Managed Care · IL
Illinois
Moderate opportunity · score 54
MA penetration is near the national average — selective contracting opportunities.
State MA penetration
44.0%
National rank #33 · National avg 47.8%
-3.82 pp vs national
1,077,079
MA beneficiaries (rolled up)
2,449,219
Medicare eligibles
102
Counties indexed
667
SNFs in state
MA beneficiaries · 2016–2022
YoY change: +92.1%
SNF utilization rate (MA enrollees)
Share of MA beneficiaries with a SNF stay each year (CMS MA GV PUF).
Most saturated counties
- 61.8%Stephenson7,439 of 12,036 eligibles
- 60.0%Champaign19,787 of 32,999 eligibles
- 59.4%Rock Island19,347 of 32,592 eligibles
- 59.0%Sangamon26,415 of 44,798 eligibles
- 58.6%Winnebago36,823 of 62,842 eligibles
- 57.9%Jo Daviess4,035 of 6,964 eligibles
- 57.1%Piatt2,349 of 4,117 eligibles
- 56.5%Vermilion10,057 of 17,800 eligibles
- 56.0%St. Clair30,095 of 53,770 eligibles
- 55.5%Madison32,941 of 59,345 eligibles
Highest opportunity counties
- 20.9%Edwards1,625 eligibles · 339 enrolled
- 22.1%Wabash2,853 eligibles · 631 enrolled
- 24.1%Wayne3,852 eligibles · 929 enrolled
- 24.3%Lawrence3,300 eligibles · 801 enrolled
- 24.5%Crawford4,600 eligibles · 1,128 enrolled
- 25.3%Clay3,284 eligibles · 832 enrolled
- 26.6%Effingham8,257 eligibles · 2,198 enrolled
- 27.2%Richland3,824 eligibles · 1,040 enrolled
- 27.5%Jasper2,465 eligibles · 678 enrolled
- 27.8%White3,663 eligibles · 1,018 enrolled
Top MA payers in Illinois
1,090,560 total MA enrolled- 1AETNA LIFE INSURANCE COMPANY206,84519.0%
- 2HUMANA BENEFIT PLAN OF ILLINOIS, INC.165,35115.2%
- 3HUMANA INSURANCE COMPANY105,8849.7%
- 4SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.100,4039.2%
- 5COVENTRY HEALTH CARE OF ILLINOIS, INC.100,1389.2%
- 6EMPHESYS INSURANCE COMPANY59,4355.5%
- 7UNITEDHEALTHCARE OF THE MIDLANDS, INC.58,4315.4%
- 8CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.51,3824.7%
- 9HEALTH CARE SERVICE CORPORATION45,7894.2%
- 10MERIDIAN HEALTH PLAN OF ILLINOIS, INC.28,2412.6%
- 11AETNA BETTER HEALTH PREMIER PLAN MMAI INC.25,0022.3%
- 12HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.20,9151.9%
- 13HARMONY HEALTH PLAN, INC.20,8311.9%
- 14ZING HEALTH OF MICHIGAN, INC.18,2801.7%
- 15MOLINA HEALTHCARE OF ILLINOIS, INC.14,7851.4%
Top-rated SNFs in Illinois
667 total- DUPAGE CARE CENTERWHEATON, IL · Du Page County · 366 beds5★
- FRANKLIN GROVE LIVING AND REHABFRANKLIN GROVE, IL · Lee County · 132 beds5★
- LUTHERAN CARE CENTERALTAMONT, IL · Effingham County · 96 beds5★
- WYNSCAPE HEALTH & REHABWHEATON, IL · Du Page County · 209 beds5★
- WESTMINSTER PLACEEVANSTON, IL · Cook County · 105 beds5★
- BURGESS SQUARE HEALTHCARE CTRWESTMONT, IL · Du Page County · 203 beds5★
- HELIA HEALTHCARE OF OLNEYOLNEY, IL · Richland County · 118 beds5★
- EDEN VILLAGE CARE CENTERGLEN CARBON, IL · Madison County · 107 beds5★
- DOBSON PLAZAEVANSTON, IL · Cook County · 97 beds5★
- MEMORIAL CARE CENTERBELLEVILLE, IL · St. Clair County · 82 beds5★
Source: CMS MA State/County Penetration (Aug 2025). Secondary metrics from CMS Medicare Advantage Geographic Variation PUF (2016–2022). Penetration is computed by rolling up county-level CMS-published MA enrolled / Medicare eligibles. Trend chart spans 2016–2022.