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Medicare in Illinois

By the numbers

In 2012, Illinois had almost 2 million Medicare beneficiaries that made up 15% of the state's total population. There are 6 states with more beneficiaries than Illinois and 6 states that spend more on Medicare. Illinois has a surprisingly small amount of beneficiaries enrolled in Medicare Advantage plans. There are 20 other states with more residents enrolled in Medicare Advantage plans. Following is more information on enrollment in Medicare plans in Illinois in 2012:

  • Total number of Medicare beneficiaries in Illinois: 1,907,859
  • Amount spent by Medicare in Illinois (in millions): $19,176
  • Number of residents enrolled in Medicare Advantage: 188,492

Medicare Advantage Organizations and Prescription Drug Plan Sponsors must have a contract with Medicare in order to sell Medicare insurance plans (such as a Medicare HMO or a Medicare Part D Plan. Depending on the terms of the contract between the plan and Medicare, not every plan is available statewide or in all service areas. Each year, the plan must renew their contract with Medicare, so the availability of a plan in a specific service area is subject to change as a result of the annual contract renewal.

Medicare resources in Illinois

Residents may take advantage of state Medicare resources that provide information about Medicare and offer savings on health care costs.

Illinois Medicare Savings Programs: Illinois has programs that help beneficiaries who are unable to pay the out-of-pocket expenses that Medicare does not cover. Anyone can apply for these savings programs, but most programs are for beneficiaries whose income is below a certain limit.

Illinois State Health Insurance Counseling and Assistance Program (SHIP):The Senior Health Insurance Program (SHIP) offers free statewide health insurance counseling for Illinois Medicare beneficiaries and their caregivers. SHIP tries to help seniors in Illinois maintain their health and independence. Providing unbiased information on Medicare in Illinois is an important part of SHIP' mission.

How healthy is the state of Illinois?

Illinois is the fifth most populous state in the U.S. and is ranked as the 28th healthiest state to live. Illinois's strength as a healthy state is helped by its readily available primary care physicians as well as its high use of early prenatal care. Two challenges facing Illinois are its high prevalence of binge drinking as well as its high rate of preventable hospitalizations.

All data provided by the Kaiser Family Foundation.

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