Medicaid health plans in Illinois (outside Cook County) service area, IL

Member services: 1-866-329-4701

No rating available. See NCQA ratings ↗

• Free rides to appointments

  Aetna Better Health of Illinois offers no cost rides to and from medical appointments as an extra benefit.

• Dental care through DentaQuest

  Members can see DentaQuest network dentists for covered dental care.

• Yearly eye exam and glasses

  The plan covers one vision exam a year, plus frames and lenses or contact lenses if glasses are needed.

• 24 hour nurse line

  Members can call a free nurse advice line any time, day or night.

• Aetna Better Health of Illinois Retrieved 2026-07-17
• Aetna Better Health of Illinois Retrieved 2026-07-17

enrollment.portal_url, enrollment.portal_name, enrollment.phone, and enrollment.choice_window_days are quote-gate verified against a captured Illinois Department of Healthcare and Family Services (HFS) Medicaid guide page (hfs.illinois.gov/medicalclients/medicaidguide/providersandplans.html), which names the Illinois Client Enrollment Services broker, its EnrollHFS.Illinois.gov website, its phone number, and the 60 day initial plan choice window in plain prose. Both service area roster facts (areas.cook.plans and areas.rest-of-illinois.plans) are quote-gate verified against a captured snapshot of HFS's own Managed Care Programs overview page (hfs.illinois.gov/medicalclients/managedcare.html), whose own HealthChoice Illinois Health Plan Contact Information block names all five plans: Aetna Better Health of Illinois, Blue Cross Community Health Plan, CountyCare Health Plan marked (Cook County only), Meridian Health Plan marked (Former Youth in Care Only), and Molina Healthcare. Illinois is modeled as two roster distinct service areas rather than one, a Cook County area whose plan roster is the four general statewide plans plus CountyCare, and a remaining Illinois area (all counties except Cook) whose roster is the four general statewide plans alone, matching HFS's own geographic split rather than forcing a single statewide frame. One unresolved discrepancy: that same live HFS contact block labels Meridian Health Plan (Former Youth in Care Only), which read literally would mean Meridian is not part of the general population roster at all. This file keeps Meridian in the general statewide roster anyway because the weight of other current evidence points the other way: Meridian's own Illinois Medicaid page states its plan is open to everyone in HealthChoice Illinois and reports more than 596,000 enrollees, far larger than the Former Youth in Care population could be, and a separately captured HFS Managed Care FAQ document (managedcarefaqs.pdf, an older document that still names two now defunct plans, IlliniCare Health Plan and NextLevel Health, so it is not used as this file's roster source) independently states that four plans, including Meridian, serve Medicaid clients statewide, with only CountyCare flagged as Cook only. The Former Youth in Care parenthetical on the live page most likely describes YouthCare, a distinct specialized program also operated by Meridian and described elsewhere on that same page, bleeding into the general contact list rather than genuinely restricting Meridian's HealthChoice Illinois membership; a human should confirm this directly with HFS before Meridian's statewide, general population status ships as verified. NextLevel Health became insolvent and exited the Illinois Medicaid market in 2020, with Meridian acquiring its Cook County enrollees (confirmed by contemporaneous trade press and HFS's own Next Level transition page, hfs.illinois.gov/medicalproviders/cc/nextlevel.html); a separate stale HFS page (hfs.illinois.gov/healthchoice/providercontacts.html) still lists NextLevel Health and IlliniCare Health by their old names, so this file does not use it as a roster source either. Per plan member phone numbers, provider directory URLs, and formulary URLs were read directly off each plan's own official Illinois Medicaid site but are not yet cited by a quote gated fact (informal citations, consistent with TX.json/CA.json's existing convention that only load bearing enrollment and roster fields carry facts[] entries), so the state as a whole stays unverified, the same standing as TX.json and CA.json today. Extra benefits for all five plans are drawn from each plan's own Illinois Medicaid benefits pages, spot checked during this authoring pass; a human should re confirm current dollar amounts before this ships as verified, since plan benefit amounts change periodically. Illinois does not appear on the plans v3 spec's list of states with one statewide Medicaid formulary, so every plan's formulary_url points to that plan's own drug list rather than a state administered one.

Member services: 1-877-860-2837

No rating available. See NCQA ratings ↗

• Over the counter allowance

  Members can order 50 dollars per household in approved over the counter items every six months, shipped at no cost.

• Doula and lactation support

  The plan covers doula services and lactation support.

• Healthy Incentives rewards

  Members can earn gift cards for completing certain preventive care services through the Healthy Incentives program.

• Blue Cross and Blue Shield of Illinois Retrieved 2026-07-17
• Blue Cross and Blue Shield of Illinois Retrieved 2026-07-17

enrollment.portal_url, enrollment.portal_name, enrollment.phone, and enrollment.choice_window_days are quote-gate verified against a captured Illinois Department of Healthcare and Family Services (HFS) Medicaid guide page (hfs.illinois.gov/medicalclients/medicaidguide/providersandplans.html), which names the Illinois Client Enrollment Services broker, its EnrollHFS.Illinois.gov website, its phone number, and the 60 day initial plan choice window in plain prose. Both service area roster facts (areas.cook.plans and areas.rest-of-illinois.plans) are quote-gate verified against a captured snapshot of HFS's own Managed Care Programs overview page (hfs.illinois.gov/medicalclients/managedcare.html), whose own HealthChoice Illinois Health Plan Contact Information block names all five plans: Aetna Better Health of Illinois, Blue Cross Community Health Plan, CountyCare Health Plan marked (Cook County only), Meridian Health Plan marked (Former Youth in Care Only), and Molina Healthcare. Illinois is modeled as two roster distinct service areas rather than one, a Cook County area whose plan roster is the four general statewide plans plus CountyCare, and a remaining Illinois area (all counties except Cook) whose roster is the four general statewide plans alone, matching HFS's own geographic split rather than forcing a single statewide frame. One unresolved discrepancy: that same live HFS contact block labels Meridian Health Plan (Former Youth in Care Only), which read literally would mean Meridian is not part of the general population roster at all. This file keeps Meridian in the general statewide roster anyway because the weight of other current evidence points the other way: Meridian's own Illinois Medicaid page states its plan is open to everyone in HealthChoice Illinois and reports more than 596,000 enrollees, far larger than the Former Youth in Care population could be, and a separately captured HFS Managed Care FAQ document (managedcarefaqs.pdf, an older document that still names two now defunct plans, IlliniCare Health Plan and NextLevel Health, so it is not used as this file's roster source) independently states that four plans, including Meridian, serve Medicaid clients statewide, with only CountyCare flagged as Cook only. The Former Youth in Care parenthetical on the live page most likely describes YouthCare, a distinct specialized program also operated by Meridian and described elsewhere on that same page, bleeding into the general contact list rather than genuinely restricting Meridian's HealthChoice Illinois membership; a human should confirm this directly with HFS before Meridian's statewide, general population status ships as verified. NextLevel Health became insolvent and exited the Illinois Medicaid market in 2020, with Meridian acquiring its Cook County enrollees (confirmed by contemporaneous trade press and HFS's own Next Level transition page, hfs.illinois.gov/medicalproviders/cc/nextlevel.html); a separate stale HFS page (hfs.illinois.gov/healthchoice/providercontacts.html) still lists NextLevel Health and IlliniCare Health by their old names, so this file does not use it as a roster source either. Per plan member phone numbers, provider directory URLs, and formulary URLs were read directly off each plan's own official Illinois Medicaid site but are not yet cited by a quote gated fact (informal citations, consistent with TX.json/CA.json's existing convention that only load bearing enrollment and roster fields carry facts[] entries), so the state as a whole stays unverified, the same standing as TX.json and CA.json today. Extra benefits for all five plans are drawn from each plan's own Illinois Medicaid benefits pages, spot checked during this authoring pass; a human should re confirm current dollar amounts before this ships as verified, since plan benefit amounts change periodically. Illinois does not appear on the plans v3 spec's list of states with one statewide Medicaid formulary, so every plan's formulary_url points to that plan's own drug list rather than a state administered one.

Member services: 1-866-606-3700

No rating available. See NCQA ratings ↗

• Free rides to the doctor and pharmacy

  The plan offers free rides to the doctor and pharmacy, and virtual care for members who would rather get care at home.

• Healthy Rewards program

  Members can earn reward dollars for taking care of themselves and their family.

• Pharmacist medication support

  Members taking six or more medications can get pharmacist driven care coordination through a pill pack program.

• Meridian Health Plan of Illinois Retrieved 2026-07-17

enrollment.portal_url, enrollment.portal_name, enrollment.phone, and enrollment.choice_window_days are quote-gate verified against a captured Illinois Department of Healthcare and Family Services (HFS) Medicaid guide page (hfs.illinois.gov/medicalclients/medicaidguide/providersandplans.html), which names the Illinois Client Enrollment Services broker, its EnrollHFS.Illinois.gov website, its phone number, and the 60 day initial plan choice window in plain prose. Both service area roster facts (areas.cook.plans and areas.rest-of-illinois.plans) are quote-gate verified against a captured snapshot of HFS's own Managed Care Programs overview page (hfs.illinois.gov/medicalclients/managedcare.html), whose own HealthChoice Illinois Health Plan Contact Information block names all five plans: Aetna Better Health of Illinois, Blue Cross Community Health Plan, CountyCare Health Plan marked (Cook County only), Meridian Health Plan marked (Former Youth in Care Only), and Molina Healthcare. Illinois is modeled as two roster distinct service areas rather than one, a Cook County area whose plan roster is the four general statewide plans plus CountyCare, and a remaining Illinois area (all counties except Cook) whose roster is the four general statewide plans alone, matching HFS's own geographic split rather than forcing a single statewide frame. One unresolved discrepancy: that same live HFS contact block labels Meridian Health Plan (Former Youth in Care Only), which read literally would mean Meridian is not part of the general population roster at all. This file keeps Meridian in the general statewide roster anyway because the weight of other current evidence points the other way: Meridian's own Illinois Medicaid page states its plan is open to everyone in HealthChoice Illinois and reports more than 596,000 enrollees, far larger than the Former Youth in Care population could be, and a separately captured HFS Managed Care FAQ document (managedcarefaqs.pdf, an older document that still names two now defunct plans, IlliniCare Health Plan and NextLevel Health, so it is not used as this file's roster source) independently states that four plans, including Meridian, serve Medicaid clients statewide, with only CountyCare flagged as Cook only. The Former Youth in Care parenthetical on the live page most likely describes YouthCare, a distinct specialized program also operated by Meridian and described elsewhere on that same page, bleeding into the general contact list rather than genuinely restricting Meridian's HealthChoice Illinois membership; a human should confirm this directly with HFS before Meridian's statewide, general population status ships as verified. NextLevel Health became insolvent and exited the Illinois Medicaid market in 2020, with Meridian acquiring its Cook County enrollees (confirmed by contemporaneous trade press and HFS's own Next Level transition page, hfs.illinois.gov/medicalproviders/cc/nextlevel.html); a separate stale HFS page (hfs.illinois.gov/healthchoice/providercontacts.html) still lists NextLevel Health and IlliniCare Health by their old names, so this file does not use it as a roster source either. Per plan member phone numbers, provider directory URLs, and formulary URLs were read directly off each plan's own official Illinois Medicaid site but are not yet cited by a quote gated fact (informal citations, consistent with TX.json/CA.json's existing convention that only load bearing enrollment and roster fields carry facts[] entries), so the state as a whole stays unverified, the same standing as TX.json and CA.json today. Extra benefits for all five plans are drawn from each plan's own Illinois Medicaid benefits pages, spot checked during this authoring pass; a human should re confirm current dollar amounts before this ships as verified, since plan benefit amounts change periodically. Illinois does not appear on the plans v3 spec's list of states with one statewide Medicaid formulary, so every plan's formulary_url points to that plan's own drug list rather than a state administered one.

Member services: 1-855-687-7861

No rating available. See NCQA ratings ↗

• Free rides to appointments

  Molina provides free transportation to and from medical appointments, durable medical equipment providers, and WIC offices, plus a pharmacy stop right after a doctor visit.

• Dental exams and cleanings

  Molina covers a dental exam every six months and one cleaning every six months as a value added service, along with other covered dental care.

• Vision care through Avesis

  Molina partners with Avesis for routine eye exams and other vision services.

• Molina Healthcare of Illinois Retrieved 2026-07-17
• Molina Healthcare of Illinois Retrieved 2026-07-17

enrollment.portal_url, enrollment.portal_name, enrollment.phone, and enrollment.choice_window_days are quote-gate verified against a captured Illinois Department of Healthcare and Family Services (HFS) Medicaid guide page (hfs.illinois.gov/medicalclients/medicaidguide/providersandplans.html), which names the Illinois Client Enrollment Services broker, its EnrollHFS.Illinois.gov website, its phone number, and the 60 day initial plan choice window in plain prose. Both service area roster facts (areas.cook.plans and areas.rest-of-illinois.plans) are quote-gate verified against a captured snapshot of HFS's own Managed Care Programs overview page (hfs.illinois.gov/medicalclients/managedcare.html), whose own HealthChoice Illinois Health Plan Contact Information block names all five plans: Aetna Better Health of Illinois, Blue Cross Community Health Plan, CountyCare Health Plan marked (Cook County only), Meridian Health Plan marked (Former Youth in Care Only), and Molina Healthcare. Illinois is modeled as two roster distinct service areas rather than one, a Cook County area whose plan roster is the four general statewide plans plus CountyCare, and a remaining Illinois area (all counties except Cook) whose roster is the four general statewide plans alone, matching HFS's own geographic split rather than forcing a single statewide frame. One unresolved discrepancy: that same live HFS contact block labels Meridian Health Plan (Former Youth in Care Only), which read literally would mean Meridian is not part of the general population roster at all. This file keeps Meridian in the general statewide roster anyway because the weight of other current evidence points the other way: Meridian's own Illinois Medicaid page states its plan is open to everyone in HealthChoice Illinois and reports more than 596,000 enrollees, far larger than the Former Youth in Care population could be, and a separately captured HFS Managed Care FAQ document (managedcarefaqs.pdf, an older document that still names two now defunct plans, IlliniCare Health Plan and NextLevel Health, so it is not used as this file's roster source) independently states that four plans, including Meridian, serve Medicaid clients statewide, with only CountyCare flagged as Cook only. The Former Youth in Care parenthetical on the live page most likely describes YouthCare, a distinct specialized program also operated by Meridian and described elsewhere on that same page, bleeding into the general contact list rather than genuinely restricting Meridian's HealthChoice Illinois membership; a human should confirm this directly with HFS before Meridian's statewide, general population status ships as verified. NextLevel Health became insolvent and exited the Illinois Medicaid market in 2020, with Meridian acquiring its Cook County enrollees (confirmed by contemporaneous trade press and HFS's own Next Level transition page, hfs.illinois.gov/medicalproviders/cc/nextlevel.html); a separate stale HFS page (hfs.illinois.gov/healthchoice/providercontacts.html) still lists NextLevel Health and IlliniCare Health by their old names, so this file does not use it as a roster source either. Per plan member phone numbers, provider directory URLs, and formulary URLs were read directly off each plan's own official Illinois Medicaid site but are not yet cited by a quote gated fact (informal citations, consistent with TX.json/CA.json's existing convention that only load bearing enrollment and roster fields carry facts[] entries), so the state as a whole stays unverified, the same standing as TX.json and CA.json today. Extra benefits for all five plans are drawn from each plan's own Illinois Medicaid benefits pages, spot checked during this authoring pass; a human should re confirm current dollar amounts before this ships as verified, since plan benefit amounts change periodically. Illinois does not appear on the plans v3 spec's list of states with one statewide Medicaid formulary, so every plan's formulary_url points to that plan's own drug list rather than a state administered one.