2024 Medicare Advantage Plans In Decatur, IL

From October 15-December 7, you have the opportunity to enroll in Medicare health and drug plans. If you enroll in a plan during this Annual Open Enrollment Period, that plan will begin on January 1, 2024.

Medicare Advantage is expanding rapidly across the country, and we’re also seeing it here in Decatur. Four years ago, there were only four Medicare Advantage plans available. In 2022, there were 21 plans. 2023 saw a pretty big increase to 31 and for 2024, there are a total of 32 plan options. 

In addition, there are several $0 premium PPO plans for 2024 unlike in years past!

Here’s everything you need to know about the 2024 Medicare Advantage plan options in Decatur, IL.

Disclaimer: We do not offer every plan available in your area. Currently we represent 4 organizations which offer 41 products in your area. Please contact Medicare.gov, 1‑800‑MEDICARE, or your local State Health Insurance Program to get information on all of your options.

Should I Switch to Medicare Advantage?

Before we get into the available Medicare Advantage options in Decatur, IL for 2024, you might be wondering if you should consider switching from your Medicare Supplement plan.

Consider Plan Choices

For 2024, we have 32 Medicare Advantage plans in Decatur. That's more plan options than ever before!

In the past, Medicare Advantage plan options in Decatur were limited, especially compared to metro areas such as Chicago. But now, we really do have plenty of competitive plan options to compare.

If you're in need of a $0 plan that comes with more out-of-pocket risk, we have plenty of companies to consider, which is very exciting.

Consider the Network

One of the most common concerns about Medicare Advantage plans are the network restrictions.

Medicare Advantage plans are network-based, meaning you need to see physicians that accept the plan. HMOs are the strictest, PPOs offer more flexibility, and the MSA technically does not have a network.

As with any medical insurance product you have, always make sure your provider accepts it!

You Still Pay the Part B Premium

If you choose a Medicare Advantage plan, you should know you are still required to pay the Medicare Part B premium of $174.70 in 2024.

Some clients see the $0 premium feature of many Medicare Advantage plans and get excited, and while the Medicare Advantage plan may be $0 premium, you still have to pay your Medicare Part B premium.

Even though you are forfeiting your Original Medicare benefits in favor of a private Medicare Advantage plan, you still must pay that premium.

You may also see advertisements for Medicare Advantage plans with a Part B giveback, so if you are looking for a plan like that, you may consider exploring the Humana Honor plan. It is currently the only plan in Macon county that offers a Part B reduction.

Most Competitive 2024 Medicare Advantage Plans In Macon County, Illinois

In Macon county, we’re fortunate to have 32 Medicare Advantage plans available for 2024. There are several quality plans offered by Aetna, Humana, United Health, and Blue Cross Blue Shield, as well as a couple others.

After running several comparisons, a few plans stick out as the most attractive. Keep in mind our agents can run a customized plan comparison for you based on your prescriptions, providers, preferred pharmacy, and current health.

Aetna Medicare Value (PPO)

One of the top plan picks for 2023 was the Aetna Medicare Value (PPO), and that recommendation still stands for 2024.

It's $0 premium and has the benefit of a national provider network. This means you’d have more flexibility to travel or go to another state for part of the year.

In addition to a $0 premium, this plan also has a $0 health and drug deductible and a $4,650 in-network out-of-pocket maximum. The in and out-of-network maximum is $7,000, which did not change from 2023.

Some brief plan highlights (which haven’t changed from 2023):

• $0 copay for in-network primary doctor visits
• $40 copay for in-network specialist visits
• $40 copay for urgent care
• $110 copay for ER
• Extra benefits included (plan limits apply): hearing, dental, vision, fitness benefits, over-the-counter drugs, telehealth, worldwide emergency coverage, and meals for a short duration.

One attractive part of this plan’s drug component is preferred generics and generics have a $0 copay. If you take a generic drug (and it’s in this plan’s formulary), you may pay nothing for your prescriptions.

However, the best way to find out if your prescriptions are affordable under this plan is to have your agent run a plan comparison. Schedule an appointment with us if you do not have an agent!

Humana Choice H5216-215 (PPO)

Humana has an incredible $0 premium PPO plan in Macon County for 2024.

The Humana Choice PPO has a $0 health and drug deductible, an excellent star rating, and a $0 copay for in-network primary doctor visits.

Here are some other plan highlights:

• $40 copay for in-network specialist visits
• $60 copay for urgent care (up from $35 in 2023)
• $120 copay for ER (up from $110 in 2023)
• Extra benefits included (plan limits apply): hearing, dental, vision, some acupuncture, fitness benefits, telehealth, worldwide emergency, and meals for a short duration.

This plan also has a $0 copay for preferred generics and a $10 copay for generics. If your prescriptions are compatible with this plan, it may be a great option for you.

Blue Cross Medicare Advantage Health Choice (PPO)

Blue Cross and Blue Shield of IL has a $0 premium PPO product in Macon County for 2024. It has a $0 health deductible and a $505 drug deductible.

The in-network out-of-pocket maximum is $6,900 while the out-of-network maximum is $13,300.

Here are some highlights of the plan:

• $0 in-network primary doctor visit ($30 copay for out-of-network)
• $45 in-network copay for specialist visits
• $40 copay for urgent care visits
• $100 copay for ER
• Extra benefits included (plan limits apply): hearing, dental, vision, fitness benefits, telehealth, and worldwide emergency.

While this plan is not quite as competitive as some of the other options in 2024, many consumers enjoy the Blue Cross brand and have a comfort level there. If that may be you, we can certainly help you.

Other 2024 Medicare Advantage Plan Options In Macon County

There are several other plan options available in Macon County for 2024, including HMOs and PPOs. However, HMOs can be difficult to recommend because of the strict provider networks.

If you are interested in an HMO plan, please double check that your doctors, specialists, hospital of choice, and pharmacy are accepted by the plan.

As always, our licensed agents can run a comparison for you that takes into account your prescriptions and providers. We will ensure your plan is compatible with your needs.

Conclusion

While we highly recommend a Medicare Supplement to many of our clients, there are many fantastic plan options worth considering on the Medicare Advantage side for 2024 (in our opinion).

For more information, give us a call at 217-423-8000 today!