Illinois sports a massive and stable commercial market, a Medicaid sector in transition, and a growing Medicare Advantage market. The commercial market in Illinois remains firmly within the grip of Blue Cross and Blue Shield of Illinois, a subsidiary of the multistate, Chicago-based nonprofit Health Care Service Corp., and market share for major national plans operating in the state remains far behind that of the Blue plan. Three new plans are joining the Exchange for 2021. Medicare Advantage remains a profitable endeavor for health plans and is thus a highly competitive sector, with multiple plans jockeying for market share in Illinois' urban areas with low- to no-premium plans and drug deductibles.


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