Medicare Advantage · Illinois · 2026 plan year

Medicare Advantage in DeKalb, IL

According to the Centers for Medicare & Medicaid Services (CMS) 2026 Landscape and Star Ratings files, every Medicare Advantage plan available in DeKalb, IL for 2026 is ranked by CMS star rating, with premiums and benefits laid out plainly.

38
Plans available
4.5★
Best plan: Top-rated
$0
Lowest premium/mo
$14.47
Avg premium/mo
RSS updates for this county

The short answer

DeKalb has 38 Medicare Advantage plans for 2026, the best earns 4.5★ from CMS, 8 reach 4★ or higher, and 21 carry a $0 monthly premium.

38
plans to compare
4.5★
highest CMS rating here
21
$0-premium plans
8
plans rated 4★ or higher

Premiums shown are the monthly plan premium (Part C + D). Every enrollee also pays the standard Part B premium (about $202.90/mo in 2026). Confirm any plan's current details on Medicare.gov before enrolling.

What the CMS Plan Finder Shows for DeKalb, IL

DeKalb, IL (FIPS 17037): 38 individual Medicare Advantage plans available (employer-group plans excluded). Highest CMS Star rating: 4.5/5 via SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.. Plan-type mix: 18 Local PPO, 15 HMO, 5 HMO POS. Monthly plan premiums (Part C + D) range $0 – $155.00 (avg $14.47), with 21 $0-premium plans. 34 of 38 plans include Part D drug coverage. CMS Star Ratings methodology →

How to read these figures

The figures above come from the Centers for Medicare & Medicaid Services 2026 plan year file, which CMS publishes each autumn before the October 15 to December 7 open enrollment window. A county premium reflects only the Part C portion that a plan charges. Most enrollees still pay the standard Part B premium of about $202.90 a month on top of it, so a $0 plan is rarely free in practice. The CMS star rating runs from one to five and weights more than 40 measures, including how well a plan manages chronic conditions, how fast it answers member calls, and how members rate their own care. A plan that holds five stars earns a special enrollment period that lets people switch into it at almost any time of year. Premiums alone can mislead a shopper, because a low monthly cost often pairs with a higher deductible or a tighter provider network. Federal rules cap in-network out-of-pocket spending at $9,250 for 2026, which is why two plans with identical premiums can leave very different bills after a hospital stay. Read our methodology for how each value here is sourced and computed.

Where DeKalb sits on CMS quality

Average CMS star rating across the plans sold in this county, against every county with rated plans

3.48★ Top 93% higher than 7% of 3,121 US counties

2.5★–2.75★: 19 US counties (1%). Below this entry. 2.75★–3★: 5 US counties (0%). Below this entry. 3★–3.25★: 31 US counties (1%). Below this entry. 3.25★–3.5★: 164 US counties (5%). This entry sits in this band. 3.5★–3.75★: 1,089 US counties (35%). Above this entry. 3.75★–4★: 1,344 US counties (43%). Above this entry. 4★–4.25★: 351 US counties (11%). Above this entry. 4.25★–4.5★: 37 US counties (1%). Above this entry. 4.5★–4.75★: 3 US counties (0%). Above this entry. 4.75★–5★: 78 US counties (2%). Above this entry. This county 2.5★ 5★ every rated county, bucketed by value

Each bar is a band; taller bars hold more US counties. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Medicare Advantage Star Ratings 2026 · 2026-09-01

All plans in DeKalb, ranked by CMS rating

#PlanInsurerTypePremium/moCMS stars
1Aetna Life Insurance Company (SNP)Aetna MedicareLocal PPO-4.5★
2Emphesys Insurance Company (SNP)HumanaLocal PPO-4.5★
3Emphesys Insurance Company (SNP)HumanaLocal PPO$04.5★
4Emphesys Insurance Company (SNP)HumanaLocal PPO$04.5★
5Sierra Health AND Life Insurance Company, Inc. (SNP)UnitedHealthcareLocal PPO$15.204.5★
6Unitedhealthcare OF THE Midlands, Inc. (SNP)UnitedHealthcareHMO POS$04.0★
7Unitedhealthcare OF THE Midlands, Inc. (SNP)UnitedHealthcareHMO POS$15.204.0★
8Unitedhealthcare OF THE Midlands, Inc. (SNP)UnitedHealthcareHMO POS$37.004.0★
9Humana Insurance Company (SNP)HumanaLocal PPO-3.5★
10Humana Insurance Company (SNP)HumanaLocal PPO-3.5★
11Care Improvement Plus South Central Insurance Co. (SNP)UnitedHealthcareLocal PPO-3.5★
12Health Care Service Corporation (SNP)Blue Cross and Blue Shield of IL, NMHMO$03.5★
13Humana Insurance Company (SNP)HumanaLocal PPO$03.5★
14Humana Insurance Company (SNP)HumanaLocal PPO$03.5★
15Coventry Health Care OF Illinois, Inc. (SNP)Aetna MedicareLocal PPO$03.5★
16Coventry Health Care OF Illinois, Inc. (SNP)Aetna MedicareLocal PPO$03.5★
17Care Improvement Plus South Central Insurance Co. (SNP)UnitedHealthcareLocal PPO$03.5★
18Humana Insurance Company (SNP)HumanaLocal PPO$5.203.5★
19Coventry Health Care OF Illinois, Inc. (SNP)Aetna MedicareLocal PPO$36.003.5★
20Care Improvement Plus South Central Insurance Co. (SNP)UnitedHealthcareLocal PPO$68.003.5★
21Humana Insurance Company (SNP)HumanaLocal PPO$87.003.5★
22Meridian Health Plan OF Illinois, Inc. (SNP)WellcareHMO-3.0★
23Aetna Health OF Michigan Inc. (SNP)Aetna MedicareHMO POS$03.0★
24Meridian Health Plan OF Illinois, Inc. (SNP)WellcareHMO$03.0★
25Meridian Health Plan OF Illinois, Inc. (SNP)WellcareHMO$03.0★
26Meridian Health Plan OF Illinois, Inc. (SNP)WellcareHMO$03.0★
27Health Care Service Corporation (SNP)Blue Cross and Blue Shield of IL, NM, OK, TXLocal PPO$155.003.0★
28Zing Health OF Michigan, Inc. (SNP)Zing HealthHMO$02.5★
29Zing Health OF Michigan, Inc. (SNP)Zing HealthHMO$02.5★
30Zing Health OF Michigan, Inc. (SNP)Zing HealthHMO$02.5★
31Zing Health OF Michigan, Inc. (SNP)Zing HealthHMO$02.5★
32Coventry Health Care OF Illinois, Inc. (SNP)Aetna MedicareHMO$0N/R
33Coventry Health Care OF Illinois, Inc. (SNP)Aetna MedicareHMO POS$0N/R
34Molina Healthcare OF Illinois, Inc. (SNP)Molina Healthcare of IllinoisHMO$0N/R
35Humana Benefit Plan OF Illinois, Inc. (SNP)HumanaHMO$0N/R
36Meridian Health Plan OF Illinois, Inc. (SNP)Wellcare By MeridianHMO$14.20N/R
37Coventry Health Care OF Illinois, Inc. (SNP)Aetna MedicareHMO$15.20N/R
38Aetna Better Health Premier Plan Mmai Inc. (SNP)Aetna Medicare FIDEHMO$15.20N/R

Nationwide counties with similar Medicare Advantage markets

Data-derived peers across the CMS county landscape file: nearest enrollable plan count and nearest county-wide average CMS star rating. Not same-state neighbors or geographic containment.

Similar plan availability

Similar average CMS star rating

Choosing a plan in this county

Star rating first, then total cost, not the premium alone.

  • Shortlist the 4★+ plans above (8 here) - higher-rated plans manage chronic care and member service better. How star ratings work
  • Weigh total cost, not just premium: compare plan details using Medicare.gov before you enroll. Medicare Plan Compare
  • Check that your doctors and drugs are in-network before you enroll, and confirm the plan on Medicare.gov. Choosing a plan

Premiums shown are the monthly plan premium (Part C + D) from the CMS CY2026 Landscape file. Every enrollee also pays the standard Part B premium (about $202.90/mo in 2026). Always confirm current premiums, copays, and networks on Medicare.gov before enrolling.

Frequently Asked Questions

How many Medicare Advantage plans are available in DeKalb, IL?

There are 38 Medicare Advantage plans available in DeKalb, IL for the 2026 plan year, including 18 Local PPO, 15 HMO, 5 HMO POS. Counts are individual consumer plans (employer-group / EGHP offerings excluded). Plan availability is determined by CMS and individual insurers.

What is the best-rated Medicare Advantage plan in DeKalb?

The highest-rated plan in DeKalb has a CMS star rating of 4.5 out of 5 - SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.. Star ratings reflect quality measures including preventive care, chronic disease management, and member satisfaction.

How much do Medicare Advantage plans cost in DeKalb?

Monthly plan premiums (Part C + D combined) in DeKalb range from $0 to $155.00, averaging $14.47. 21 plans offer a $0 monthly premium. Every enrollee also pays the standard Part B premium (about $202.90/month in 2026) on top of the plan premium. Premiums are from the CMS CY2026 Landscape file; always confirm current details on Medicare.gov.

What types of Medicare Advantage plans are offered in DeKalb?

DeKalb has 18 Local PPO, 15 HMO, 5 HMO POS. HMO plans require in-network providers, PPO plans allow out-of-network visits at higher cost, and PFFS plans let you see any Medicare-accepting provider.

Important: PlainMedicare provides CMS data for informational purposes only. This is not medical or insurance advice. Plan availability, premiums, and benefits change annually. Always verify with Medicare.gov or call 1-800-MEDICARE before enrolling.
Data sourced from official public datasets. See our methodology for details. Retrieved and formatted by PlainMedicare