NEWMedicare Advantage 2027 plans are live in the API.Read the changelog
STATE

Provider networks in Illinois.

InPlan holds provider listings for 40 Medicare Advantage plans that serve Illinois. Ask whether a plan lists a provider and get the answer with its source type and the date we read the directory.

MEDICARE ADVANTAGE PLANS
40
PLAN YEARS
2027
INSURERS AND PLAN ORGANIZATIONS
5
LATEST READ
2026-10-29

What we hold in Illinois.

Plans whose provider directories list providers in our data.

Plans with provider listings in Illinois, by market
MARKETPLANSINSURERSPLAN YEARSLATEST READ
Medicare Advantage40520272026-10-29

How we count: a plan counts when its provider directory lists at least one provider in our data. A provider-plan link is one listing of one provider in one plan. For marketplace plans it counts each plan year and network tier the directory gives; for Medicare Advantage plans it counts each provider once per plan.

Insurers in Illinois.

Plans with provider listings for each insurer or plan organization, as they publish their names. A Medicare Advantage plan counts in every state it serves.

Insurers with plans that list providers in Illinois
INSURERMARKETPLANS
Devoted HealthMedicare Advantage24
Zing HealthMedicare Advantage7
HealthSpringMedicare Advantage6
Blue Cross and Blue Shield of IL, NMMedicare Advantage2
Molina HealthcareMedicare Advantage1

Who the Medicare Advantage directories list.

More than 82,000 providers who practise in Illinois appear in the Medicare Advantage plans we hold. The most common primary specialties among them:

  • Nurse Practitioner12,868
  • Clinical Social Worker5,212
  • Physician Assistant4,853
  • Internal Medicine4,537
  • Family Practice4,495
  • Mental Health Counselor4,377
  • Dentist4,046
  • Physical Therapist in Private Practice3,268

Specialties as the national provider registries record them. A provider counts once per specialty.

Example plans in Illinois.

Plans with the most provider-plan links, with the plan ID the API takes. Look any plan ID up for free with the plan ID lookup.

Example plans with provider listings
PLANPLAN IDYEARTYPEPROVIDER-PLAN LINKS
HealthSpring True Choice (PPO)HealthSpringH7849-156-0002027Medicare AdvantagePPO374,040
HealthSpring True Choice (PPO)HealthSpringH7849-002-0002027Medicare AdvantagePPO373,995
HealthSpring Premier (HMO-POS)HealthSpringH4513-084-0002027Medicare AdvantageHMO-POS130,601
HealthSpring Preferred (HMO)HealthSpringH4513-085-0002027Medicare AdvantageHMO130,601
Zing Select Diabetes & Heart IL (HMO C-SNP)Zing HealthH4624-010-0002027Medicare AdvantageHMO C-SNP · Special Needs Plan107,214
SAMPLE ANSWER

A real Illinois answer.

Philip E. Fidel, DDS, who practises in Chicago, is listed in H7849-156-000. This is the answer the API gives today for that pair, with its source type and the date we read the listing.

Requestany language that speaks HTTP
curl -H "Authorization: Bearer $INPLAN_KEY" \
  "https://api.inplan.io/v1/check?npi=1003008459&plan_id=H7849-156-000"
Response, trimmed200 OK
{
  "npi": "1003008459",
  "plan_id": "H7849-156-000",
  "market": "ma",
  "in_network": true,
  "answer": "listed",
  "plan_year": 2027,
  "source": { "type": "plan_directory", "as_of": "2026-10-29" }
}
NPI 1003008459PLAN H7849-156-000

Philip E. Fidel, DDS

Dentist · Chicago, IL

Listed

PLAN
HealthSpring True Choice (PPO)
INSURER
HealthSpring
MARKET
Medicare Advantage, plan year 2027
PLAN TYPE
PPO
SOURCE
plan_directory · read 2026-10-29
One real answer, as the API returns itCheck another pair
DATA FILE

Every Illinois provider, with every plan that lists them.

The Illinois data file is one CSV: one row for each provider and plan pair, for every provider practising in Illinois, with the source type and read date on each row.

FREE API KEY

Check Illinois providers in your own product.

Send an NPI and a plan ID, get an answer with its evidence. Or ask for every plan that lists a provider. A free key gives 500 calls a month.