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Elizabeth M. Whitehorn, Director

2020 Statewide Scores & Ratings

Choosing a HealthChoice Illinois Plan

Choosing the plan that best meets your health care needs is important. Here are some questions to ask before you pick a plan:

  •  Have you read all of the materials that were included in this enrollment packet?
  • Which plans have the extra services you want? (See Your Health Plan Choices that came with this packet.) 
  • How did the plans rate in each area on the front of this report card? Do the doctors in the plan I like communicate with their members? 
    • Do the members in the plan I like get care when they need it? 
    • Do women get the care they need? 
    • Do members with behavioral health conditions get the care they need?
    • Do kids get the care they need to stay healthy? 
  • Which plans have the doctors, clinics, hospitals, specialists, long term care waiver service providers, and other providers you use? Call your providers to find out which HealthChoice Illinois plans they accept. 
  • Do you need providers that speak a certain language? 
  • How far do you want to travel to see your providers? 
  • Which plans have co-pays?

2020 HealthChoice Illinois Plans’ National Ratings

The star ratings below show how the managed care plans statewide compare to national Medicaid ratings for each measure within key performance areas.

Rating Performance Measure Compared to 2017 Quality Compass National Medicaid Benchmarks Performance Percentile
5 / 5

Highest Performance

The performance measure was above the 90th percentile
4 / 5

High Performance

The performance measure was between the 75th and 89th percentiles.
3 / 5

Average Performance

The performance measure was between the 50th and 74th percentiles.
2 / 5

Low Performance

The performance measure was between the 25th and 49th percentiles.
1 / 5

Lowest Performance

The performance measure was below the 25th percentile.

*Formerly known as IlliniCare
NA = not enough data .
NC = results are available, but comparisons could not be made

County Key Performance Area Measure Aetna Better Health Rating Aetna Better Health Rate BlueCross Community Health Plans Star Rating BlueCross Community Health Plans Rate Meridian Health Plan Star Rating Meridian Health Plan Rate Molina Healthcare Star Rating Molina Healthcare Rate

Need More Information on Your HealthChoice Illinois Plan Options?

Visit the Illinois Department of Healthcare and Family Services online at: https://www.illinois.gov/hfs/. You can contact Illinois Client Enrollment Services by phone at 1-877-912-8880 (TTY 1-866-565-8576) or visit the website at: https://enrollhfs.illinois.gov/. You can also contact the plans directly. All plan contact information is found on the Your Health Plan Choices that came with this Report Card.

About This Report Card

The information in this report card was collected from the plans and their members. The information was reviewed for accuracy by independent organizations. The 2018 National Committee for Quality Assurance (NCQA) Healthcare Effectiveness Data and Information Set (HEDIS®) and Consumer Assessment of Healthcare Providers and Systems (CAHPS®) data were used in this report card to rate the plans. HEDIS® is a registered trademark of NCQA and CAHPS® is a registered trademark of the Agency for Healthcare Research and Quality (AHRQ).