Medicare Supplement Plans in Illinois

Medicare Supplement plans in Illinois can be a challenge, just like every other state. But we want to make it as simple as possible. Below you’ll find everything you need to know about Medicare in Illinois for 2022.

Medigap Plans in Illinois for 2022

No matter which state you live in, the top Medigap plans are mostly the same. Plan F is the king of Medigap, covering all the deductibles and coinsurances you’d otherwise pay.

Then, Plan G is the second most comprehensive policy, covering everything except the Part B deductible. Finally, Plan N is a lower premium option with copayments and coinsurances that you’d still be responsible for paying.

Ultimately, the best Medicare Supplement plan for you is the one that brings you the most value. So, if you don’t visit the doctor regularly and your family health history is clean, Plan N could save you quite a bit of money.

But, if you need to frequent the doctor or have a family history of health issues, a more comprehensive policy would be beneficial.

What is the Illinois Birthday Rule?

Illinois will have a birthday rule starting in January 2022. The rule will allow Medigap beneficiaries ages 65 to 75 to change to a plan of lesser or equal benefits with the same carrier.

This change is required to be made during a window starting on their birthday and lasting 45 days. The purpose of the Illinois birthday rule is to provide a chance for individuals who may otherwise be denied entry into a new plan because of pre-existing health conditions.

Illinois Medigap Plan Birthday Rule
Illinois Medigap plans are all subject to the state’s birthday rule.

Illinois Medicare Supplement Premium Comparison Guide

First, we’re going to take a look at a couple of Medigap premiums in Chicago for a 65-year-old female.

Plan F would cost her about $130 a month but, Plan G would only cost $110. The premium difference is $240 a year, meaning it makes the most sense to choose Medigap Plan G and pay the deductible if necessary. Further, the rate increases for Plan G are historically lower than that of Plan F.

Now, Plan N would only cost a 65-year-old woman in Chicago about $85 a month. While the premium is substantially lower than Plan F, the copays are something you really need to consider.

We believe Medigap is worth it when you choose the policy that works best for you.

Medigap Plans in Illinois for Those Under 65 on Disability

Many states require insurance companies to offer Medigap plans to those under 65 on disability. Illinois is one of those states, but the policy will cost substantially more than it would for someone 65 or older.

For example, Plan N could cost $200 for a female under the age of 65. But, if you sign up for a policy during the Medicare Supplement Open Enrollment Period, you can’t be denied coverage or charged a higher premium due to health issues.

Those that have Medicare before age 65 will have access to two Medigap Open Enrollment Periods. One when first eligible and the second upon turning 65.

Medicare Advantage Plans in Illinois 2022

Medicare Advantage in Illinois 30% of Illinois beneficiaries chose to enroll in a Medicare Advantage plan.

While Medicare Advantage plans have cheaper premiums, they have more restrictions and coverage limitations.

There are several 5-star Medicare Advantage plans in the State of Illinois. The best part about 5-star plans is the ability to enroll in one using a Special Enrollment Period.

Advantage plans cost anywhere from $0 up to $350 a month in Illinois. Depending on your doctor network, medications, and the flexibility you need from your policy, one plan is likely to be more beneficial than another.

Top-Rated Medicare Advantage Plans in Illinois:

  1. Humana Gold Plus (HMO)
  2. Aetna Medicare Value (PPO)
  3. AARP Medicare Advantage Walgreens (PPO)

Most people consider Part C plans an “all-in-one” solution. But, it’s important to look at the fine print. Just because the plan covers dental, doesn’t mean that it covers the dentures you may need. Further, it may cover your eye exam, but how much of the glasses does it really cover?

While these plans can be especially beneficial for those disabled on Medicare or unable to buy Medigap, Part C isn’t the most comprehensive option.

What is the Medicare Advantage TRAIL Program in Illinois

The program is for those in the State Universities Retirement System, State of Illinois Employees Group Insurance Program Medicare Retirees, and the Teachers Retirement System. TRAIL stands for Total Retiree Advantage Illinois program, the open enrollment for this program was held between October 15 through November 15 last year.

Also, the plan members will get a notice of any changes sent in the mail. Further, you can opt-out of coverage should you choose.

Although, if you choose to opt-out we highly suggest you enroll in a Medigap or Medicare Advantage plan to cover the costs Medicare leaves you to pay.

Medicare Part D Plans in Illinois

Part D Plans in Illinois The lowest premium Part D plan in the state of Illinois is the Humana Walmart Part D policy. But, this policy is usually the lower premium option in most states.

Costs for Part D premiums can range from about $13 up to $136 each month. Every plan has a formulary or list of drugs it’ll cover. The formulary details how the medications are covered as well as the cost of the drug.

So, if you take a prescription that isn’t on the formulary, you may need to pay the entire cost of that medication.

Some medications may have prior authorization or quantity limit requirements. Also, some plans have a higher deductible than others.

For certain people, a higher premium policy could save them money in the long run. Those that don’t take any medications should buy the lowest premium plan option to at least save themselves from a Part D late enrollment penalty.

Top-Rated Part D Plans in Illinois:

  1. SilverScript Choice
  2. SilverScript Plus
  3. Cigna-HealthSpring Rx Secure-Essential


How to check claim status for Medicare in Illinois?
In any state, you can check the status of a claim by visiting and logging into your account.
What Medicare Supplement provider is the biggest in Illinois?
Aetna has more Medigap enrollees in the state of Illinois than any other carrier. Although, a Mutual of Omaha Medigap plan or a plan from another top carrier can be a great choice if the premium is lower.
What is the Illinois Medicare copayment for oxygen?
If you meet the requirements for oxygen, Medicare will help cover the costs. Oxygen falls under the Durable Medical Equipment category. So, you can expect to pay Part B coinsurance and deductibles.
Does Medicare cover medical marijuana in Illinois for patients?
Currently, no insurance covers costs associated with medical cannabis, this includes Medicare. In Illinois, qualifying patients don’t pay a special fee to the doctor for the written certification.

How to Apply for Medicare in Illinois

Applying for a Medicare Supplement plan in Illinois is something that can be done over the phone. Our agents represent top carriers nationwide, allowing you to get all the information you need in one spot.

We can answer your questions and walk you through the enrollment process. Then, if you ever need help with a question or claim filing, our client care team will be here for you, every step of the way.

You deserve the best policy with the best customer service, and we deliver just that! Give us a call at the number above to get your rates today! Or, fill out an online rate form to see your rates now!

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Jagger Esch

Jagger Esch is the Medicare expert for MedicareFAQ and the founder, president, and CEO of Elite Insurance Partners and Since the inception of his first company in 2012, he has been dedicated to helping those eligible for Medicare by providing them with resources to educate themselves on all their Medicare options. He is featured in many publications as well as writes regularly for other expert columns regarding Medicare.

2 thoughts on “Medicare Supplement Plans in Illinois

  1. I am requesting info on behalf of my brother in law.
    He is interested in the Medicare Supplement Plan G with Rx coverage.
    He is just now retiring from an employer of 1000+ in size and will be losing his group health plan so he will be signing up for Part B.
    He is 70 years of age and a resident in Illinois.
    Can you give us at least an approximate cost of Plan G and a modest RX plan (as he does not take any medications currently).
    Thank you!


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