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2027 plans · CMS data

Medicare Special Needs Plans in Illinois

Every Special Needs Plan in Illinois for 2027, from the CMS plan landscape file. You can join one only if you fit its group: Medicare and Medicaid (D-SNP), a qualifying chronic condition (C-SNP) or nursing-home-level care (I-SNP). Pick your county to see the plans sold there.

4D-SNPs for Medicare and Medicaid
23C-SNPs for chronic conditions
3I-SNPs for institutional care
10rated 4+ stars by CMS

Showing all 30 plans.

D-SNPs: Medicare and Medicaid

Sorted by CMS star rating, then by how closely the plan is integrated with Illinois Medicaid, then by worst-case year. If Medicaid or the QMB program pays your Medicare cost sharing, the out-of-pocket maximum matters less than the network and how well the plan works with Medicaid.

#PlanPremium / monthIn-network max out-of-pocketWorst-case yearStars
1 Humana Dual Fully Integrated (HMO D-SNP)Humana · HMO D-SNPFully integrated (FIDE) · $0 Medicare cost sharingAll 102 counties $0 $9,250 $9,250 Too new to rate
2 Aetna Medicare FIDE (HMO D-SNP)Aetna Medicare FIDE · HMO D-SNPFully integrated (FIDE) · $0 Medicare cost sharingAll 102 counties $0 $9,850 $9,850 Too new to rate
3 Molina Medicare Complete Care Plus (HMO D-SNP)Molina Healthcare of Illinois · HMO D-SNPFully integrated (FIDE) · $0 Medicare cost sharingAll 102 counties $0 $9,850 $9,850 Too new to rate
4 Wellcare Meridian Dual Align (HMO D-SNP)Wellcare · HMO D-SNPFully integrated (FIDE) · $0 Medicare cost sharingAll 102 counties $0 $9,850 $9,850 Too new to rate

C-SNPs: chronic conditions

Sorted by worst-case year: 12 months of premiums plus the in-network out-of-pocket maximum. Each plan lists the conditions it serves; you need one of them, confirmed by your doctor or another clinician, to join.

#PlanPremium / monthIn-network max out-of-pocketWorst-case yearStars
1 Humana Community HMO Diabetes and Heart (HMO C-SNP)Humana · HMO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes3 of 102 counties $0 $2,950 $2,950 4★
2 DEVOTED C-SNP ENHANCED 005 IL (HMO C-SNP)Devoted Health · HMO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes8 of 102 counties $0 $3,500 $3,500 4★
3 UHC Complete Care Support IL-7 (HMO-POS C-SNP)UnitedHealthcare · HMO-POS C-SNPCardiovascular disorders, Chronic heart failure, Diabetes14 of 102 counties $7.60 $3,500 $3,591 3.5★
4 Humana Gold Plus - Diabetes and Heart (HMO C-SNP)Humana · HMO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes4 of 102 counties $0 $3,900 $3,900 4.5★
5 DEVOTED C-SNP CHOICE ENHANCED 013 IL (PPO C-SNP)Devoted Health · PPO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes9 of 102 counties $0 $4,650 $4,650 Not rated
6 DEVOTED C-SNP CHOICE ENHANCED 014 IL (PPO C-SNP)Devoted Health · PPO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes12 of 102 counties $0 $4,700 $4,700 Not rated
7 DEVOTED C-SNP CHOICE ENHANCED 011 IL (PPO C-SNP)Devoted Health · PPO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes25 of 102 counties $0 $5,500 $5,500 Not rated
8 DEVOTED C-SNP GIVEBACK EXTRAS 007 IL (HMO C-SNP)Devoted Health · HMO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes8 of 102 counties $0 $5,900 $5,900 4★
9 DEVOTED C-SNP CHOICE GIVEBACK EXTRAS 016 IL (PPO C-SNP)Devoted Health · PPO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes9 of 102 counties $0 $6,850 $6,850 Not rated
10 Zing Elite Diabetes & Heart IL (HMO C-SNP)Zing Health · HMO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes5 of 102 counties $0 $6,900 $6,900 3.5★
11 Zing Select Diabetes & Heart IL (HMO C-SNP)Zing Health · HMO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes12 of 102 counties $0 $6,900 $6,900 3.5★
12 Zing Select Dialysis IL (HMO C-SNP)Zing Health · HMO C-SNPChronic kidney disease12 of 102 counties $0 $6,900 $6,900 3.5★
13 DEVOTED C-SNP CHOICE GIVEBACK EXTRAS 017 IL (PPO C-SNP)Devoted Health · PPO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes12 of 102 counties $0 $7,000 $7,000 Not rated
14 Zing Elite Essentials Diabetes & Heart IL-IN (HMO C-SNP)Zing Health · HMO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes5 of 102 counties $9.80 $6,900 $7,018 3.5★
15 Aetna Medicare Chronic Care (HMO C-SNP)Aetna Medicare · HMO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes6 of 102 counties $0 $7,150 $7,150 3.5★
16 Aetna Medicare Prime Chronic Care (HMO C-SNP)Aetna Medicare · HMO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes10 of 102 counties $0 $7,150 $7,150 3.5★
17 DEVOTED C-SNP CHOICE GIVEBACK EXTRAS 015 IL (PPO C-SNP)Devoted Health · PPO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes25 of 102 counties $0 $7,300 $7,300 Not rated
18 UHC Complete Care IA-5 (HMO-POS C-SNP)UnitedHealthcare · HMO-POS C-SNPCardiovascular disorders, Chronic heart failure, Diabetes3 of 102 counties $28 $7,150 $7,486 4★
19 DEVOTED C-SNP CHOICE PLUS 012 IL (PPO C-SNP)Devoted Health · PPO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes46 of 102 counties $0 $9,850 $9,850 Not rated
20 DEVOTED C-SNP PLUS 006 IL (HMO C-SNP)Devoted Health · HMO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes8 of 102 counties $0 $9,850 $9,850 4★
21 UHC Complete Care Support IL-1A (PPO C-SNP)UnitedHealthcare · PPO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes81 of 102 counties $0 $9,850 $9,850 4.5★
22 Zing Select Diabetes & Heart Complete IL (HMO C-SNP)Zing Health · HMO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes12 of 102 counties $0 $9,850 $9,850 3.5★
23 UHC Complete Care Support ST-1A (PPO C-SNP)UnitedHealthcare · PPO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes20 of 102 counties $5.30 $9,850 $9,914 4.5★

I-SNPs: institutional care

For people who live, or are expected to live, at least 90 days in a nursing home or similar facility, or who need that level of care at home. Sorted by worst-case year.

#PlanPremium / monthIn-network max out-of-pocketWorst-case yearStars
1 Longevity Health Plan (HMO I-SNP)Longevity Health · HMO I-SNPFacility-based5 of 102 counties $3.20 $9,350 $9,388 5★
2 Provider Partners Illinois Advantage Plan (HMO I-SNP)Provider Partners Health Plans · HMO I-SNPFacility-based8 of 102 counties $7.60 $9,850 $9,941 3.5★
3 UHC Nursing Home Plan IL-F001 (PPO I-SNP)UnitedHealthcare · PPO I-SNPFacility-based6 of 102 counties $7.60 $9,850 $9,941 5★

Worst-case year = 12 × monthly plan premium + in-network maximum out-of-pocket, for covered Part A and B services. Many D-SNP members pay $0 in premiums with Extra Help. Star ratings are CMS’s 2027 overall ratings for the contract behind each plan. Plans under CMS sanction aren’t listed. How we sort

Before you enroll: check the plan’s network and drug list in the official Medicare Plan Finder, and ask the plan whether you qualify. Free one-on-one help: your State Health Insurance Assistance Program.

Questions

How many Special Needs Plans are in Illinois for 2027?

CMS lists 30: 4 D-SNPs (Medicare and Medicaid), 23 C-SNPs (chronic conditions) and 3 I-SNPs (institutional), from 9 parent companies. Not every plan is sold in every county; use the county filter.

Which D-SNPs in Illinois are integrated with Medicaid?

4 of the 4 D-SNPs are fully integrated, highly integrated or applicable integrated plans, which cover or coordinate Medicaid benefits more closely. The rest are coordination-only plans. Integrated plans are listed first among plans with the same star rating.

Do Special Needs Plans include drug coverage?

Yes. Every Special Needs Plan must include Part D drug coverage.

Can I stay in a Special Needs Plan if I no longer qualify?

Only while you still meet the plan's rules. If you lose eligibility, you may get a Special Enrollment Period to join another plan.

Sources

  1. CMS, CY 2027 Medicare Advantage and Prescription Drug Plan Landscape (CY2027_Landscape_202609.csv), Special Needs Plan rows — cms.gov; star ratings from the CMS 2027 Star Ratings Data Tables — cms.gov.
  2. Medicare.gov, “Special Needs Plans” — medicare.gov.

Educational information, not a recommendation to join any plan. We are not an insurance agent or broker, and we are not connected with or endorsed by the U.S. government or the federal Medicare program. Plan details can change; confirm with the plan or Medicare.gov. · Advertiser disclosure

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