7003.5 Stars 26.00 435.00BasicNoBAH22370110 6,7003.5 Stars Plan toonew to bemeasuredH19240010-
AllianceMedicareAARPMedicareAdvantage (HMOPOS)AARPMedicareAdvantage Choice(PPO)AARPMedicareAdvantageWalgreens tra(PPO)HealthAllianceMedicareHMO 20Rx (HMO)LocalHMO 34.00 - EnhancedNoEAH52531081 3,9004.5 StarsLocal PPO 79.00 - EnhancedNoEAH87680030 3,4004.5 Stars 250.00 EnhancedNoEAH87680110 5,9004.5 Stars 15.30 435.00 EnhancedNoEAH57790060 3,4003.5 StarsLocal PPOLocalHMOLocalHMO - EnhancedNoEAH57790050 3,7503.5 StarsLocal PPO 25.00 - EnhancedYesEAH73010090 5,5004.5 StarsLocal PPO - EnhancedYesEAH73010070 4,6504.5 Stars - EnhancedNoEAH14630030 4,0003.5 StarsLocalHMO - -- 120.00
isIllinoisHealthAllianceMedicareHMO 40Rx anceMedicareHMOBasic Rx(HMO)HealthAllianceMedicarePOS 10 Rx(HMOPOS)HealthAllianceMedicarePOS 30 Rx(HMOPOS)HealthAllianceMedicarePOS Basic(HMOPOS)LocalHMOLocalHMO * 71.00 - EnhancedNoEA-H14630100 4,7003.5 StarsH14630080 6,7003.5 StarsLocalHMO 32.00 - EnhancedNoEAH14630090 6,7003.5 StarsLocalHMO 160.00 - EnhancedNoEAH14630190 4,5003.5 StarsLocalHMO 100.00 - EnhancedNoEAH14630170 5,5003.5 StarsLocalHMO * 23.00H14630140 6,7003.5 Stars
IllinoisHealthAllianceMedicareLocalPOS Basic HMORx ldChoicePFFS *H8145121(PFFS)HumanaChoiceLocal PPOH5525004 (PPO)HumanaChoiceR5361- Regional001PPO *(RegionalPPO)HumanaChoiceR5361- Regional002PPO(RegionalPPO)LassoHealthcar MSA *e (MSA) 51.00 - EnhancedNoEAH14630150 6,7003.5 Stars 166.00 380.00 EnhancedNoEAH81450080 -3.5 StarsH81451210 -3.5 StarsH55250040 5,5004 StarsR53610010 6,7003.5 StarsR53610020 6,7003.5 Stars Plan toonew to bemeasured 75.00 106.00 250.00 Enhanced NoEA- 139.00 420.00BasicNoBAH19240010-
eMedicareIllinoisIllinoisAetnaMedicareExplorer Local PPO Value(PPO)AetnaMedicarePremier Local PPO 23.00Advantra(PPO)AetnaMedicareValue Local PPO Advantra(PPO)HealthAllianceLocalMedicare 120.00HMOHMO 20Rx (HMO)HealthAllianceLocalMedicare 71.00HMOHMO 40Rx (HMO)HealthAllianceMedicareLocal HMOHMO *Basic(HMO)HealthAllianceMedicareLocal 32.00HMOHMOBasic Rx(HMO) - EnhancedYesEAH55212280 5,9004.5 Stars - EnhancedYesEAH73010020 5,5004.5 Stars - EnhancedYesEAH73010060 5,9004.5 Stars - EnhancedNoEAH14630030 4,0003.5 Stars - EnhancedNoEAH14630100 4,7003.5 StarsH14630080 6,7003.5 StarsH14630090 6,7003.5 Stars - EnhancedNoEA
IllinoisIllinoisHealthAllianceMedicarePOS 10 Rx(HMOPOS)HealthAllianceMedicarePOS 30 Rx(HMOPOS)HealthAllianceMedicarePOS Basic(HMOPOS)HealthAllianceMedicarePOS BasicRx n(HMOPOS)LocalHMO 160.00 - EnhancedNoEAH14630190 4,5003.5 StarsLocalHMO 100.00 - EnhancedNoEAH14630170 5,5003.5 StarsLocalHMO * 23.00H14630140 6,7003.5 StarsLocalHMO 51.00LocalHMOLocalHMO - 35.00 - EnhancedNoEAH14630150 6,7003.5 Stars - EnhancedNoEAH14630350 4,0003.5 Stars - EnhancedNoEAH14630360 4,5003.5 Stars
e Plus 135.00 - EnhancedHMO(HMOPOS)OSFMedAdvaLocalntage 110.00 - EnhancedHMOSelect(HMO)HumanaGoldChoicePFFS 166.00 380.00 EnhancedH8145008(PFFS)HumanaGoldChoicePFFS * 75.00H8145121(PFFS)HumanaChoiceR5361- Regional 001PPO *(RegionalPPO)HumanaChoiceR5361- Regional 139.00 420.00 Basic002PPO(RegionalPPO)LassoHealthcar MSA *e (MSA)NoEAH14630370 3,4003.5 StarsNoEAH14630380 3,4003.5 StarsNoEAH81450080 -3.5 StarsH81451210 -3.5 StarsR53610010 6,7003.5 StarsR53610020 6,7003.5 Stars Plan toonew to bemeasuredNoBAH19240010-
reAARPMedicareAdvantage (HMOPOS)AARPMedicareAdvantage Choice(PPO)AARPMedicareAdvantageWalgreens (PPO)AetnaMedicareAdvantra1 (HMOPOS)AetnaMedicareAdvantra2 vantra(PPO)LocalHMO 34.00 - EnhancedNoEAH52531081 3,9004.5 StarsLocal PPO 79.00 - EnhancedNoEAH87680030 3,4004.5 Stars 250.00 EnhancedNoEAH87680110 5,9004.5 StarsLocal PPO -LocalHMO 33.00 - EnhancedYesEAH26630060 5,2004 StarsLocalHMO 81.00 - EnhancedYesEAH26630020 2,9004 Stars - EnhancedYesEAH16080500 3,4003.5 StarsLocal PPO 51.00 200.00 EnhancedYesEAH16080130 6,0003.5 StarsLocal PPO -
LassoCalhoun soHealthcare HealthAllianceMedicareHMO 20Rx (HMO)RegionalPPO * -Regional 139.00 420.00PPOBasicNoBAMSA *Local PPO0 6,7003.5 StarsR53610020 6,7003.5 StarsPlan toonew to bemeasuredH19240010 -- EnhancedYesEAH55212280 5,9004.5 StarsLocal PPO 23.00 - EnhancedYesEAH73010020 5,5004.5 StarsLocal PPO - EnhancedYesEAH73010060 5,9004.5 Stars - EnhancedNoEAH14630030 4,0003.5 Stars -001 LocalHMO R5361- 120.00
linoisIllinoisIllinoisHealthAllianceMedicareHMO 40Rx anceMedicareHMOBasic Rx(HMO)HealthAllianceMedicarePOS 10 Rx(HMOPOS)HealthAllianceMedicarePOS 30 Rx(HMOPOS)HealthAllianceMedicarePOS Basic(HMOPOS)LocalHMOLocalHMO * 71.00 - EnhancedNoEA-H14630100 4,7003.5 StarsH14630080 6,7003.5 StarsLocalHMO 32.00 - EnhancedNoEAH14630090 6,7003.5 StarsLocalHMO 160.00 - EnhancedNoEAH14630190 4,5003.5 StarsLocalHMO 100.00 - EnhancedNoEAH14630170 5,5003.5 StarsLocalHMO * 23.00H14630140 6,7003.5 Stars
careLocal 51.00 - EnhancedPOS Basic HMORx (HMOPOS)HumanaGoldChoicePFFS 166.00 380.00 EnhancedH8145008(PFFS)HumanaGoldChoicePFFS * 75.00H8145121(PFFS)HumanaChoiceR5361- Regional 001PPO *(RegionalPPO)HumanaChoiceR5361- Regional 139.00 420.00 Basic002PPO(RegionalPPO)LassoHealthcar MSA *e (MSA)AARPMedicareLocalAdvantag 34.00 - EnhancedHMOe (HMOPOS)NoEAH14630150 6,7003.5 StarsNoEAH81450080 -3.5 StarsH81451210 -3.5 StarsR53610010 6,7003.5 StarsR53610020 6,7003.5 StarsH19240010 Plan toonew to bemeasuredH52531081 3,900NoNoBAEA-4.5 Stars
oisIllinoisAARPMedicareAdvantage Choice(PPO)AARPMedicareAdvantageWalgreens (PPO)UnitedHealthcareMedicareAdvantage eValueAdvantra(PPO)HealthAllianceMedicareHMO 20Rx (HMO)HealthAllianceMedicareHMO 40Rx (HMO)Local PPO 79.00Local PPOLocalHMO - - EnhancedNoEAH87680030 3,4004.5 Stars 250.00 EnhancedNoEAH87680110 5,9004.5 Stars 23.00 435.00BasicNoDSH74450040Notenough 6,700dataavailableLocal PPO 25.00 - EnhancedYesEAH73010090 5,5004.5 StarsLocal PPO - EnhancedYesEAH73010070 4,6504.5 Stars -LocalHMO 120.00 - EnhancedNoEAH14630030 4,0003.5 StarsLocalHMO 71.00 - EnhancedNoEAH14630100 4,7003.5 Stars
nceMedicareHMOBasic Rx(HMO)HealthAllianceMedicarePOS 10 Rx(HMOPOS)HealthAllianceMedicarePOS 30 Rx(HMOPOS)HealthAllianceMedicarePOS Basic(HMOPOS)HealthAllianceMedicarePOS BasicRx (HMOPOS)LocalHMO * -H14630080 6,7003.5 StarsLocalHMO 32.00 - EnhancedNoEAH14630090 6,7003.5 StarsLocalHMO 160.00 - EnhancedNoEAH14630190 4,5003.5 StarsLocalHMO 100.00 - EnhancedNoEAH14630170 5,5003.5 StarsLocalHMO * 23.00H14630140 6,7003.5 StarsLocalHMO 51.00H14630150 6,7003.5 Stars - EnhancedNoEA
ssLassoHealthcareIllinoisChampaig GoldChoiceH8145121(PFFS)HumanaChoiceH5525004 R5361002(RegionalPPO)LassoHealthcare (MSA)AetnaMedicarePremierAdvantra(PPO)PFFSPFFS * 166.00 380.00 EnhancedEA 75.00Local PPO 106.00 250.00 EnhancedRegionalPPO *No NoEA-Regional 139.00 420.00PPOBasicNoBAMSA *Local PPO 25.00 - EnhancedYesEAH81450080 -3.5 StarsH81451210 -3.5 StarsH55250040 5,5004 StarsR53610010 6,7003.5 StarsR53610020 6,7003.5 StarsH19240010 Plan toonew to bemeasuredH73010090 5,500-4.5 Stars
IllinoisChampaig tnaMedicareValue Local PPOAdvantra(PPO)HealthAllianceLocalMedicareHMOHMO 20Rx (HMO)HealthAllianceLocalMedicareHMOHMO 40Rx (HMO)HealthAllianceMedicareLocalHMOHMO *Basic(HMO)HealthAllianceMedicareLocalHMOHMOBasic Rx(HMO)HealthAllianceMedicareLocalPOS 10 Rx HMO(HMOPOS)HealthAllianceMedicareLocalPOS 30 Rx HMO(HMOPOS) - EnhancedYesEAH73010070 4,6504.5 Stars 120.00 - EnhancedNoEAH14630030 4,0003.5 Stars 71.00 - EnhancedNoEAH14630100 4,7003.5 StarsH14630080 6,7003.5 Stars -- 32.00 - EnhancedNoEAH14630090 6,7003.5 Stars 160.00 - EnhancedNoEAH14630190 4,5003.5 Stars 100.00 - EnhancedNoEAH14630170 5,5003.5 Stars
igAlliancenMedicareHealthAllianceMedicarePOS Basic(HMOPOS)HealthAllianceMedicarePOS BasicRx (HMOPOS)LocalHMO * 23.00LocalHMO 51.00Simplete1 (HMO)LocalHMOSimplete2 (HMO)LocalHMO - 28.00H14630140 6,7003.5 Stars - EnhancedNoEAH14630150 6,7003.5 Stars - EnhancedNoEAH14630230 4,0003.5 Stars - EnhancedNoEAH14630240 4,5003.5 StarsNoEAH14630250 4,5003.5 StarsR53610010 6,7003.5 StarsR53610020 6,7003.5 StarsH19240010 Plan toonew to bemeasuredSimpleteLocal3 (HMO 48.00 - EnhancedHMOPOS)HumanaChoiceChampaigR5361- RegionalHumana n001PPO *(RegionalPPO)HumanaChoiceChampaigR5361- RegionalHumana 139.00 420.00 ar Healthcar MSA *nee (MSA)NoBA-
ianceMedicareWellCareAdvanceLocal (HMOHMO *POS)WellCareChoiceLocal 39.00 - Enhanced(HMOHMOPOS)WellCareLocalPlus 13.20 435.00 EnhancedHMO(HMO)WellCareLocal 12.60 435.00 EnhancedRx (HMO) HMOWellCareValueLocal - - Enhanced(HMOHMOPOS)AetnaMedicarePremier Local PPO 25.00 - EnhancedAdvantra(PPO)AetnaMedicareValue Local PPO - - EnhancedAdvantra(PPO)HealthAllianceLocalMedicare 120.00 - EnhancedHMOHMO 20Rx (HMO)HealthAllianceLocalMedicare 71.00 - EnhancedHMOHMO 40Rx (HMO)H14160530 3,9003.5 StarsYesEAH14160240 3,4003.5 StarsNoEAH14160480 3,4003.5 StarsNoEAH14160230 3,4003.5 StarsNoEAH14160090 3,9003.5 StarsYesEAH73010090 5,5004.5 StarsYesEAH73010070 4,6504.5 StarsNoEAH14630030 4,0003.5 StarsNoEAH14630100 4,7003.5 Stars
IllinoisHealthChristian AllianceMedicareIllinoisHealthChristian AllianceMedicareIllinoisHealthChristian istian AllianceMedicareIllinoisHealthChristian sic Rx(HMO)HealthAllianceMedicarePOS 10 Rx(HMOPOS)HealthAllianceMedicarePOS 30 Rx(HMOPOS)HealthAllianceMedicarePOS Basic(HMOPOS)HealthAllianceMedicarePOS BasicRx (HMOPOS)LocalHMO * -H14630080 6,7003.5 StarsLocalHMO 32.00 - EnhancedNoEAH14630090 6,7003.5 StarsLocalHMO 160.00 - EnhancedNoEAH14630190 4,5003.5 StarsLocalHMO 100.00 - EnhancedNoEAH14630170 5,5003.5 StarsLocalHMO * 23.00H14630140 6,7003.5 StarsLocalHMO 51.00H14630150 6,7003.5 Stars - EnhancedNoEA
LassoChristian anaChoiceH5216013 (PPO)HumanaChoiceH5216215 R5361002(RegionalPPO)LassoHealthcare eValueAdvantra(PPO)HealthAllianceMedicareHMO 20Rx (HMO)Local PPO 88.00- EnhancedNoEAH52160130 6,7004 StarsLocal PPO 14.00 195.00 EnhancedNoEAH52162150 6,7004 StarsR53610010 6,7003.5 StarsR53610020 6,7003.5 StarsPlan toonew to bemeasuredRegionalPPO * -Regional 139.00 420.00PPOBasicNoBAMSA *H19240010 -Local PPO 25.00 - EnhancedYesEAH73010090 5,5004.5 StarsLocal PPO - EnhancedYesEAH73010070 4,6504.5 Stars - EnhancedNoEAH14630030 4,0003.5 StarsLocalHMO - 120.00
isIllinoisHealthAllianceMedicareHMO 40Rx anceMedicareHMOBasic Rx(HMO)HealthAllianceMedicarePOS 10 Rx(HMOPOS)HealthAllianceMedicarePOS 30 Rx(HMOPOS)HealthAllianceMedicarePOS Basic(HMOPOS)LocalHMOLocalHMO * 71.00 - EnhancedNoEA-H14630100 4,7003.5 StarsH14630080 6,7003.5 StarsLocalHMO 32.00 - EnhancedNoEAH14630090 6,7003.5 StarsLocalHMO 160.00 - EnhancedNoEAH14630190 4,5003.5 StarsLocalHMO 100.00 - EnhancedNoEAH14630170 5,5003.5 StarsLocalHMO * 23.00H14630140 6,7003.5 Stars
IllinoisHealthAllianceMedicareLocalPOS Basic HMORx ldChoicePFFS *H8145121(PFFS)HumanaChoiceLocal PPOH5216013 (PPO)HumanaChoiceR5361- Regional001PPO *(RegionalPPO)HumanaChoiceR5361- Regional002PPO(RegionalPPO)LassoHealthcar MSA *e (MSA) 51.00 - EnhancedNoEAH14630150 6,7003.5 Stars 166.00 380.00 EnhancedNoEAH81450080 -3.5 StarsH81451210 -3.5 StarsH52160130 6,7004 StarsR53610010 6,7003.5 StarsR53610020 6,7003.5 Stars Plan toonew to bemeasured 75.00 88.00 - EnhancedNoEA- 139.00 420.00BasicNoBAH19240010-
noisHealthAllianceMedicareHMO 20Rx (HMO)HealthAllianceMedicareHMO 40Rx anceMedicareHMOBasic Rx(HMO)HealthAllianceMedicarePOS 10 Rx(HMOPOS)HealthAllianceMedicarePOS 30 Rx(HMOPOS)LocalHMO 120.00 - EnhancedNoEAH14630030 4,0003.5 StarsLocalHMO 71.00 - EnhancedNoEAH14630100 4,7003.5 StarsH14630080 6,7003.5 StarsLocalHMO * -LocalHMO 32.00 - EnhancedNoEAH14630090 6,7003.5 StarsLocalHMO 160.00 - EnhancedNoEAH14630190 4,5003.5 StarsLocalHMO 100.00 - EnhancedNoEAH14630170 5,5003.5 Stars
eMedicareLocal 23.00POS Basic HMO *(HMOPOS)HealthAllianceMedicareLocal 51.00 - EnhancedPOS Basic HMORx (HMOPOS)HumanaChoiceR5361- Regional 001PPO *(RegionalPPO)HumanaChoiceR5361- Regional 139.00 420.00 Basic002PPO(RegionalPPO)LassoHealthcar MSA *e (MSA)AetnaMedicareLocalAdvantra 33.00 - EnhancedHMO1 (HMOPOS)AetnaMedicareLocal 81.00 - EnhancedAdvantraHMO2 (HMO)NoNoEABAH14630140 6,7003.5 StarsH14630150 6,7003.5 StarsR53610010 6,7003.5 StarsR53610020 6,7003.5 StarsPlan toonew to bemeasuredH19240020 -YesEAH26630060 5,2004 StarsYesEAH26630020 2,9004 Stars
areLocal PPO - Elite(PPO)AetnaMedicareGoldLocalAdvantag - HMOe ValuePrime(HMO)AetnaMedicarePremier Local PPO 51.00 200.00Advantra(PPO)ClearSpringLocalHealth - HMOEssential(HMO)ClearSpringHealthLocal 49.00 EssentialHMOPlus(HMO)HumanaGoldChoicePFFS 166.00 380.00H8145008(PFFS)HumanaGoldChoicePFFS * 75.00H8145121(PFFS)EnhancedYesEAH16080500 3,4003.5 StarsEnhancedYesEAH26630320 3,4004 StarsEnhancedYesEAH16080130 6,0003.5 StarsEnhancedNoEAH54540010Plan too 2,900 new to bemeasuredEnhancedNoEAH54540030Plan too 2,500 new to bemeasuredEnhancedNoEAH81450080 -3.5 StarsH81451210 -3.5 Stars
002(RegionalPPO)LassoHealthcare (MSA)AARPMedicareAdvantage (HMOPOS)AARPMedicareAdvantage ChoicePlan 1(PPO)AARPMedicareAdvantageWalgreens (PPO)HealthAllianceMedicareHMO 20Rx (HMO)RegionalPPO * -Regional 139.00 420.00PPOBasicNoBAMSA *LocalHMO 6,7003.5 StarsR53610020 6,7003.5 StarsPlan toonew to bemeasuredH19240010 -EAH28020280 2,9004 StarsLocal PPO 29.00 150.00 EnhancedNoEAH22280300 4,4004 StarsLocal PPO- 120.00 0No -001- EnhancedLocalHMO R5361 - EnhancedNoEAH22280830 3,9004 Stars - EnhancedNoEAH14630030 4,0003.5 Stars
isIllinoisHealthAllianceMedicareHMO 40Rx anceMedicareHMOBasic Rx(HMO)HealthAllianceMedicarePOS 10 Rx(HMOPOS)HealthAllianceMedicarePOS 30 Rx(HMOPOS)HealthAllianceMedicarePOS Basic(HMOPOS)LocalHMOLocalHMO * 71.00 - EnhancedNoEA-H14630100 4,7003.5 StarsH14630080 6,7003.5 StarsLocalHMO 32.00 - EnhancedNoEAH14630090 6,7003.5 StarsLocalHMO 160.00 - EnhancedNoEAH14630190 4,5003.5 StarsLocalHMO 100.00 - EnhancedNoEAH14630170 5,5003.5 StarsLocalHMO * 23.00H14630140 6,7003.5 Stars
eHealthAllianceMedicarePOS BasicRx iceR5361002(RegionalPPO)LassoHealthcare (MSA)AetnaMedicarePremierPlus )AetnaMedicareValue(PPO)LocalHMORegionalPPO * 51.00 - EnhancedNoEA-Regional 139.00 420.00PPOBasicNoBAMSA *Local PPO 58.00LocalHMO LocalHMO Local PPO - EnhancedYesEAH14630150 6,7003.5 StarsR53610010 6,7003.5 StarsR53610020 6,7003.5 StarsPlan toonew to bemeasuredH19240020 -H55210160 3,2504.5 Stars- EnhancedYesEAH31920010Plan too 3,450 new to bemeasured9.00 150.00 EnhancedYesEAH39311060 4,0003.5 StarsYesEAH55210860 3,7504.5 Stars-- - Enhanced
linoisCookAscensionCompleteCookBlue Crossand BlueShield ofIL, NMCookBlue Crossand BlueShield ofIL, NMCookBlue Crossand BlueShield ofIL, NMCookBlue Crossand BlueShield ofIL, care - - EnhancedHMO(HMO)AscensionCompleteLocalIllinois - 430.00 is - - EnhancedHMOSecure(HMO)Blue CrossMedicareLocalAdvantag - - EnhancedHMOe Basic(HMO)Blue CrossMedicareAdvantagLocale Basic - - EnhancedHMOPlus(HMOPOS)Blue CrossMedicareAdvantag Local PPO 79.00 435.00 Enhancede ChoicePlus (PPO)Blue CrossMedicareAdvantagLocal PPO 141.00 - Enhancede ChoicePremier(PPO)NoEAH14750010Plan too 2,700 new to bemeasuredNoEAH73990010Plan too 6,700 new to bemeasuredNoEAH73990020Plan too 2,900 new to bemeasuredYesEAH38220010 3,4003.5 StarsYesEAH38220070 4,5003.5 StarsYesEAH86340030 6,7003 StarsYesEAH86340040 5,9003 Stars
linoisCookIllinoisCookIllinoisCookBlue CrossMedicareBlue CrossAdvantagand BlueLocale Premier 83.00 Shield ofHMOPlusIL, NM(HMOPOS)BrightBright AdvantagLocal 25.00 435.00Healthe AssistHMO(HMO)BrightBright AdvantagLocal PPO 49.00 Healthe FlexPlus (PPO)CignaHealthSprLocalCignaing HMO *Advantage (HMO)CignaHealthSprLocalCignaing - HMOPreferred(HMO)CignaHealthSpringLocalCigna - PremierHMO(HMOPOS)CignaHealthSprCignaing True Local PPO - Choice(PPO)EnhancedYesEAH38220080 4,5003.5 StarsEnhancedYesEAH61210030Plan too 6,700 new to bemeasuredEnhancedYesEAH37250010Plan too 6,700 new to bemeasuredH14150130 5,4003.5 StarsEnhancedNoEAH14150240 2,6003.5 StarsEnhancedNoEAH14150210 3,4003.5 Stars0Plan too 3,400 new to bemeasuredEnhancedNoEAH7849002
unity CareAllianceof IllinoisIllinoisCookCommunity CareAllianceof AdvantagHMOe (HMO)Community 08(PFFS)HumanaGold PlusLocalH1468HMO013(HMO)HumanaChoiceLocal PPOH5216013 (PPO)HumanaChoice Local PPOH5216*178 (PPO) - 49.00 - - Enhanced 88.00 -H54540020Plan too 2,900 new to bemeasured - EnhancedNoEAH54540040 - EnhancedNoEAH30710020 3,9502.5 StarsNoDSH30710030 3,9502.5 StarsNoEAH81450080 3.5 StarsBasic 166.00 380.00 Enhanced-EAPlan too 2,500 new to bemeasured 26.00 435.00 No- - EnhancedNoEAH14680130 2,7504.5 Stars - EnhancedNoEAH52160130 6,7004 StarsH52161781 6,7004 Stars
seAdvantage R5361- Regional 001PPO *(RegionalPPO)HumanaChoiceR5361- Regional 139.00 420.00 Basic002PPO(RegionalPPO)LassoHealthcar MSA *e (MS
Drug Deductible Drug Benefit Type Additional Coverage Offered in the Gap Drug Benefit Type Detail Contract ID Plan ID Segment ID In-network MOOP Amount ** Overall . 2020 Illinois Medicare Advantage Plans and Cost Plans Notes: Data are subject to change as contracts are finalized. For 2020, enhanced alternative plans may offer additional cost .
