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Essence Advantage Choice (PPO)

Illinois Medicare Advantage Plan (2025 Plan)

Select your County to view details for Essence Advantage Choice (PPO) specific to your location

Overview of Essence Advantage Choice (PPO) in Illinois

by Essence Healthcare

Additional Coverage

HearingVisionDental

Overall Government Star Rating

 4.0
out of 5 stars

Variations of Essence Advantage Choice (PPO) Within Illinois

Essence Advantage Choice (PPO) is available in 10 Illinois Counties. Pricing and benefit details can vary by location. Each variation of Essence Advantage Choice (PPO) has a unique Plan ID and benefits which can differ by monthly premium, deductible, out-of-pocket maximum, and other costs such as copays and coinsurance. Each variation of Essence Advantage Choice (PPO) in Illinois is listed below:

Essence Advantage Choice (PPO) H6200-009-0
Monthly Premium
$0 per month
Deductible
$0
Out-of-Pocket Max
$6,150 In and Out-of-network
$4,150 In-network
Available in Counties: Cook, DuPage, Will
Essence Advantage Choice (PPO) H6200-001-0
Monthly Premium
$0 per month
Deductible
$0
Out-of-Pocket Max
$6,200 In and Out-of-network
$4,150 In-network
Available in Counties: Bond, Clinton, Jersey, Macoupin, Madison, Monroe, Saint Clair

Comparing the Quality Score of Essence Advantage Choice (PPO) to Other Plans in Illinois

Each year the federal government evaluates the quality of Medicare Advantage and Part D Prescription Drug plans based on a 5-star scoring system. For 2025, Essence Advantage Choice (PPO) received an overall government quality rating of 4.0 stars out of 5 stars.

Essence Advantage Choice (PPO) performed better than Illinois’s State average overall quality score of 3.7 stars.

This Plan’s 5-star Gov’t Quality Score
Illinois State Average Score
Overall Government 5 Star Quality Rating
 4.0
 3.7
Summary rating of health plan quality
 4
 3.6
Staying healthy: screenings, tests, & vaccines
 5
 3.7
Managing chronic (long term) conditions
 3
 3.3
Member experience with health plan
 4
 3.7
Member complaints & changes in the health plan's performance
 4
 3.8
Health plan customer service
(coming soon)
 3.7
Summary rating of drug plan quality
 3.5
 3.6
Drug plan customer service
 4
 4.1
Member complaints & changes in the drug plan's performance
 4
 3.8
Member experience with the drug plan
 4
 3.6
Drug safety & accuracy of drug pricing
 3
 3.2

The government calculates an “Overall star rating” based on ratings for sub components including “Health plan star rating” and “Drug plan star rating”, which includes further subcomponents of each.

Essence Advantage Choice (PPO) received 4 stars for its health plan quality score which is better than the Illinois State average health plan quality score of 3.6 stars.

Essence Advantage Choice (PPO) received 3.5 stars for its drug plan quality score which is worse than the Illinois State average drug plan quality score of 3.6 stars.

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