Medicare In Illinois

Pick a Medicare Plan that Work for You in Illinois

Illinois Medicare Plans

As of 2018, there were over 2 million people enrolled in Medicare in Illinois according to the Centers for Medicare and Medicaid Services (CMS).


Original Medicare comprising of Medicare Part A and Part B includes only limited prescription drug coverage, as Part A covers drugs used in the treatment when the insured is in hospital whereas Part B covers only certain drugs which the insured receive after their hospital stay. Though, Original Medicare covers a lot of health care costs but they do not cover all costs. It is a national health insurance program administered by the federal government for the residents of Illinois and other states when they turn 65 and to younger people with certain disabilities. Part A helps people pay for inpatient hospital care, skilled nursing facility care after a hospital stay and for some healthcare and hospice services. Part B helps to pay for doctor visits and services, most outpatient care, home health care, durable medical equipment and many preventive services.

Medicare Statistics in Illinois

  • In Illinois total number of beneficiaries enrolled in Medicare are 2,209,787.
  • 88 Medicare Advantage plans and 24 stand-alone Medicare prescription drug plans were available in Illinois in 2018.
  • Number of beneficiaries enrolled in stand-alone Medicare Part D Prescription Drug Plans are 1,127,414
  • Number of beneficiaries in Illinois enrolled in Medicare Advantage Prescription Drug plans are 498,776
  • Number of beneficiaries in Illinois in Medicare prescription drug coverage are 1,610,566

What are Medicare Advantage plans?

Medicare Part C or Advantage Plan in Illinois juts like any other state should offer at least the same benefits as the Original Medicare except for the hospice care. However, many Medicare Advantage plans also offer additional benefits such as routine vision, hearing, or dental care and some plans may even provide prescription drug coverage. This allow individuals to have all Medicare benefits in a single plan. However, the insured need to pay the premium for the Medicare Part B. These plans can be availed through a private Medicare-approved insurance company instead of directly through the government.

Different types of Medicare Advantage plans available in Illinois include:

  • Medicare Advantage Prescription Drug plans
  • HMO Plan
  • HMO-POS Plan
  • PPO Plan
  • Private Fee-for-Service Plan
  • Special Needs Plan
  • Medical Savings Account Plan

Medicare Part D Plans in Illinois

Medicare beneficiaries across the Illinois have the option to enroll in Part D plan in order to get their prescription drug costs. Drug coverage can be obtained in two ways, as this is not automatically included in the Original Medicare. Beneficiaries can get this coverage either by enrolling in a stand-alone Medicare Prescription Drug Plan that works alongside Original Medicare benefits or if they have Medicare Part C then they can get prescription drug benefits by enrolling in a medicare Advantage plan that includes this coverage. It is also known as Medicare Advantage Prescription Drug plans that provide the option of getting a medicare health and prescription drug benefits covered under a single plan.

Medicaid Plans in Illinois

In order to qualify for the Medicaid benefit program, you must be a resident of the Illinois state and your financial situation should be characterized as low or very low income. Medicaid is a state and Federal government jointly funded program that pays for medical assistance services for eligible children, parents and caretakers of children, pregnant women, disabled persons, blind or individuals of 65 years of age or older, and adults aged 19-64 who are not receiving Medicare coverage. Services funded through Medicaid plans are physician, hospital and long term care along with additional coverage like drugs, medical equipment and transportation, laboratory tests, x-rays and other medical services.

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