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  "@id": "https://coverage-atlas.ryanjhunter.workers.dev/coverage/medicare-plans/il/lake.jsonld",
  "@type": "schema:Dataset",
  "name": "Atlas Commons research objects — Medicare plans in Lake, Illinois (CY2026)",
  "description": "CMS CY2026 Medicare Advantage and Part D plans available in Lake, Illinois: plan count (AGGREGATED), premium range (RECORDED from CMS Landscape Files), CMS star ratings (DETERMINATION — CMS-issued institutional quality rating), and epistemic boundary (INTERPRETATION). Premiums are base plan premiums; actual cost depends on Part B premium, IRMAA, and LIS. Star ratings are CMS quality scores. This surface informs; it does not rank or advise. Use medicare.gov/plan-compare to enroll. CC0.",
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  "about": {
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    "name": "Lake, Illinois",
    "identifier": "IL-lake"
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      "@id": "https://coverage-atlas.ryanjhunter.workers.dev/coverage/medicare-plans/il/lake/plan-count",
      "@type": "schema:Claim",
      "name": "60 Medicare plans are available in Lake, Illinois for contract year 2026",
      "text": "The CMS CY2026 Medicare Landscape Files record 60 Medicare Advantage and Part D plans available in Lake, Illinois. Atlas Commons counted the rows; CMS published the underlying plan×county records, not this county-level total.",
      "claimType": "aggregated_fact",
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      "@id": "https://coverage-atlas.ryanjhunter.workers.dev/coverage/medicare-plans/il/lake/premium-range",
      "@type": "schema:Claim",
      "name": "Monthly premiums for Medicare plans in Lake, Illinois range from $0.00/mo to $155.00/mo (CY2026)",
      "text": "The CMS CY2026 Medicare Landscape Files publish per-plan monthly consolidated premiums for Lake, Illinois. Across the 60 plans with a published premium, the range is $0.00/mo to $155.00/mo. These are the plan's base monthly premium — your actual cost depends on income-related adjustments (IRMAA), any applicable Low Income Subsidy (LIS/Extra Help), and your Part B premium. A $0 plan premium does not mean $0 total cost.",
      "claimType": "official_fact",
      "reviewStatus": "current",
      "commercialInfluence": false,
      "epistemicStatus": {
        "occurred": true,
        "supported": true,
        "adjudged": true,
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      "grounding": {
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        "source": "CMS CY2026 Medicare Landscape Files",
        "sourceUrl": "https://www.cms.gov/medicare/health-drug-plans/medicare-advantage/plan-information/plan-information",
        "value": "$0.00/mo–$155.00/mo monthly consolidated premium",
        "adjudicator": {
          "name": "CMS CY2026 Medicare Landscape Files",
          "url": "https://www.cms.gov/medicare/health-drug-plans/medicare-advantage/plan-information/plan-information"
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      },
      "falsifier": "Verify in the CMS CY2026 Medicare Landscape Files for Lake, Illinois. Falsified if the CMS-published per-plan premium figures differ."
    },
    {
      "@id": "https://coverage-atlas.ryanjhunter.workers.dev/coverage/medicare-plans/il/lake/star-ratings",
      "@type": "schema:Claim",
      "name": "CMS assigned star ratings to 53 of 60 Medicare plans in Lake, Illinois (CY2026); average overall: 3.6 stars",
      "text": "CMS issued Overall star ratings (1–5 stars) to 53 of 60 Medicare plans in Lake, Illinois for CY2026. The unweighted average overall star rating across rated plans is 3.6; 1 plan received 5 stars. Star ratings are CMS quality scores — an institutional determination, not a measured event. A higher rating reflects better performance across CMS quality measures. Ratings cover the contract's overall performance, not this county specifically; a plan may be available in your county with a rating earned across its full service area.",
      "claimType": "regulatory_determination",
      "reviewStatus": "current",
      "commercialInfluence": false,
      "epistemicStatus": {
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        "supported": true,
        "adjudged": true,
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        "value": "3.6 avg overall stars (53 rated plans)",
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      "falsifier": "Verify CMS star ratings for these contract IDs at the CMS Medicare Plan Finder or the CMS star ratings dataset. Falsified if the CMS-published ratings for these contracts differ. Note: PDP-only plans and newly contracted plans may not have an overall star rating — the 7 unrated plans in this county are not rated, not unqualified."
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      "name": "What these Medicare plan figures are — and are NOT — for Lake, Illinois (the epistemic boundary)",
      "text": "This page lists Medicare Advantage (MA) and Part D Prescription Drug Plan (PDP) plans available in Lake, Illinois for CY2026, with their CMS-published base premiums and CMS star ratings. The premiums shown are the PLAN's base monthly premium — your actual monthly cost depends on the Part B premium (deducted from Social Security for most enrollees), income-related premium adjustments (IRMAA), and any Low Income Subsidy (Extra Help). A star rating is CMS's quality score for the plan's overall performance — a higher rating is generally better, but the \"best\" plan depends on your specific prescriptions, preferred doctors, and budget. This surface informs and compares; it does NOT rank plans, recommend a \"best\" plan, or account for your individual situation. To compare plans with your specific drugs and providers and to enroll, use the official Medicare Plan Finder at medicare.gov/plan-compare. For free, unbiased help, contact your State Health Insurance Assistance Program (SHIP) or call 1-800-MEDICARE (1-800-633-4227).",
      "claimType": "interpretation",
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      "epistemicStatus": {
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        "groundingType": "Interpretation",
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        "sourceUrl": "https://coverage-atlas.ryanjhunter.workers.dev/coverage/medicare-plans/il/lake",
        "value": "plan list + base premiums + CMS star ratings; NOT net cost or a ranking",
        "adjudicator": null
      },
      "falsifier": "occurred=FALSE (a framing) and adjudged=FALSE (the atlas's reading, not a CMS verdict) — the LOWEST-warrant claim here."
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          "item": {
            "contract_plan_id": "H0710_039",
            "plan_name": "UHC Nursing Home Plan IL-F001 (PPO I-SNP)",
            "category": "SNP",
            "plan_type": "PPO I-SNP",
            "organization": "UnitedHealthcare",
            "monthly_premium_usd": 15.2,
            "overall_stars": 4.5,
            "moop_in_network_usd": 9250,
            "snp": "No"
          }
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        {
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          "item": {
            "contract_plan_id": "H1206_003",
            "plan_name": "Aetna Medicare Signature (HMO-POS)",
            "category": "MA-PD",
            "plan_type": "HMO-POS",
            "organization": "Aetna Medicare",
            "monthly_premium_usd": 0,
            "overall_stars": "Not rated",
            "moop_in_network_usd": 5900,
            "snp": "No"
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        {
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          "position": 3,
          "item": {
            "contract_plan_id": "H1206_004",
            "plan_name": "Aetna Medicare Prime Chronic Care (HMO C-SNP)",
            "category": "SNP",
            "plan_type": "HMO C-SNP",
            "organization": "Aetna Medicare",
            "monthly_premium_usd": 0,
            "overall_stars": "Not rated",
            "moop_in_network_usd": 6750,
            "snp": "No"
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          "item": {
            "contract_plan_id": "H1206_009",
            "plan_name": "Aetna Medicare Prime Chronic Total (HMO C-SNP)",
            "category": "SNP",
            "plan_type": "HMO C-SNP",
            "organization": "Aetna Medicare",
            "monthly_premium_usd": 15.2,
            "overall_stars": "Not rated",
            "moop_in_network_usd": 9250,
            "snp": "No"
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        },
        {
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          "item": {
            "contract_plan_id": "H1416_009",
            "plan_name": "Wellcare Simple (HMO-POS)",
            "category": "MA-PD",
            "plan_type": "HMO-POS",
            "organization": "Wellcare",
            "monthly_premium_usd": 0,
            "overall_stars": 3,
            "moop_in_network_usd": 3900,
            "snp": "No"
          }
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        {
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          "position": 6,
          "item": {
            "contract_plan_id": "H1416_082",
            "plan_name": "Wellcare Simple Value (HMO-POS)",
            "category": "MA-PD",
            "plan_type": "HMO-POS",
            "organization": "Wellcare",
            "monthly_premium_usd": 0,
            "overall_stars": 3,
            "moop_in_network_usd": 3900,
            "snp": "No"
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        {
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          "item": {
            "contract_plan_id": "H1468_013",
            "plan_name": "Humana Gold Plus H1468-013 (HMO)",
            "category": "MA-PD",
            "plan_type": "HMO",
            "organization": "Humana",
            "monthly_premium_usd": 0,
            "overall_stars": 3.5,
            "moop_in_network_usd": 2150,
            "snp": "No"
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        },
        {
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          "item": {
            "contract_plan_id": "H1468_021",
            "plan_name": "Humana Gold Plus Giveback H1468-021 (HMO)",
            "category": "MA-PD",
            "plan_type": "HMO",
            "organization": "Humana",
            "monthly_premium_usd": 0,
            "overall_stars": 3.5,
            "moop_in_network_usd": 4000,
            "snp": "No"
          }
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        {
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          "position": 9,
          "item": {
            "contract_plan_id": "H2001_038",
            "plan_name": "UHC Complete Care Support IL-1A (PPO C-SNP)",
            "category": "SNP",
            "plan_type": "PPO C-SNP",
            "organization": "UnitedHealthcare",
            "monthly_premium_usd": 15.2,
            "overall_stars": 4.5,
            "moop_in_network_usd": 9250,
            "snp": "No"
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        {
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          "item": {
            "contract_plan_id": "H2802_024",
            "plan_name": "AARP Medicare Advantage Essentials from UHC IL-8 (HMO-POS)",
            "category": "MA-PD",
            "plan_type": "HMO-POS",
            "organization": "UnitedHealthcare",
            "monthly_premium_usd": 0,
            "overall_stars": 4,
            "moop_in_network_usd": 2900,
            "snp": "No"
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        {
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          "position": 11,
          "item": {
            "contract_plan_id": "H2802_025",
            "plan_name": "AARP Medicare Advantage from UHC IL-0001 (HMO-POS)",
            "category": "MA-PD",
            "plan_type": "HMO-POS",
            "organization": "UnitedHealthcare",
            "monthly_premium_usd": 37,
            "overall_stars": 4,
            "moop_in_network_usd": 2900,
            "snp": "No"
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        {
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          "item": {
            "contract_plan_id": "H2802_054",
            "plan_name": "AARP Medicare Advantage from UHC IL-2 (HMO-POS)",
            "category": "MA-PD",
            "plan_type": "HMO-POS",
            "organization": "UnitedHealthcare",
            "monthly_premium_usd": 0,
            "overall_stars": 4,
            "moop_in_network_usd": 3900,
            "snp": "No"
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        {
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          "item": {
            "contract_plan_id": "H2802_067",
            "plan_name": "UHC Complete Care Support IL-7 (HMO-POS C-SNP)",
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            "plan_type": "HMO-POS C-SNP",
            "organization": "UnitedHealthcare",
            "monthly_premium_usd": 15.2,
            "overall_stars": 4,
            "moop_in_network_usd": 3500,
            "snp": "No"
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        },
        {
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          "position": 14,
          "item": {
            "contract_plan_id": "H2802_075",
            "plan_name": "AARP Medicare Advantage Extras from UHC IL-9 (HMO-POS)",
            "category": "MA-PD",
            "plan_type": "HMO-POS",
            "organization": "UnitedHealthcare",
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            "overall_stars": 4,
            "moop_in_network_usd": 3900,
            "snp": "No"
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          "item": {
            "contract_plan_id": "H3093_005",
            "plan_name": "Molina Medicare Complete Care Plus (HMO D-SNP)",
            "category": "SNP",
            "plan_type": "HMO D-SNP",
            "organization": "Molina Healthcare of Illinois",
            "monthly_premium_usd": 0,
            "overall_stars": "Not rated",
            "moop_in_network_usd": 9250,
            "snp": "No"
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        {
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          "item": {
            "contract_plan_id": "H3192_001",
            "plan_name": "Aetna Medicare Prime (HMO-POS)",
            "category": "MA-PD",
            "plan_type": "HMO-POS",
            "organization": "Aetna Medicare",
            "monthly_premium_usd": 0,
            "overall_stars": 3,
            "moop_in_network_usd": 5900,
            "snp": "No"
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        {
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          "item": {
            "contract_plan_id": "H3800_001",
            "plan_name": "Provider Partners Illinois Advantage Plan (HMO I-SNP)",
            "category": "SNP",
            "plan_type": "HMO I-SNP",
            "organization": "Provider Partners Health Plans",
            "monthly_premium_usd": 15.2,
            "overall_stars": 4,
            "moop_in_network_usd": 9250,
            "snp": "No"
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          "item": {
            "contract_plan_id": "H3822_001",
            "plan_name": "Blue Cross Medicare Advantage Basic (HMO)",
            "category": "MA-PD",
            "plan_type": "HMO",
            "organization": "Blue Cross and Blue Shield of IL, NM",
            "monthly_premium_usd": 0,
            "overall_stars": 3,
            "moop_in_network_usd": 4500,
            "snp": "No"
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          "item": {
            "contract_plan_id": "H3822_007",
            "plan_name": "Blue Cross Medicare Advantage Basic Plus (HMO-POS)",
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            "plan_type": "HMO-POS",
            "organization": "Blue Cross and Blue Shield of IL, NM",
            "monthly_premium_usd": 0,
            "overall_stars": 3,
            "moop_in_network_usd": 6750,
            "snp": "No"
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          "item": {
            "contract_plan_id": "H3822_008",
            "plan_name": "Blue Cross Medicare Advantage Premier Plus (HMO-POS)",
            "category": "MA-PD",
            "plan_type": "HMO-POS",
            "organization": "Blue Cross and Blue Shield of IL, NM",
            "monthly_premium_usd": 83,
            "overall_stars": 3,
            "moop_in_network_usd": 3500,
            "snp": "No"
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          "item": {
            "contract_plan_id": "H4329_001",
            "plan_name": "Humana Dual Fully Integrated (HMO D-SNP)",
            "category": "SNP",
            "plan_type": "HMO D-SNP",
            "organization": "Humana",
            "monthly_premium_usd": 0,
            "overall_stars": "Not rated",
            "moop_in_network_usd": 9250,
            "snp": "No"
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          "item": {
            "contract_plan_id": "H4513_084",
            "plan_name": "HealthSpring Premier (HMO-POS)",
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            "plan_type": "HMO-POS",
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            "monthly_premium_usd": 0,
            "overall_stars": 4,
            "moop_in_network_usd": 2900,
            "snp": "No"
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          "item": {
            "contract_plan_id": "H4513_085",
            "plan_name": "HealthSpring Preferred (HMO)",
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            "overall_stars": 4,
            "moop_in_network_usd": 2000,
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          "position": 24,
          "item": {
            "contract_plan_id": "H4513_086",
            "plan_name": "HealthSpring Preferred Savings (HMO)",
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            "plan_type": "HMO",
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            "overall_stars": 4,
            "moop_in_network_usd": 4000,
            "snp": "No"
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        {
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          "position": 25,
          "item": {
            "contract_plan_id": "H4624_001",
            "plan_name": "Zing Choice IL (HMO)",
            "category": "MA-PD",
            "plan_type": "HMO",
            "organization": "Zing Health",
            "monthly_premium_usd": 0,
            "overall_stars": 2.5,
            "moop_in_network_usd": 3850,
            "snp": "No"
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          "position": 26,
          "item": {
            "contract_plan_id": "H4624_010",
            "plan_name": "Zing Essential Wellness Diabetes & Heart IL (HMO C-SNP)",
            "category": "SNP",
            "plan_type": "HMO C-SNP",
            "organization": "Zing Health",
            "monthly_premium_usd": 0,
            "overall_stars": 2.5,
            "moop_in_network_usd": 3650,
            "snp": "No"
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          "item": {
            "contract_plan_id": "H4624_027",
            "plan_name": "Zing Select Diabetes & Heart Complete IL (HMO C-SNP)",
            "category": "SNP",
            "plan_type": "HMO C-SNP",
            "organization": "Zing Health",
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            "overall_stars": 2.5,
            "moop_in_network_usd": 7000,
            "snp": "No"
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          "item": {
            "contract_plan_id": "H4624_029",
            "plan_name": "Zing Select Dialysis IL (HMO C-SNP)",
            "category": "SNP",
            "plan_type": "HMO C-SNP",
            "organization": "Zing Health",
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          "item": {
            "contract_plan_id": "H5216_013",
            "plan_name": "HumanaChoice H5216-013 (PPO)",
            "category": "MA-PD",
            "plan_type": "PPO",
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            "overall_stars": 3.5,
            "moop_in_network_usd": 6550,
            "snp": "No"
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          "item": {
            "contract_plan_id": "H5216_251",
            "plan_name": "HumanaChoice H5216-251 (PPO)",
            "category": "MA-PD",
            "plan_type": "PPO",
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            "overall_stars": 3.5,
            "moop_in_network_usd": 3600,
            "snp": "No"
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          "item": {
            "contract_plan_id": "H5216_258",
            "plan_name": "Humana USAA Honor Giveback (PPO)",
            "category": "MA",
            "plan_type": "PPO",
            "organization": "Humana",
            "monthly_premium_usd": "N/A",
            "overall_stars": 3.5,
            "moop_in_network_usd": 6000,
            "snp": "No"
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          "item": {
            "contract_plan_id": "H5216_283",
            "plan_name": "HumanaChoice H5216-283 (PPO)",
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            "contract_plan_id": "H5216_355",
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            "contract_plan_id": "H6545_010",
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}