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Medicare Advantage Plans in Illinois

If you want Medicare benefits but don’t want to go through the government, you can get a Medicare Advantage (Part C) plan. Medicare Advantage plans in Illinois are issued through private insurance companies that have been approved by Medicare. Just like standard insurance policies, you have lots of options when selecting a plan.

Medicare Advantage Plan Benefits

Medicare Advantage Plans in Illinois are required to offer the same benefits you would get with Original Medicare, with the exception of hospice care. While that is the minimum coverage, many insurance companies offer much more, such as dental, vision, and hearing benefits.

Many plans also include prescription drug coverage. This is different from adding Medicare Part D (prescription drug coverage) to Original Medicare. If you were to do that, the prescription drug coverage would be separate from your medical insurance. Medicare Advantage Plans in Illinois bundle all the coverage together, so you will get everything in a single plan.

How Premiums Work

If you get one of the Medicare Advantage Plans in Illinois, you will still need to pay the monthly premium for Medicare Part B. The amount you will pay is set by Medicare and is determined by your income. Lower-income households pay less than higher-income households. You might have to pay an additional monthly premium for your Medicare Advantage plan, although some plans do not charge premiums.

Types of Medicare Advantage Plans in Illinois

Plan availability is based on the county you live in, but regardless of your location, you will likely have access to different options. Look at some of the most popular types of plans to get a better idea of the type of coverage you can get with your plan.

Health Maintenance Organization (HMO) Plans

HMO Medicare Advantage plans are very popular. If you get one of these plans, you will choose a provider that is listed in the plan’s network. Your primary care provider will need to refer you to a specialist if you need any specialty care.

Preferred Provider Organization (PPO) Plans

PPOs provide coverage for in-network and out-of-network providers. Many people choose to stay within the network, though, so they can get the maximum amount of coverage. However, plan holders often like the flexibility that PPO plans provide.

Private Fee-for-Service (PFFS) Plans

Depending on where you live, you might be able to get a PFFS plan. The insurance company determines how much it will pay healthcare providers and how much you will pay for each visit. These plans are somewhat confusing for people who aren’t well-versed in Medicare coverage, so it’s important to go over the details with an insurance agent before committing to a PFFS plan.

Prescription Drug Coverage

While some Medicare Advantage plans in Illinois don’t include prescription drug coverage, most do. The coverage is called a Medicare Advantage Drug Plan, and it’s bundled with your healthcare services.

Not all Medicare Advantage Drug Plans are the same. Each plan has a list of drugs it covers, called a formulary. It’s wise to go over the formulary before purchasing a plan to ensure it covers the prescription drugs you are currently taking.

How to Choose a Medicare Advantage Plan

Many people think that Medicare Advantage plans are the same as Original Medicare. Because of that, they pick up the first plan they see, not realizing that these plans offer different types of coverage and rates.

First, it’s critical to look at the terms of the plan. Many plans have extra benefits that are attractive to Illinois residents.

Second, it’s important to look at the cost. Original Medicare premiums are based on your income. However, insurance companies set the rates for Medicare Advantage plans. It’s important to get quotes from several insurance companies before purchasing a plan.

Third, you need to consider the deductible and out-of-pocket costs before purchasing a plan. You can pick up a Medicare Advantage plan that doesn’t have a premium, but look at the out-of-pocket costs before committing to such a plan. Many of these plans have high coinsurance, copayments, and deductibles that make it difficult for people to get the care they need.

As you can see, a lot goes into choosing a Medicare Advantage plan in Illinois. Get help making a selection by consulting with an insurance agent. They can make it easy to find a plan that offers the coverage you want at a premium you can afford.

Call 844-903-4406 to speak to a licensed insurance agent today.

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