Medical Associates Community Plan (Cost)
Illinois Medicare Advantage Plan (2025 Plan)
by Medical Associates Health Plan, Inc.
Additional Coverage
HearingVision
Overall Government Star Rating
4.5
out of 5 stars
Plan Name
Medical Associates Community Plan (Cost)
Insurance Carrier
Medical Associates Health Plan, Inc.
Plan Type
Medicare Advantage Plan Without Prescription Drugs
Medical Associates Community Plan (Cost) is a Medicare Advantage Plan Without Prescription Drugs, which is available in Illinois and offered by the health insurance company Medical Associates Health Plan, Inc.. This plan’s network type is COST which determines in-network doctors who accept the health plan and whether a referral is needed.
Max Out-of-Pocket
Not Applicable
Primary doctor visit
$0 copay
Specialist visit
$0 copay
Medical Associates Community Plan (Cost) has a monthly premium cost of $154 per month, with an annual deductible of $0 and a maximum out of pocket cost sharing of Not Applicable. The most common benefit costs which people evaluate when choosing a plan are costs for a primary doctor visit, specialist doctor visit, emergency room visit, and ambulance. These costs are listed in this summary section and a full list of benefit costs for Medical Associates Community Plan (Cost) are defined below.
No
Part D Prescription Drug Coverage
Medical Associates Community Plan (Cost) is a Medicare Advantage plan which does not include Medicare Part D Prescription Drug coverage. Other common benefits included with Medicare Advantage plans are coverage for dental, vision, and hearing. Medical Associates Community Plan (Cost) includes coverage for hearing, vision.
Medicare Advantage health plans can offer even more additional benefits. Medical Associates Community Plan (Cost) includes coverage for the following additional benefits:
Other benefits
Over the counter drug benefits
Home and bathroom safety devices
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, Medical Associates Community Plan (Cost) received an overall government quality rating of 4.5 stars out of 5 stars.
Medical Associates Community Plan (Cost) 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
4.5
3.7
Summary rating of health plan quality
Staying healthy: screenings, tests, & vaccines
Managing chronic (long term) conditions
Member experience with health plan
Member complaints & changes in the health plan's performance
Health plan customer service
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.
Medical Associates Community Plan (Cost) received 4.5 stars for its health plan quality score which is better than the Illinois State average health plan quality score of 3.6 stars.
Health Portion of Premium
Health Plan Max Out-of-Pocket
Nationwide Coverage included
Hearing Coverage included
Doctor Services
Tests, labs, & imaging
Diagnostic tests & procedures
Diagnostic radiology services (like MRI)
Hospital Services
Inpatient hospital coverage
Outpatient hospital coverage
Skilled nursing facility
Preventive services
Ambulance
Therapy services
Occupational therapy visit
Physical therapy & speech & language therapy visit
Mental health services
Outpatient group therapy with a psychiatrist
Outpatient individual therapy with a psychiatrist
Outpatient group therapy visit
Outpatient individual therapy visit
Opioid treatment services
Opioid treatment services
Other services
Durable medical equipment (like wheelchairs & oxygen)
Prosthetics (like braces, artificial limbs)
Tier drug costs for: Standard retail pharmacy drug cost for 1-month
Part B Drugs
Hearing
Hearing aids - Over the ear
Preventive Dental
Comprehensive dental
Prosthodontics, removable
Maxillofacial prosthetics
Oral and maxillofacial surgery
Adjunctive general services
Vision
Eyeglasses (frames & lenses)
When Can I Sign Up for Medicare?
Enter your birthday month and year to learn when you can sign up for different Medicare plan options.