Health Insurance in Madison County, IL

Compare 94 ACA plans and check your subsidy eligibility.

2025 Plan Year Data2026 data from CMS pending
Expanded Bronze only
Bronze from
$369/mo
Silver from
$429/mo
Gold from
$377/mo
Benchmark (SLCSP)

What is the Benchmark (SLCSP)? The Second Lowest Cost Silver Plan — the reference plan used to calculate your premium tax credit (subsidy) amount.

Check My Subsidy — See How Much You Save
Population
263,017
Median Income
$73k
Poverty Rate
11.1%
Uninsured
5.0%
Est. Uninsured
12,612
Insurers
10

Expanded Bronze Plans (25)

Like Bronze but with some services covered before you meet your deductible.

Standard Expanded Bronze
HMO · Ambetter of Illinois
$331/mo
Age 40 premium
Everyday Bronze
HMO · Ambetter of Illinois
$337/mo
Age 40 premium
Standard Expanded Bronze + Vision + Adult Dental
HMO · Ambetter of Illinois
$342/mo
Age 40 premium
Everyday Bronze + Vision + Adult Dental
HMO · Ambetter of Illinois
$349/mo
Age 40 premium
Central Bronze + Vision + Adult Dental
HMO · Ambetter of Illinois
$350/mo
Age 40 premium
UHC Bronze Standard (No Referrals)
HMO · UnitedHealthcare
$367/mo
Age 40 premium
UHC Bronze Value (Rx Copay, No Referrals)
HMO · UnitedHealthcare
$379/mo
Age 40 premium
UHC Bronze Copay Focus (No Referrals)
HMO · UnitedHealthcare
$391/mo
Age 40 premium
UHC Bronze Value+ (Rx Copay, Dental + Vision, No Referrals)
HMO · UnitedHealthcare
$393/mo
Age 40 premium
Connect Bronze CMS Standard
HMO · Cigna Healthcare
$409/mo
Age 40 premium
Bronze Classic Standard (Choice)
HMO · Oscar Health Plan, Inc.
$410/mo
Age 40 premium
Connect Bronze 5000 Indiv Med Deductible - Rx Copay
HMO · Cigna Healthcare
$419/mo
Age 40 premium
Connect Bronze 2000 Indiv Med Deductible
HMO · Cigna Healthcare
$448/mo
Age 40 premium
Central Bronze
HMO · Ambetter of Illinois
$487/mo
Age 40 premium
Blue Choice Preferred Bronze PPO℠ 701
PPO · Blue Cross and Blue Shield of Illinois
$528/mo
Age 40 premium
2025 POS HSA 7350 Elite Bronze
POS · Health AllianceHSA
$547/mo
Age 40 premium
Blue Choice Preferred Bronze PPO℠ 201
PPO · Blue Cross and Blue Shield of Illinois
$561/mo
Age 40 premium
2025 POS 7500 Elite Bronze
POS · Health Alliance
$565/mo
Age 40 premium
2025 POS 6500 Elite Bronze
POS · Health Alliance
$572/mo
Age 40 premium
Blue Choice Preferred Bronze PPO℠ Standard - Select Rx Copays
PPO · Blue Cross and Blue Shield of Illinois
$584/mo
Age 40 premium
QUARTZ ONE ACHIEVE BRONZE (VISION) $9100 DED FLAT RX COPAYS - IL
HMO · Quartz
$641/mo
Age 40 premium
QUARTZ ONE ACHIEVE BRONZE (VISION) STANDARD EASY PRICING - IL
HMO · Quartz
$654/mo
Age 40 premium
QUARTZ ONE ACHIEVE BRONZE (DENTAL & VISION) $9100 DED FLAT RX COPAYS - IL
HMO · Quartz
$658/mo
Age 40 premium
QUARTZ ONE ACHIEVE BRONZE (DENTAL & VISION) STANDARD EASY PRICING - IL
HMO · Quartz
$671/mo
Age 40 premium
QUARTZ ONE ACHIEVE BRONZE (VISION) $7250 HSA - IL
HMO · QuartzHSA
N/A
Age 40 premium

Silver Plans (34)

Middle ground. Required for cost-sharing reductions if your income is 100-250% FPL.

Clear Silver
HMO · Ambetter of Illinois
$391/mo
Age 40 premium
Standard Silver
HMO · Ambetter of Illinois
$399/mo
Age 40 premium
Focused Silver
HMO · Ambetter of Illinois
$405/mo
Age 40 premium
Standard Silver + Vision + Adult Dental
HMO · Ambetter of Illinois
$412/mo
Age 40 premium
Focused Silver + Vision + Adult Dental
HMO · Ambetter of Illinois
$418/mo
Age 40 premium
Silver 12 with first 4 free PCP or MH visits
HMO · Molina Healthcare
$420/mo
Age 40 premium
Silver 1
HMO · Molina Healthcare
$422/mo
Age 40 premium
Silver 8
HMO · Molina Healthcare
$423/mo
Age 40 premium
Silver 1 with Rx Copay and Adult Vision Services
HMO · Molina Healthcare
$427/mo
Age 40 premium
UHC Silver Standard (No Referrals)
HMO · UnitedHealthcare
$472/mo
Age 40 premium
UHC Silver Advantage (Rx Copay, No Referrals)
HMO · UnitedHealthcare
$474/mo
Age 40 premium
UHC Silver Copay Focus (No Referrals)
HMO · UnitedHealthcare
$476/mo
Age 40 premium
UHC Silver Standard+ (Dental + Vision, No Referrals)
HMO · UnitedHealthcare
$486/mo
Age 40 premium
Connect Silver CMS Standard
HMO · Cigna Healthcare
$487/mo
Age 40 premium
UHC Silver Advantage+ (Rx Copay, Dental + Vision, No Referrals)
HMO · UnitedHealthcare
$488/mo
Age 40 premium
Connect Silver 3000 Indiv Med Deductible - Rx Copay
HMO · Cigna Healthcare
$490/mo
Age 40 premium
Silver Classic Standard (Choice)
HMO · Oscar Health Plan, Inc.
$508/mo
Age 40 premium
MercyCare Silver 2500 (3 Free PCP Visits)
HMO · MercyCare Health Plans
$548/mo
Age 40 premium
MercyCare Silver Standard
HMO · MercyCare Health Plans
$549/mo
Age 40 premium
MercyCare Silver Health Savings
HMO · MercyCare Health PlansHSA
$551/mo
Age 40 premium
Blue Choice Preferred Silver PPO℠ 801
PPO · Blue Cross and Blue Shield of Illinois
$676/mo
Age 40 premium
2025 POS 7250 Elite Silver
POS · Health Alliance
$693/mo
Age 40 premium
Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care
PPO · Aetna CVS Health
$694/mo
Age 40 premium
2025 HMO 5000 Elite Silver
HMO · Health Alliance
$695/mo
Age 40 premium
2025 POS 5000 Elite Silver
POS · Health Alliance
$695/mo
Age 40 premium
Blue Choice Preferred Silver PPO℠ 203
PPO · Blue Cross and Blue Shield of Illinois
$703/mo
Age 40 premium
Blue Choice Preferred Silver PPO℠ Standard - Select Rx Copays
PPO · Blue Cross and Blue Shield of Illinois
$719/mo
Age 40 premium
2025 POS 4200 Elite Silver
POS · Health Alliance
$733/mo
Age 40 premium
QUARTZ ONE ACHIEVE SILVER (VISION) $7000 DED - IL
HMO · Quartz
$746/mo
Age 40 premium
QUARTZ ONE ACHIEVE SILVER (DENTAL & VISION) $7000 DED - IL
HMO · Quartz
$766/mo
Age 40 premium
QUARTZ ONE ACHIEVE SILVER (VISION) $0 DED FLAT RX COPAYS - IL
HMO · Quartz
$773/mo
Age 40 premium
QUARTZ ONE ACHIEVE SILVER (VISION) STANDARD EASY PRICING - IL
HMO · Quartz
$774/mo
Age 40 premium
QUARTZ ONE ACHIEVE SILVER (DENTAL & VISION) $0 DED FLAT RX COPAYS - IL
HMO · Quartz
$793/mo
Age 40 premium
QUARTZ ONE ACHIEVE SILVER (DENTAL & VISION) STANDARD EASY PRICING - IL
HMO · Quartz
$794/mo
Age 40 premium

Gold Plans (31)

Higher premium, lower out-of-pocket. Good if you use medical services regularly.

Standard Gold
HMO · Ambetter of Illinois
$454/mo
Age 40 premium
Everyday Gold
HMO · Ambetter of Illinois
$455/mo
Age 40 premium
Central Gold
HMO · Ambetter of Illinois
$461/mo
Age 40 premium
Standard Gold + Vision + Adult Dental
HMO · Ambetter of Illinois
$469/mo
Age 40 premium
Everyday Gold + Vision + Adult Dental
HMO · Ambetter of Illinois
$470/mo
Age 40 premium
Central Gold + Vision + Adult Dental
HMO · Ambetter of Illinois
$477/mo
Age 40 premium
Gold 1
HMO · Molina Healthcare
$479/mo
Age 40 premium
Gold 1 with Adult Vision Services
HMO · Molina Healthcare
$483/mo
Age 40 premium
Gold 8 with Rx Copay
HMO · Molina Healthcare
$503/mo
Age 40 premium
UHC Gold Standard (Rx Copay, No Referrals)
HMO · UnitedHealthcare
$516/mo
Age 40 premium
UHC Gold Copay Focus (No Referrals)
HMO · UnitedHealthcare
$531/mo
Age 40 premium
UHC Gold Advantage (No Referrals)
HMO · UnitedHealthcare
$534/mo
Age 40 premium
Gold Classic Standard (Choice)
HMO · Oscar Health Plan, Inc.
$542/mo
Age 40 premium
UHC Gold Advantage+ (Dental + Vision, No Referrals)
HMO · UnitedHealthcare
$548/mo
Age 40 premium
Connect Gold CMS Standard - Rx Copay
HMO · Cigna Healthcare
$575/mo
Age 40 premium
MercyCare Gold Standard
HMO · MercyCare Health Plans
$579/mo
Age 40 premium
MercyCare Gold Health Savings
HMO · MercyCare Health PlansHSA
$583/mo
Age 40 premium
2025 HMO 1500 Elite Gold
HMO · Health Alliance
$747/mo
Age 40 premium
2025 POS 1500 Elite Gold
POS · Health Alliance
$747/mo
Age 40 premium
2025 POS 2500 Elite Gold
POS · Health Alliance
$757/mo
Age 40 premium
Blue Choice Preferred Gold PPO℠ 204
PPO · Blue Cross and Blue Shield of Illinois
$769/mo
Age 40 premium
Blue Choice Preferred Gold PPO℠ 901
PPO · Blue Cross and Blue Shield of Illinois
$788/mo
Age 40 premium
2025 POS 1000 Elite Gold
POS · Health Alliance
$792/mo
Age 40 premium
Blue Choice Preferred Gold PPO℠ Standard - Rx Copays
PPO · Blue Cross and Blue Shield of Illinois
$797/mo
Age 40 premium
Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay
PPO · Aetna CVS Health
$826/mo
Age 40 premium
QUARTZ ONE ACHIEVE GOLD (VISION) $2500 DED - IL
HMO · Quartz
$865/mo
Age 40 premium
QUARTZ ONE ACHIEVE GOLD (DENTAL & VISION) $2500 DED - IL
HMO · Quartz
$888/mo
Age 40 premium
QUARTZ ONE ACHIEVE GOLD STANDARD (VISION) FLAT RX COPAYS EASY PRICING - IL
HMO · Quartz
$904/mo
Age 40 premium
QUARTZ ONE ACHIEVE GOLD MAINTENANCE (VISION) $500 DED - IL
HMO · Quartz
$922/mo
Age 40 premium
QUARTZ ONE ACHIEVE GOLD STANDARD (DENTAL & VISION) FLAT RX COPAYS EASY PRICING - IL
HMO · Quartz
$928/mo
Age 40 premium
QUARTZ ONE ACHIEVE GOLD MAINTENANCE (DENTAL & VISION) $500 DED - IL
HMO · Quartz
N/A
Age 40 premium

Catastrophic Plans (4)

Very low premium, very high deductible. Only available to people under 30.

Secure (Choice)
HMO · Oscar Health Plan, Inc.
$353/mo
Age 40 premium
2025 HMO 9200 Elite Catastrophic
HMO · Health Alliance
$392/mo
Age 40 premium
QUARTZ ONE ACHIEVE CATASTROPHIC (VISION) - IL
HMO · Quartz
$461/mo
Age 40 premium
Blue Choice Preferred Security PPO℠ 200
PPO · Blue Cross and Blue Shield of Illinois
$517/mo
Age 40 premium

Illinois Expanded Medicaid

Adults with income up to 138% FPL may qualify for Medicaid in Illinois — often with $0 premiums.

Check Medicaid Eligibility

Calculate Your Costs in Madison County

💰
Subsidy Calculator

See how much the government will pay toward your premium

🏥
Medicaid Eligibility

Check if you qualify for Illinois Medicaid program

📊
True Plan Cost

Compare total annual cost including premiums + expected care

🔄
COBRA vs Marketplace

Is COBRA really better than a subsidized ACA plan?