County guide · Marion County, IL · 2027 plan year
Original Medicare vs Medicare Advantage in Marion County, IL
This guide lists 13 Medicare Advantage plans for 2027 in Marion County, with the yearly cost of each one next to Original Medicare with Medigap. Special needs plans are not on this list.
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- Plans
- 13
- $0 premium
- 9 plans
- Lowest in-network limit
- $4,450
- Highest in-network limit
- $7,800
In most states, including Illinois, you cannot count on getting Medigap later
You can buy any Medigap plan with no health questions in the 6 months that start when you are 65 or older and have Part B. After that, a Medigap company in Illinois can ask about your health. It can say no, or it can charge you more. So if you join a Medicare Advantage plan now, you may not be able to get Medigap later. Illinois’s birthday rule helps only people who already have Medigap, not people who leave Medicare Advantage.
One exception is the trial right. If you joined Medicare Advantage when you first got Medicare at 65, or you left a Medigap plan to try Medicare Advantage for the first time, you can switch back within 12 months. Then you can buy a Medigap plan with no health questions.
Read about Medigap rights on Medicare.govYearly cost of each plan
Totals include premiums, the Part B premium, copays, and drug costs for three levels of care. A light year is checkups and a few visits. A regular year has ongoing specialist care. A heavy year has frequent care and a 5-day hospital stay.
| Plan | Monthly premiums | Yearly limit on medical costs | Stars | Prior authorization | Light year | Regular year | Heavy year |
|---|---|---|---|---|---|---|---|
| Original Medicare with Medigap Plan Gand the lowest-cost drug plan | Part B $209.50 + Plan G + a drug plan from $5.30 | $292 Part B deductible, then Plan G pays | Not rated | Short list of services | We have no checked Medigap price for this county yet. Check Medigap prices on Medicare.gov | ||
| AARP Medicare Advantage Essentials from UHC ST-3 (HMO-POS)HMO-POS from UnitedHealthcare · Plan ID H2802-028 · Medicare.govIts page is set for St. Louis County, MO | $0 plan + Part B $209.50 | $4,450 in network | 3.5 of 5 | 24 services | $2,514 | $5,845 | $9,364 |
| HumanaChoice Giveback H5216-403 (PPO)PPO from Humana · Plan ID H5216-403 · Medicare.govIts page is set for Madison County, IL | $0 plan + Part B $209.50 (the plan pays back $51 of Part B) | $5,000 in network; $10,750 in and out of network | 4 of 5 | 24 services | $2,617 | $5,849 | $9,302 |
| AARP Medicare Advantage Extras from UHC ST-4 (HMO-POS)HMO-POS from UnitedHealthcare · Plan ID H2802-052 · Medicare.govIts page is set for St. Louis County, MO | $19 plan + Part B $209.50 | $4,450 in network | 3.5 of 5 | 24 services | $2,742 | $5,938 | $9,592 |
| Wellcare Simple Value (HMO-POS)HMO-POS from Wellcare · Plan ID H1416-084 · Medicare.govIts page is set for Winnebago County, IL | $0 plan + Part B $209.50 | $5,500 in network | 3 of 5 | 20 services | $2,549 | $6,014 | $10,414 |
| Wellcare Simple Essential (HMO)HMO from Wellcare · Plan ID H5779-009 · Medicare.govIts page is set for Cook County, IL | $0 plan + Part B $209.50 | $5,500 in network | 3.5 of 5 | 20 services | $2,554 | $6,304 | $10,414 |
| AARP Medicare Advantage CareFlex from UHC ST-6 (HMO-POS)HMO-POS from UnitedHealthcare · Plan ID H2802-073 · Medicare.govIts page is set for St. Louis County, MO | $0 plan + Part B $209.50 | $7,150 in network | 3.5 of 5 | 24 services | $2,514 | $6,325 | $12,064 |
| Wellcare Giveback (HMO)HMO from Wellcare · Plan ID H5779-010 · Medicare.govIts page is set for Cook County, IL | $0 plan + Part B $209.50 (the plan pays back $37 of Part B) | $7,800 in network | 3.5 of 5 | 20 services | $2,596 | $6,358 | $12,106 |
| HumanaChoice H5216-399 (PPO)PPO from Humana · Plan ID H5216-399 · Medicare.govIts page is set for Madison County, IL | $33 plan + Part B $209.50 | $6,250 in network; $10,750 in and out of network | 4 of 5 | 24 services | $3,612 | $6,764 | $11,560 |
| HumanaChoice R5361-002 (Regional PPO)Regional PPO from Humana · Plan ID R5361-002 · Medicare.govIts page is set for Cook County, IL | $87 plan + Part B $209.50 | $7,700 in network; $14,800 in and out of network | 3.5 of 5 | 24 services | $3,723 | $6,897 | $12,403 |
| AARP Medicare Advantage from UHC ST-0001 (PPO)PPO from UnitedHealthcare · Plan ID H2406-043 · Medicare.govIts page is set for St. Louis County, MO | $58 plan + Part B $209.50 | $7,150 in network; $10,750 in and out of network | 4 of 5 | 24 services | $3,925 | $7,534 | $12,760 |
| AARP Medicare Advantage Patriot No Rx MO-MA01 (HMO-POS)HMO-POS from UnitedHealthcare · Plan ID H2802-050 · No drug coverage · Medicare.govIts page is set for St. Louis County, MO | $0 plan + Part B $209.50 (the plan pays back $170 of Part B) | $5,900 in network | 3.5 of 5 | 24 services | $762 | $8,986 | $27,950 |
| Humana USAA Honor Giveback (PPO)PPO from Humana · Plan ID H5216-355 · No drug coverage · Medicare.govIts page is set for Cook County, IL | $0 plan + Part B $209.50 (the plan pays back $150 of Part B) | $6,000 in network; $10,100 in and out of network | 4 of 5 | 24 services | $1,184 | $9,393 | $28,290 |
| Humana USAA Honor Giveback (Regional PPO)Regional PPO from Humana · Plan ID R5361-001 · No drug coverage · Medicare.govIts page is set for Cook County, IL | $0 plan + Part B $209.50 (the plan pays back $30 of Part B) | $6,750 in network; $10,100 in and out of network | 3.5 of 5 | 24 services | $2,624 | $10,836 | $30,480 |
A plan with no drug coverage counts drugs at full price, unless its members can add a separate drug plan. A plan name with a link opens a page where you can change the care level, the Medigap plan, your age, and your drugs.
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Sources and method
Plan data comes from the CMS 2027 Plan Benefit Package and landscape files. The data is from 2026-10-10. Original Medicare amounts are the 2027 projections in the 2026 Medicare Trustees Report (Tables V.E1 and V.E2). CMS sets the final amounts in November. We do not have a Medigap price for Marion County, IL. So the Original Medicare total needs your own Medigap quote. You can look up prices for ZIP 62849 on Medicare.gov. Totals use typical Medicare-allowed amounts for each service and typical drug prices.
- Medigap prices for ZIP 62849 on Medicare.gov
- CMS Plan Benefit Package files, 2027
- CMS 2027 landscape files (premiums and limits)
- CMS 2027 plan crosswalk
- CMS 2027 Star Ratings
- 2026 Medicare Trustees Report: projected 2027 Part A and Part B amounts (Tables V.E1 and V.E2)
- CMS 2026 Part A and Part B amounts
- Medicare.gov: Medigap guaranteed issue rights
These are estimates, not quotes, and they are for education only. Check every number with Medicare and with the plan before you choose. What you pay depends on your doctors and hospitals, your drugs and pharmacy, and the care you use. Plans can change their benefits, premiums, drug lists, and networks each year.
Pinnie is not an insurance agent or broker and does not sell Medicare plans. Pinnie is not connected with or endorsed by the U.S. government or the federal Medicare program. For all your options, visit Medicare.gov or call 1-800-MEDICARE (1-800-633-4227), TTY 1-877-486-2048.