Medical/Rx Benefits

Illinois Medical/Rx Benefits Benchmarks

Real plan data from verified employers in your state

Verified Data
1,296Employers
4,333Plans
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Source-verified plan dataReal plans, not surveysRefreshed monthly
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Employee Benefits in Illinois

Medical plan benchmarks from verified employer data

Verified Data

Medical benefits typically represent the largest share of employer benefit spending and are a key factor in employee recruitment and retention.

Our database includes 1,296 employers in Illinois offering 4,333 verified benefit plans. PPO plans are the most common (42% of employers), followed by HDHP (38%). Fully-Insured funding is the predominant model, used by 62% of state employers. Most employers offer three or more plan options to employees (67%).

Medical plan benchmarks include deductibles, copays, coinsurance, out-of-pocket maximums, and employer contribution rates.

1,296 employers4,333 verified plansUpdated September 2026
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Illinois plan design & cost benchmarks

In-Network Cost Sharing — sample layout
In-Network Benefits
LimitedBalancedRobust
Your Plan
Individual Deductible
$708
$1,663
$2,908
$1,66352Bal
Family Deductible
$1,408
$3,926
$5,136
$3,92652Bal
Individual OOP Max
$3,045
$5,187
$6,872
$5,18752Bal
Family OOP Max
$6,986
$9,376
$13,578
$9,37652Bal
Coinsurance
11%
22%
29%
22%52Bal
Primary Care
$25
$35
$47
$3552Bal
Specialist
$42
$51
$72
$5152Bal
Emergency Room
$207
$372
$491
$37252Bal
Urgent Care
$52
$74
$96
$7452Bal

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Real plan-design and cost benchmarks for illinois, with percentile rankings and exportable data.

What's inside the full report
In-Network Cost Sharing

Deductibles, copays, coinsurance & out-of-pocket maximums

Employee Contributions

Monthly employee premium contributions by tier

Gross Premium Rates

Total monthly premium costs by coverage tier

Prescription Drug Coverage

Rx copays, deductibles & mail-order options

Percentile rankings (25th / 50th / 75th)
Live, real-time data (this preview refreshes monthly)
Exportable to PDF & CSV

Plan Type Mix

% of employers offering each

VERIFIED
PPO42%
HDHP38%
HMO15%
EPO4%

Plan Funding

% of employers by funding

VERIFIED
Fully-Insured62%
Self-Insured31%
Level-Funded7%

Plans Offered

% of employers by plan count

VERIFIED
Three or More Plans67%
Two Plans24%
One Plan8%
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See What You'll Discover

Our reports reveal exactly where your plan stands, and why. Preview using sample Illinois data.

72
Balanced
Sample Report
Sample PPO Gold 1500
Blue Cross Blue Shield · PPO

This plan aligns well with common market practices. Benefits and costs are competitive, providing reliable value that meets typical employer offerings in your segment.

Based on 847 comparable plans
Core Scoring Drivers
In-Network Cost Sharing78Robust

Deductibles and copays rank above market median, offering strong value to employees.

Employee Contributions65Balanced

Contribution levels are competitive with peer employers in your industry.

Premium Rates71Balanced

Gross premiums align with market expectations for comparable coverage.

Plan Types
PPO
42%
HDHP
31%
HMO
18%
POS
9%

% of employers

Plans Offered
2 Plans
38%
3 Plans
29%
1 Plan
22%
4+ Plans
11%

% of employers

Funding Types
Fully Insured: 58%
Self-Funded: 34%
Level-Funded: 8%
Top Performers

Features in top 25% of peers

Individual Deductible82Robust
In-Network Cost Sharing
Primary Care Copay79Robust
In-Network Cost Sharing
Generic Rx Copay77Robust
Prescription Drugs
Individual OOP Max76Robust
In-Network Cost Sharing
Under Performers

Features in bottom 25% of peers

Family Premium18Low
Gross Premium Rates
EE+Spouse Contribution21Low
Employee Contributions
Specialist Copay24Low
In-Network Cost Sharing
Actionable Insight

Family Premium ranks in the 18th percentile. Adjusting employer contribution strategy could improve retention without significant cost increases.

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Illinois Benefits Landscape

Regional trends and benchmarking considerations

Illinois employers offer benefits reflecting a mature, diverse economy. Our benchmarking data shows competitive plan designs with above-average employer contributions. The state's mix of corporate headquarters, manufacturing, and healthcare creates varied patterns across industries.

Key Highlights

Multiple Plan Options

Illinois employers commonly offer three or more medical plan options, providing employee choice across PPO and HDHP designs.

Competitive Contributions

Employer contribution rates in Illinois typically meet or exceed national averages in our benchmarks.

Industry Diversity

Benefits patterns vary significantly by sector—manufacturing, financial services, and healthcare each show distinct characteristics in our data.

Benchmarking Considerations

Illinois benefits vary by industry sector. Manufacturing employers may show different patterns than financial services or technology. Use industry filters to find the most relevant comparison set.

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Frequently Asked Questions

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Detailed benchmarks, industry breakdowns, and exportable data

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